SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
JENSEN GEORGE R JR

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
USA TECHNOLOGIES INC [ USTT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/20/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 05/20/2003 A 1,000,000 A 0.1 1,561,000 D
Common Stock 05/20/2003 A 150,000 A 0.1 1,561,000 I Spouse
Common Stock 03/19/2003 A 60,000 A 0(1) 1,561,000 D
Common Stock 05/20/2003 A 90,000 A 0.1 1,561,000 D
Common Stock 05/20/2003 A 75,000 A 0.1 1,561,000 I Spouse
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Note Warrants 0.1 05/20/2003 G(2) 75,000 10/31/2002 05/31/2003 Common Stock 75,000 $0 0 D
Note Warrants 0.1 05/20/2003 J(3) 7,500 10/31/2002 05/31/2003 Common Stock 7,500 $0 0 D
Note Warrants 0.1 05/20/2003 A 45,000 10/31/2002 05/31/2003 Common Stock 45,000 $0 0 D
Note Warrants 0.1 05/20/2003 C 90,000 10/31/2002 05/31/2003 Common Stock 90,000 $0 0 D
Note Warrants 0.1 05/20/2003 J(3) 7,500 10/31/2002 05/31/2003 Common Stock 75,000 $0 0 I Spouse
Note Warrants 0.1 05/20/2003 A 60,000 10/31/2002 05/31/2003 Common Stock 60,000 $0 0 I Spouse
Note Warrants 0.1 05/20/2003 C 75,000 10/31/2002 05/31/2003 Common Stock 75,000 $0 0 I Spouse
1999-A Senior Note $10,000 1.25 05/20/2003 J(3) 8,000 02/15/2000 12/31/2006 Common Stock 8,000 $0 0 D
1999-A Senior Note $10,000 1.25 05/20/2003 J(3) 8,000 02/15/2000 12/31/2006 Common Stock 8,000 $0 50,000 I Spouse
1999-A Senior Note $10,000 1.25 04/30/2003 G(2) 80,000 08/18/2000 12/31/2006 Common Stock 80,000 $0 0 D
1999-A Senior Note $10,000 0.2 03/19/2003 A(4) 42,000 02/15/2000 12/31/2006 Common Stock 42,000 $0 50,000 I Spouse
2002-A Senior Note $30,000 0.2 03/19/2003 A 150,000 10/31/2002 12/31/2005 Common Stock 150,000 $0 500,000 D
Explanation of Responses:
1. (1) Shares of Stock acquired from investment of $30,000 in 2002-A Senior Note due 12/31/05.
2. (2) code transaction represents gift of securities from father to son.
3. (3) code transaction represents correction of prior disclosures which listed husband instead of spouse as the owner.
4. (4) represents additional shares arising from the extention of the $10,000 note, and the reduction of the conversion price from $1.25 to $0.20 per share.
George R. Jensen, Jr. 05/29/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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