U.S. SECURITIES AND EXCHANGE COMMISSION ----------------------
WASHINGTON D.C. 20549 OMB APPROVAL
----------------------
OMB Number: 3235-0104
------------ ----------------------
FORM 3
------------
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(f)of the Investment Company Act of 1940
<TABLE>
<CAPTION>
<S> <C> <C> <C>
-----------------------------------------------------------------------------------------------------------------------------------
1. Name and Address of 2. Date of Event Requiring 4. Issuer Name and Ticker or Trading Symbol
Reporting Person Statement (Month/Day/Year)
Klotz Charles R. May 12, 2000 SmartServ Online, Inc. (SSOL)
-----------------------------------------------------------------------------------------------------------------------------------
(Last)(First)(Middle) 3. IRS or Social Security 5. Relationship of Reporting 6. If Amendment, Date of
150 Federal Street, 19th Floor Number of Reporting Person to Issuer (check all Original (Month/Day/
------------------------------ Person (Voluntary) applicable) year)
(Street) X Director __ 10% Owner _____________________________
-- __ Officer (give __ Other (specify 7. Individual or Joint/Group
Boston, MA 02110 title below) below) Filing (Check Applicable
Line)
X Form filed by One Reporting
Person
__ Form filed by More than
One Reporting Person
-----------------------------------------------------------------------------------------------------------------------------------
(City) (State) (Zip)
TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
-----------------------------------------------------------------------------------------------------------------------------------
1. Title of Security (Instruction 4) 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
Beneficially Owned Direct (D) or Indirect Beneficial Ownership
(Instr. 4) (I)(Instr. 5) (Instr. 4)
-----------------------------------------------------------------------------------------------------------------------------------
Common Stock 303,030 I (1)
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
</TABLE>
*If the Form is filed by more than one reporting person, See Instruction
5(b)(v). Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly
(PRINT OR TYPE RESPONSES)
<PAGE>
<TABLE>
<CAPTION>
FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
<S> <C> <C> <C> <C> <C>
-----------------------------------------------------------------------------------------------------------------------------------
1. Title of Derivative 2. Date Exercisable and 3. Title and Amount of 4. Conversion 5. Ownership 6. Nature of
Security (Instr. 4) Expiration Date Securities Underlying or Exercise Form of Indirect
(Month/Day/Year) Derivative Security Price of Derivative Beneficial
(Instr. 4) Derivative Security: Ownership
Security Direct (D) (Instr. 5)
Indirect (I)
(Instr. 5)
---------------------------------------------------------------------------------------------------------
Date Expiration Amount or
Exercisable Date Title Number of
Shares
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------
(1) These shares are owned by TecCapital Ltd., of which Mr. Klotz is a director. Mr. Klotz disclaims beneficial ownership of such
shares and this report shall not be deemed an admission of beneficial ownership for purposes of Section 16 or for any other
purpose.
</TABLE>
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
5(b)(v).
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
<TABLE>
<CAPTION>
<S> <C> <C>
/s/ Charles R. Klotz August 22, 2000
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ----------------------------------- --------------
**Signature of the Reporting Person Date
</TABLE>
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient,
See Instruction 6 for procedure.
(Print or Type Responses)
