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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
(RULE 13d-102)
INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND
13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. __)*
FILM ROMAN, INC.
(Name of Issuer)
COMMON STOCK, $0.01 PAR VALUE
(Title of Class of Securities)
317234 10 2
(CUSIP Number)
_____________________________________
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
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CUSIP NO. 317234 10 2 13G PAGE 2 OF 6 PAGES
- ----------------------- ---------------------
- ------------------------------------------------------------------------------
NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Phil Roman
- ------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [X]
- ------------------------------------------------------------------------------
SEC USE ONLY
3
- ------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States
- ------------------------------------------------------------------------------
SOLE VOTING POWER
5
NUMBER OF 3,078,750
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
N/A
OWNED BY
-----------------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7
REPORTING 3,078,750
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
N/A
- ------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
3,078,750
- ------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10 [_]
N/A
- ------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
11
36.4%
- ------------------------------------------------------------------------------
TYPE OF REPORTING PERSON*
12
IN
- ------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
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CUSIP NO. 317234 10 2 13G PAGE 3 OF 6 PAGES
- ----------------------- ---------------------
- ------------------------------------------------------------------------------
NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Anita Roman
- ------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [X]
- ------------------------------------------------------------------------------
SEC USE ONLY
3
- ------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States
- ------------------------------------------------------------------------------
SOLE VOTING POWER
5
NUMBER OF 300
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
N/A
OWNED BY
-----------------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7
REPORTING 300
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
N/A
- ------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
300
- ------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10 [_]
N/A
- ------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
11
(less than 1%)
- ------------------------------------------------------------------------------
TYPE OF REPORTING PERSON*
12
IN
- ------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
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ITEM 1(A). NAME OF ISSUER:
The name of the issuer is Film Roman, Inc., a Delaware
corporation (the "Issuer").
ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
The principal executive offices of the Issuer are located at
12020 Chandler Boulevard, Suite 200, North Hollywood, California
91607.
ITEM 2(A). NAME OF PERSONS FILING:
Anita Roman ("Mrs. Roman") Phil Roman ("Mr. Roman").
ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:
c/o Film Roman, Inc., 12020 Chandler Boulevard, Suite 200, North
Hollywood, California 91607.
ITEM 2(C). CITIZENSHIP:
Mr. Roman is a citizen of the United States.
Mrs. Roman is a citizen of the United States.
ITEM 2(D). TITLE OF CLASS OF SECURITIES:
This information statement relates to the Common Stock, $.01 par
value, of the Issuer (the "Common Stock").
ITEM 2(E). CUSIP NUMBER.
The CUSIP number of the Common Stock is 317234 10 2.
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-
2(b), CHECK WHETHER THE PERSON FILING IS A:
Not applicable.
ITEM 4. OWNERSHIP.
(a) Mr. Roman beneficially owns 3,078,750 shares of Common
Stock. Mrs. Roman beneficially owns 300 shares of Common
Stock. Mr. Roman disclaims beneficial ownership of the
shares owned by Mrs. Roman. Mrs. Roman disclaims beneficial
ownership of the shares held by Mr. Roman.
(b) Mr. Roman's ownership represents 36.4% of the outstanding
shares of Common Stock. Mrs. Roman's ownership represents
less than 1% of the outstanding shares of Common Stock.
Page 4 of 6 pages
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(c) Number of shares as to which such person has:
(i) Sole power to vote or direct the vote:
See Item 5 of each cover page.
(ii) Shared power to vote or to direct the vote:
See Item 6 of each cover page.
(iii) Sole power to dispose or to direct the disposition
of:
See Item 7 of each cover page.
(iv) Shares power to dispose or to direct the disposition
of:
See Item 8 of each cover page.
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.
Not applicable.
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
Not applicable.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY.
Not applicable.
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
Mr. and Mrs. Roman are individuals.
ITEM 9. NOTICE OF DISSOLUTION OF GROUP.
Not applicable.
ITEM 10. CERTIFICATION.
Not applicable.
Page 5 of 6 pages
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SIGNATURE
After reasonable injury and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
February 14, 1997 /s/ Phil Roman
------------------------------
Phil Roman
President,
Chief Executive
Officer and Director
February 14, 1997 /s/ Anita Roman
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Anita Roman
Page 6 of 6 pages