UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
FORM 3
OMB APROVAL
OMB NUMBER: 3235-0104
Expires: December 21, 2001
Estimated average burden
hours per response........0.5
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
(Print or Type Responses)
1. Name and Address of Reporting Person*
Medavoy Michael
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(Last) (First) (Middle)
c/o Phoenix Pictures, 10125 W. Washington Blvd., Frankovich Building
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(Street)
Culver City California 90232
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(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
5/16/00
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3. IRS or Social Security Number of Reporting Person (Voluntary)
###-##-####
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4. Issuer Name and Ticker or Trading Symbol
Film Roman, Inc. (ROMN)
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5. Relationship of Reporting Person(s) to Issuer (Check all
applicable)
X Director 10% Owner
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Officer (give title below) Other (specify
below)
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6. If Amendment, Date of Original (Month/Day/Year)
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7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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Form filed by More than One Reporting Person
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<PAGE>
Table I -- Non-Derivative Securities Beneficially Owned
<TABLE>
<CAPTION>
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect
(Instr. 4) Beneficially Owned Form: Direct Beneficial Ownership
(Instr. 4) (D) or Indirect (Instr. 5)
(I)(Instr. 5)
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<S> <C> <C> <C>
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).
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the
form displays a currently valid OMB control number.
(Over)
</TABLE>
<PAGE>
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
1. Title of Derivative 2. Date Exercisable 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature
Security (Instr. 4) and Expiration Securities Underlying sion or ship of In-
Date (Month/Day/Year) Derivative Security Exercise Form of direct
------------------------- (Instr. 4) Price of Deriv- Bene-
Date Expira- ---------------------- Derivative ative ficial
Exer- tion Title Amount Security Security: Owner-
cisable Date or Direct ship
Number (D) or Instr.
of Indirect 5)
Shares (I)
(Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
Employee Stock Option
(right to buy) 4/16/00 4/15/10 Common Stock 25,000 1.125 D
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Explanation of Responses:
</TABLE>
/S/ MICHAEL MEDAVOY May 25, 2000
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MICHAEL MEDAVOY Date
**Signature of Reporting Person
**Intentional misstatements or omissions of facts constitute Federal
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information
contained in this form are not required to respond unless the form displays
a currently valid OMB Number.
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