U.S. SECURITIES AND EXCHANGE
FORM 3 Washington, D.C. 20549
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 20(f) of the
Investment Company Act of 1949
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OMB APPROVAL
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OMB Number:
Expires:
Estimated average burden
hours per response ...0.5
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1. Name and Address of Reporting Person 2. Date of Event 4. Issuer Name and Ticker or Trading Symbol
Requiring Statement
Weiss Michael S. (Month/Day/Year) AVAX Technologies, Inc.
- ------------------------------------------ 7/7/97 AVXT
(Last) (First) (Middle)
5. Relationship of Reporting Person 6. If Amendment, Date of
3. IRS or Social to Issuer (Check all applicable) Original (Month/Day/Year)
787 Seventh Avenue, 44th Floor Security Number of
- ------------------------------------------ Reporting Person X Director ____ 10% Owner
(Street) (Voluntary) X Officer ____ Other (specify -------------------------
(give title
below)
New York NY 10019
Corporate Secretary
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(City) (State) (Zip Code)
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Table I - Non- Derivative Securities Beneficially Owned
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Direct (D) or Indirect Ownership (Instr. 5)
(Instr. 4) (I) (Instr. 5)
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Common Stock 100,717 D
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
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Table II - Derivative Securities Beneficially
Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative 2. Date 3. Title and Amount of 4. Conversion 5. Ownership 6. Nature of Indirect
Security (Instr. 4) Exercisable and Securities Underlying or Exercise form of Beneficial Ownership
Expiration Date Derivative Security Price of Derivative (Instr. 5)
(Month/Day/ (Instr. 4) Derivative Security: Direct
Year) Security (D) or Indirect
(I) (Instr. 5)
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Date Expir- Title Amount or
Exerci- ation Number of
sable Date Shares
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Bridge Placement Warrants Common Stock 1,500.00 $ 0.04 per share D
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Series B Placement Warrants Common Stock 45,179.00 $3.83(1) D
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Explanation of Responses:
(1) The Series B Placement Warrants are convertible into shares of Series B
Convertible Preferred Stock at an exercise price of $110 per share of Series
B Convertible Preferred Stock. The Series B Convertible Preferred Stock is
convertible into shares of Common Stock at a conversion rate determined by
dividing a stated price of $100.00 per share of Series B Convertible
Preferred Stock by a conversion price of $3.83 per share, which conversion
price is subject to adjustment as set forth in the Certificate of
Designations for the Series B Convertible Preferred Stock.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C.
1001 and 15 U.S.C. 78ff(a).
/s/ MICHAEL S. WEISS July 7, 1997
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** Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient, See Instruction 6 for procedure.
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