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
Jonas Jeffrey M. Statement AVAX Technologies, Inc.
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(Last) (First) (Middle)
AVXT
5353 Sunset Drive 7/7/97
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(Street) 5. Relationship of Reporting Person to Issuer 6. If Amendment,
3. IRS or Social (Check all applicable) Date of Original
Security Number of (Month/Day/Year)
Kansas City, MO 64112 Reporting Person
- ----------------------------------------- (Voluntary) X Director ____ 10% Owner
(City) (State) (Zip Code) X Officer ____ Other (specify -----------------
(give title
below)
President & Chief Executive Officer
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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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N/A
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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 Expiration Title Amount or
Exercisable Date Number of
Shares
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Non-Statutory Stock 9/1/96 (1) 6/1/03 Common 318,872.50 $1.00 per D
Option Stock share
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Explanation of Responses:
(1) The option is exercisable at a rate of 1/16 per quarter over a four-year
period commencing on September 1, 1996. The option expires seven years after
such date.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ JEFFREY M. JONAS
________________________________ July 7, 1997
** 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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