JAVELIN SYSTEMS INC
3, 1996-11-04
COMPUTER INTEGRATED SYSTEMS DESIGN
Previous: JAVELIN SYSTEMS INC, 3, 1996-11-04
Next: JAVELIN SYSTEMS INC, 3, 1996-11-04



<PAGE>
 
+--------+
| FORM 3 |          U.S. SECURITIES AND EXCHANGE COMMISSION
+--------+                  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 30(f) of the Investment Company Act of 1940

- - --------------------------------------------------------------------------------
1.  Name and Address of Reporting Person

        Stack                      Richard                          P.
    ----------------------------------------------------------------------------
        (Last)                      (First)                        (Middle)

                              2882C Walnut Avenue
    ----------------------------------------------------------------------------
                                   (Street)

        Tustin                        CA                              92780
    ----------------------------------------------------------------------------
        (City)                      (State)                           (Zip)


2.  Date of Event Requiring Statement (Month/Day/Year)               10/25/95
                                                                  --------------

3.  IRS or Social Security Number of Reporting Person (Voluntary)  
                                                                  --------------

4.  Issuer Name and Ticker or Trading Symbol   Javelin Systems, Inc.,
                                             -----------------------------------
    a Delaware corporation, Nasdaq SmallCap Market Symbol: JVLN
    ----------------------------------------------------------------------------
5.  Relationship of Reporting Person to Issuer (Check all applicable)

    [X] Director    [X] Officer             [X] 10% Owner    [ ] Other
                        (give title below)                       (specify below)

                      President, Chief Executive Officer
    ----------------------------------------------------------------------------
 
6.  If Amendment, Date of Original (Month/Day/Year)    N/A
                                                    ----------------------------

7.  Individual or Joint/Group Filing (Check Appropriate Line)
    [X] Form filed by One Reporting Person
    [ ] Form filed by More than One Reporting Person

             TABLE I--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED

<TABLE> 
<CAPTION> 
- - --------------------------------------------------------------------------------
1. Title           2. Amount of         3. Ownership Form:  4. Nature of 
   of                 Securities Bene-     Direct (D) or       Indirect Bene-
   Security           ficially Owned       Indirect (I)        ficial Ownership
   (Instr. 4)         (Instr. 4)           (Instr. 5)          (Instr. 5) 
- - --------------------------------------------------------------------------------
<S>               <C>                   <C>                 <C> 
Common Stock           860,000                  D                  N/A
- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------

- - --------------------------------------------------------------------------------
</TABLE> 
Reminder: Report on a separate line for each class of securities beneficially 
owned directly or indirectly. (Print or Type Responses)
* If the form is filed by more than one reporting person, see Instruction 
  5(b)(v).

<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 Exer-    3. Title and Amount of Securities   4. Conversion   5. Ownership   6. Nature of In-
    Security (Instr. 4)           cisable and      Underlying Derivative Security      or              Form of        direct Bene- 
                                  Expiration       (Instr. 4)                          Exercise        Derivative     ficial    
                                  Date                                                 Price           Security:      Ownership
                                  (Month/Day/                                          of              Direct (D)     (Instr. 5)
                                  Year)                                                Derivative      or In-     
                              ----------------------------------------------------     Security        direct (I)     
                               Date      Expira-                        Amount or                      (Instr. 5)     
                               Exer-     tion            Title          Number of
                               cisable   Date                           Shares    
- - ------------------------------------------------------------------------------------------------------------------------------------
<S>                            <C>       <C>    <C>                     <C>         <C>             <C>            <C>  
None
- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - ------------------------------------------------------------------------------------------------------------------------------------

- - -----------------------------------------------------------------------------------------------------------------------------------
</TABLE> 
Explanation of Responses:
                                                                         

**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 provided 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.

                                /s/ Richard P. Stack               11/4/96
                              -------------------------------  -----------------
                              **Signature of Reporting Person        Date
                        By:     Richard P. Stack
                        For:  




© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission