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Previous: MEDICAL RESOURCES MANAGEMENT INC, 10KSB, 1998-02-13 |
Next: TRAILER BRIDGE INC, 5, 1998-02-13 |
FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION OMB Approval
Washington, D.C. 20549 OMB Number 3235-0362
Expires: September
30, 1998
ANNUAL STATEMENT OF CHANGES IN Estimated average
BENEFICIAL OWNERSHIP burden hours per
response . . . 1.0
[ ] Check this box if no longer
subject to Section 16. Filed pursuant to Section 16(a) of
Form 4 or Form 5 the Securities Exchange Act of 1934,
obligations may continue. Section 17(a) of the Public Utility
See Instruction 1(b). Holding Company Act of 1935 or
Section 30(f) of the Investment
[ ] Form 3 Holdings Reported Company Act of 1940
[ ] Form 4 Transactions Reported
<TABLE>
1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer
Reporting Person (Check all applicable)
X Director X 10% Owner
McLEAN MALCOM P. Trailer Bridge, Inc. (TRBR) ___ Officer (give ___ Other (specify
(Last) (First) (Middle) title below)
below)
3. IRS or Social 4. Statement for
Security Month/Year ____________________________________
500 Park Avenue, Number of
Suite 540 Reporting December 1997
(Street) Person
(Voluntary)
5. If Amendment, 7. Individual or Joint/Group Filing (Check
Date of Applicable Line)
Original X Form filed by One Reporting Person
New York New York (Month/Year) ___ Form filed by More than One Reporting
10022 Person
(City) (State)
(Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
<S> <C> <C> <C> <C> <C> <C>
1. Title of Security 2.Trans- 3. Trans- 4. Securities 5. Amount of Securities 6. Owner- 7. Nature
(Instr. 3) action action Acquired (A) Beneficially Owned at End ship of In-
Date Code or Disposed of (D) of Issuer's Fiscal Year Form: direct
(Month/ (Instr. (Instr. 3, 4 and (Instr. 3 and 4) Direct Bene-
Day/ 8) 5) (D) or ficial
Year) Indirect Owner-
(I) ship
(Instr. (Instr.
4) 4)
Amount (A) or Price
(D)
Common Stock 5,338,000 D
Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting SEC 2270 (7/96)
person, see instruction 4(b)(v). (Print or Type Responses)
<PAGE> 2
FORM 5 Table II - Derivative Securities Acquired, Disposed of,
(continued) or Beneficially Owned (e.g., puts, calls, warrants, options,
convertible securities)
1. Title 2. Conver- 3. Trans- 4. Trans- 5. Number 6. Date Exer-
of sion or action action of cisable
Deriv- Exercise Date Code Deriv- and
ative Price of (Month/ (Instr. ative Expiration
Security Derivative Day/Year) 8) Securities Date (Month/
(Instr. Security Acquired Day/Year)
3) (A) or
Disposed
of (D)
(Instr. 3, Date Expira-
4 and 5) Exer- tion
cisable Date
(A) (D)
Call Option
(obligation
to sell) $.001 02/01/94 392,500 02/01/94 12/31/03
Call Option
(obligation
to sell) $.946 05/21/97 942,000 05/21/97 05/20/07
Call Option
(obligation
to sell) $9.30 09/10/97 J* 20,000 03/01/98 09/09/02
7. Title and 8. Price of 9. Number of 10. Ownership 11. Nature
Amount of Derivative Derivative of of In-
Underlying Security Securities Derivative direct
Securities (Instr. 5) Beneficially Security; Bene-
(Instr. 3 Owned at End Direct (D) ficial
and 4) of Year or Indirect Owner-
(Instr. 4) (I) (Instr. ship
4) (Instr. 4)
Title Amount or
Number of
Shares
Common 392,500 392,500 D
Stock
Common 942,000 942,000 D
Stock
Common 20,000 20,000 D
Stock
</TABLE>
Explanation of Responses:
* Mr. McLean granted, for no consideration, options to buy an aggregate
of 40,000 shares of common stock to colleagues, friends and other
associates, including options to an executive officer at Trailer
Bridge, Inc.
**Intentional misstatements or omissions
of facts constitute Federal Criminal * 02/13/98
Violations. See 18 U.S.C. 1001 and ** Signature of Date
15 U.S.C. 78ff(a). Reporting Person
Note: File three copies of this Form,
one of which must be manually
signed. If space provided is *By:/s/ William G. Gotimer, Jr.
insufficient, see Instruction William G. Gotimer, Jr.
6 for procedure. Attorney-in-Fact
Potential persons who are to respond to the
collection of information contained in this
form are not required to respond unless the Page 2
form displays a currently valid OEM Number. SEC 2270 (7/96)
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