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FORM 4
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549 ---------------------------
OMB APPROVAL
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ---------------------------
/ / Check this box if no OMB Number: 3235-0287
longer subject to Filed pursuant to Section 16(a) of the Securities Expires: September 30, 1998
Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the Estimated average burden
or Form 5 obligations Public Utility Holding Company Act of 1935 hours per response......0.5
may continue. See or Section 30(f) of the Investment Company ---------------------------
Instruction 1(b). Act of 1940
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
Campbell Robert R. Hanover Capital Mortgage Holdings Inc.-HCM to Issuer (Check all applicable)
- ------------------------------------------- -------------------------------------------- X Director 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
Number of Reporting Month/Year Officer (give Other (Specify
40 Lake Drive Person (Voluntary) May, 1999 ---- title --- below)
- --------------------------------------------- ------------------- below)
(Street) -------------------- 5. If Amendment, __________________________________
New Brunswick, NJ 08902 Date of Original 7. Individual or Joint/Group Filing
- --------------------------------------------- (Month/Year) (Check Applicable Line)
(City) (State) (Zip) X Form filed by One Reporting Person
------------ __ Form filed by more than One
Reporting Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ --------------------------------------- Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Common Stock 5/18/99 P 220 A 5.56 7,342 D*
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* Jointly owned with Joan M. Campbell
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 person, see Instruction 4(b)(v). SEC 1474 (7-96)
(Print or Type Responses)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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Stock Options Common
(Rights to Acquire) 15.94 * * Stock 2,000
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1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative Form of Indirect
(Instr. 3) Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) (Instr. 4)
of Month or Indirect (I)
(Instr. 4) (Instr. 4)
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Stock Options
(Right to Acquire) 2,000 D
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Explanation of Responses:
*Options expire January 14, 2008
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ ROBERT E. CAMPBELL 6/10/99
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- -------
**Signature of Reporting Person Date
Robert E. Campbell
Note: File three copies of this Form, one of which must be manually signed. Page 2
If space is insufficient, see Instruction 6 for procedure. SEC 1474 (7-96)
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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