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FORM 3 OMB APPROVAL
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OMB Number: 3235-0104
Expires: September 30, 1998
Estimated average burden
. hours per response .... 0.5
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UNITED STATES 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
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1. Name and Address of Reporting Person*
Jacobson Jonathon S.
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(Last) (First) (Middle)
200 Clarendon Street, 51st Floor
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(Street)
Boston MA 02117
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
10/1/98
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Laser Mortgage Management, Inc. LMM
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<PAGE>
5. Relationship of Reporting Person to Issuer (Check all applicable)
[ ] Director
[x] 10% Owner
[ ] Officer (give title below)
[ ] Other (Specify below)
1
Group
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6. If Amendment, Date of Original (Month/Day/Year)
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7. Individual or Joint/Group Filing (Check applicable line)
[x] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
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<TABLE>
<CAPTION>
TABLE I--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of 3. Ownership 4. Nature of Indirect
(Instr. 4) Securities Form: Beneficial
Beneficially Direct (D) Ownership
Owned or Indirect (Instr. 5)
(Instr. 4) (I) (Instr. 5)
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<S> <C> <C> <C>
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common stock 17,500 I See Note 2
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common stock -0- I See Note 3
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</TABLE>
* If the Form is filed by more than one Reporting Person,
SEE instruction 5(b)(v).
Reminder: Report on a separate line for each class of
securities beneficially owned directly or indirectly.
(Print or Type Responses)
(Over)
SEC 1473 (7-96)
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FORM 3 (continued)
<TABLE>
<CAPTION>
TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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1. Title of Derivative Security 2. Date Exercisable and 3. Title and Amount
(Instr. 4) Expiration Date of Securities
(Month/Day/Year) Underlying
----------------------- Derivative
Date Expiration Security
Exercisable Date (Instr. 4)
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Title Amount or
Number of
Shares
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<S> <C> <C> <C> <C>
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4. Conversion or 5. Ownership Form of 6. Nature of Indirect
Exercise Price Derivative Security: Beneficial Ownership
of Derivative Direct (D) or (Instr. 5)
Security Indirect (I) (Instr. 5)
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<C> <C> <C>
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</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).
<PAGE>
Explanation of Responses:
Note 1 The Reporting Person may be considered a "group" with Richard L.
Grubman, Highfields Capital Management LP, Highfields Associates LLC and
Highfields Capital Ltd., but disclaims beneficial ownership of any securities
owned by such other persons.
Note 2 These securities are owned by Highfields Capital I LP and Highfields
Capital II LP, of which Highfields Associates LLC is the General Partner, of
which the Reporting Person is a Managing Member. Unable to determine exact
pecuniary interest.
Note 3 The Reporting Person also is a Managing Member of Highfields GP LLC,
the General Partner of Highfields Capital Management LP. Highfields Capital
Management LP provides investment management services to Highfields Capital I
LP, Highfields Capital II LP and Highfields Capital Ltd.
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, SEE Instruction 6 for procedure.
DATED: April 16, 1999
4
/s/ Kenneth H. Colburn
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Note 4
RESOLUTION OF THE MANAGING MEMBERS
AUTHORIZATION TO SIGN
REGULATORY REPORTS
The undersigned, being the Managing Members of Highfields Associates
LLC and Highfields GP LLC, the general partner of Highfields Capital
Management LP, each a Delaware limited liability company (the "Companies"),
recognizing the need for the prompt preparation and execution of reports
required by various regulatory authorities, do hereby adopt the following
resolution and consent to the actions to be taken thereby:
RESOLVED, that Kenneth H. Colburn ("Colburn") is authorized to sign
on behalf of the Companies all reports, applications, filings and
correspondence in connection with reporting requirements ("Regulatory
Reports") of any and all federal regulatory authorities, including the
Commodity Futures Trading Commission, the Securities and Exchange Commission
and the Interstate Commerce Commission, and of any and all foreign, state,
United States territorial and local regulatory authorities. Regulatory
reports do not include any documents specifically required to be signed by one
or both of the Managing Members or a chief executive officer of the Companies,
or agreements, consents or authorizations to act on behalf of the Companies.
However, Colburn is authorized to sign any resolution or consent appearing on
any Regulatory Report with respect to appointing the signatory thereof.
/s/Jonathon S. Jacobson
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Jonathon S. Jacobson
Managing Member
/s/Richard L. Grubman
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Richard L. Grubman
Managing Member
Date: March 19, 1999
