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OMB APPROVAL
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OMB Number 3235-0362
Expires: September 30, 1998
Estimated average burden
hours per response ....... 1.0
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported
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1. Name and Address of Reporting Person
Hermelin Marc S.
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(Last) (First) (Middle)
2503 South Hanley Road
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(Street)
St. Louis MO 63144
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
KV Pharmaceutical Company; KVA & KVB
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
3/31/97
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ X ] Director [ X ] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
Vice Chairman and Chief Executive Officer
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7. Individual or Joint/Group Reporting
[ X ] Form Filed by One Reporting Person
[ ] Form Filed by More Than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
5. 6.
4. Amount of Owner-
Security Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) & 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
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FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially
Owned (e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Stock Option 12.788 1/2/97 A 50,000 (a) Class B 50,000 50,000 D
(Right to Common
Purchase) Stock
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Stock Option 12.788 1/3/97 A 100,000 (b) Class B 100,000 100,000 D
(Right to Common
Purchase) Stock
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</TABLE>
Explanation of Responses:
(a) Option issued by Company sponsored employee benefit plan in an exempt
transaction pursuant to Rule 16b-3. Option covers 50,000 shares of Class B
common stock and is exercisable in five equal annual installments beginning
January 2, 1997.
(b) Option issued by Company sponsored employee benefit plan in an exempt
transaction pursuant to Rul3 16b-3. Option covers 100,000 shares of Class B
common stock and is exercisable in five equal annual installments beginning
January 3, 1997.
/s/ Marc S. Hermelin 5/15/97
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Signature of Reporting Person Date