FORM 4 OMB APPROVAL
OMB NUMBER:3235-0287
EXPIRES:APRIL 30, 1997
ESTIMATED AVERAGE BURDEN
HOURS PER RESPONSE 0.5
[ ]Check this box if no longer
subject to Section 16. Form 4
or Form 5 obligations may
continue. See Instruction 1(b).
U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
STATEMENT OF CHANGES IN 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
Glass Robert
(Last) (First) (Middle)
c/o Loehmann's, Inc.; 2500 Halsey Street
Bronx New York 10461
- -----------------------------------------------------------------------------
2. Issuer Name and Ticker or Trading Symbol
Loehmann's, Inc. (LOEH)
- -----------------------------------------------------------------------------
3. IRS or Social Security Number of Reporting Person (Voluntary)
- -----------------------------------------------------------------------------
4. Statement of Month/Year
05/96
- -----------------------------------------------------------------------------
5. If Amendment, Date or Original (Month/Year)
- -----------------------------------------------------------------------------
6. Relationship of Reporting Person to Issuer
(Check all applicable)
Director 10% Owner
---------- ----------
X Officer (give title below) Other
---------- ---------- (specify
below)
Senior Vice President, Chief Financial Officer, Assistant Secretary & Treasurer
- -----------------------------------------------------------------------------
Table I - Non-Derivative Securties Acquired, Disposed of, or Beneficially Owned
<TABLE>
<CAPTION>
2.Transaction 3.Transaction 4.Securities 5.Amount of 6.Ownership 7.Nature of
1. Title of security Date Code Acquired (A) Securities Form: Indirect
(Inst.3) (Month/Day/Year) (Instr. 8) or Disposed Beneficially Direct (D) Beneficial
of (D)(Instr. Owned at End or Ownership
3,4,and 5) of Month Indirect (Instr.4)
(Instr.3 and 4) (I)
(Instr.4)
Code V Amount (A) Price
or
(D)
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock May 07, 1996 P 5,000 A $17.00 5,000 D
Common Stock May 07, 1996 P 5,000 A $17.00 5,000 I By Wife
</TABLE>
- -----------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly. (Print or Type Response)
<PAGE>
FORM 4 (CONTINUED)TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF
OR BENEFICIALLY OWNED (E.G., PUTS, CALLS,
WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
<TABLE>
<CAPTION>
1. Title of 2. Conversion or 3. Transaction 4.Transaction 5. Number of 6.Date 7.Title and
Derivate Exercise Price Date Code Derivative Exercisable Amount of
Security of Derivative (Month/ Securities and Expiration Underlying
(Instr.3) Security Day/Year) Acquired (A) Date Securities
or Disposed (Instr.3 and
(D) (Instr.3, (Month/Day/Year) 4)
4 and 5)
Code V (A) (D) Date Expiration Title Amount or
Exercisable Date Number of
Shares
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Stock Options(1) (1) (1) (1) Common 22,344
Stock
</TABLE>
8.Price of 9.Number of 10.Ownership 11.Nature
Derivative Derivative Form of of
Security Securities Derivative Indirect
(Instr. 5) Beneficially Security: Beneficial
Owned at End Direct (D) Ownership
of Month or (Instr.4)
(Instr.4) Indirect (I)
(Instr.4)
22,344 (D)
Explanation of Responses:
(1) Represents two grants of options to reporting person: (i) November 1994
grant under the 1988 Stock Option Plan of option to purchase up to 11,172 shares
of Common Stock, with an exercise price of $1.065 per share. Such option vests
and becomes exercisable in five equal annual installments at the end of each
of fiscal 1995, 1996, 1997, 1998 and 1999 and each such installment expires
five years from the date on which it vests; (ii) February 1996 grant under the
New Stock Incentive Plan of option to purchase up to 11,172 shares of Common
Stock with an exercise price of $8.06 per share. Such option vests and becomes
exercisable in five equal annual installments in February of each of 1997, 1998,
1999, 2000 and 2001 and expires on the tenth anniversary of the date of grant.
**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.
/s/ Robert Glass 6/26/96
- ----------------------------------------------- ------------------
**Signature of Reporting Person Date
Robert Glass
