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
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1. Name and Address of Reporting Person
Glass Robert
(Last) (First) (Middle)
c/o Loehmann's, Inc.; 2500 Halsey Street
Bronx New York 10461
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2. Issuer Name and Ticker or Trading Symbol
Loehmann's, Inc. (LOEH)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement of Month/Year
11/96
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5. If Amendment, Date or Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
Director 10% Owner
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X Officer (give title below) Other
---------- ---------- (specify
below)
Senior Vice President, Chief Financial Officer, Assistant Secretary & Treasurer
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Table I - Non-Derivative Securties Acquired, Disposed of, or Beneficially Owned
<TABLE>
<CAPTION>
1. Title of security 2.Transaction 3.Transaction 4.Securities 5.Amount of 6.Ownership 7.Nature of
(Inst.3) Date Code Acquired (A) Securities Form: Indirect
(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, par
value $0.01 per share 11/25/96 S 5,000 D $27.625 5,000 D
Common Stock, par
value $0.01 per share 11/26/96 S 5,000 D $27.275 5,000 I By Wife
</TABLE>
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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
Derivate Exercise Price Date Code Derivative Exercisable
Security of Derivative (Month/ Securities and Expiration
(Instr.3) Security Day/Year) Acquired (A) Date
or Disposed
(D) (Instr.3, (Month/Day/Year)
4 and 5)
Code V (A) (D) Date Expiration
Exercisable Date
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Stock Options(1) (1) (1)
</TABLE>
<TABLE>
<CAPTION>
7.Title and Amount of 8.Price of 9.Number of 10.Ownership 11.Nature
Underlying Securities Derivative Derivative Form of of
(Instr. 3 and 4) 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)
Title Amount or
Number of
Shares
<S> <C> <C> <C> <C> <C>
Common 42,344 42,344 (D)
Stock,
par value
$0.01 per
share
</TABLE>
Explanation of Responses:
(1) Represents three grants of stock 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; of such
options, 2,234 have vested and the remainder vest and become exercisable in four
equal annual installments at the end of each fiscal 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 options to
purchase up to 11,172 shares of Common Stock with an exercise price of $8.06 per
share; such options vest and become exercisable in five equal annual
installments in February of each of 1997, 1998, 1999, 2000 and 2001 and expire
on the tenth anniversary of the date of grant; and (iii) August 1996 grant
under the New Stock Incentive Plan of options to purchase up to 20,000 shares of
Common Stock with an exercise price of $22.69 per share; such options vest and
become excercisable on the fifth anniversary of the date of grant and expire 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 12/9/96
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**Signature of Reporting Person Date
ROBERT GLASS