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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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
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FORM 4 OMB APPROVAL
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[ ] CHECK THIS BOX IF NO LONGER OMB Number: 3235-0287
SUBJECT TO SECTION 16. FORM 4 Expires: September 30, 1998
OR FORM 5 OBLIGATIONS MAY Estimated average burden
CONTINUE. SEE INSTRUCTION 1(B). hours per response .... 0.5
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1. Name and Address of Reporting Person *
Kaplan Philip
(Last) (First) (Middle)
c/o Loehmann's, Inc. 2500 Halsey Street
(Street)
Bronx New York 10461
(City) (State) (Zip)
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
May 1998
5. If Amendment, Date or Original (Month/Year)
6. Relationship of Reporting Person to Issuer (Check all applicable)
X Director 10% Owner
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Officer (give title Other
----- below) ----- (specify
below)
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7. Individual or Join/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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Form filed by More than One Reporting Person
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TABLE I-- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
1. Title of Security 2. Transaction 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) Date action or Disposed of (D) Securities ship of In-
Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Month/ (Instr. 8) Owned at Direct Bene-
Day/ ------------- ------------------------- End of (D) ficial
Year) (A) Month Indirect Owner-
Code V Amount or Price (Instr. 3 (I) ship
(D) and 4) (Instr. 4) (Instr. 4)
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Common Stock, par value $0.01
per share (1) 5/13/98 X 39,892 A $1.065
Common Stock, par value $0.01
per share (2) 5/13/98 X 10,783 A $1.065
Common Stock, par value $0.01
per share 5/27/98 S 5,000 D $5.575
Common Stock, par value $0.01
per share 5/28/98 S 5,000 D $5.550
Common Stock, par value $0.01
per share 5/29/98 S 5,000 D $5.750 80,133 D
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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 9-96)
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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)
1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- 6. Date Exer-
Security (Instr. 3) sion or action tion Code ative Securities Ac- cisable and Ex-
Exercise Date (Instr. 8) quired (A) or Dis- piration Date
Price of posed of (D)
Deriv- (Month/ (Instr. 3, 4 and 5) (Month/Day/
ative Day/ Year)
Secur Year) ------------- ------------------------- ----------------------
Date Expira-
Code V (A) (D) Exer- tion
cisable Date
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Stock Options $1.0650 5/13/98 X 39,892 (3) (3)
Stock Options $1.0650 5/13/98 X 10,783 (3) (3)
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7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na-
Underlying Securities Deriv of Deriv- ship ture
ative ative Form of In-
(Instr. 3 and 4) Secur- Secur- of De- direct
ity ities rivative Bene-
(Instr. Bene Secu- ficial
5) ficially rity: Own-
Owned Direct ership
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Amount or of Indi-
Title Number of Month rect (I)
Shares (Instr. 4) (Instr. 4)
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Common Stock, par
value $0.01 per share 39,892
Common Stock, par
value $0.01 per share 10,783 52,041(3) D
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Explanation of Responses:
(1) On May 13, 1998, reporting person exercised stock options to acquire 39,892
shares of Common Stock at an exercise price of $1.0650 per share.
(2) On May 13, 1998, reporting person exercised stock options to acquire 10,783
shares of Common Stock at an exercise price of $1.0650 per share.
(3) Options exercised were from grants pursuant to the 1988 Stock Option Plan.
Pursuant to the 1988 Stock Option Plan, reporting person holds options to
purchase 26,871 shares of Common Stock at an exercise price of $1.0650 per
share; such options are currently vested and exercisable, and expire, with
certain exceptions, five years after the dates of vesting. Reporting person
also holds stock options with the following exercise prices, vesting,
schedules and expiration dates: (i) options to purchase 14,657 shares of
Common Stock at an exercise price of $5.01 per share, which options are
currently vested and exercisable and expire, with certain exceptions, five
years after the dates of vesting, (ii) options to purchase 6,840 shares of
Common Stock at an exercise price of $8.06 per share, which options are
currently vested and exercisable and expire, with certain exceptions, five
years after the dates of vesting, (iii) options to purchase 3,673 shares of
Common Stock at an exercise price of $8.06 per share, which options are
currently vested and exercisable and expire, with certain exceptions, 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/ Philip Kaplan 6/3/98
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**Signature of Reporting Person Date
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.
Page 2
SEC 1474 (9-96)
