U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
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*
Youngblood, John L.
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(Last) (First) (Middle)
Telaxis Communications Corporation
20 Industrial Drive East
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(Street)
South Deerfield, MA 01373
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
February 1, 2000
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Telaxis Communications Corporation TLXS
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
President, Chief Executive Officer and Director
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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 I -- Non-Derivative Securities Beneficially Owned
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<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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<S> <C> <C> <C>
Common Stock 34,427* D
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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.
(Over)
(Form 3-07/99)
<PAGE>
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
Employee Stock Option 6/9/96 6/9/02 Common Stock 100,000 $1.00 D
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Employee Stock Option 9/9/97 9/9/03 Common Stock 25,000 $1.00 D
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Employee Stock Option (1) 6/26/06 Common Stock 62,500 $1.00 D
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Employee Stock Option (2) 1/05/08 Common Stock 75,000 $1.00 D
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Employee Stock Option (3) 2/25/08 Common Stock 25,000 $1.00 D
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Employee Stock Option (4) 8/02/09 Common Stock 90,000 $2.50 D
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Employee Stock Option (5) 12/15/09 Common Stock 13,491 $12.60 D
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Non-Qualified
Stock Option (6) 12/15/09 Common Stock 31,509 $12.60 D
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Warrant 9/25/96 9/25/06 Common Stock 6,000 $1.00 D
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Warrant 7/31/97 7/30/07 Common Stock 3,000 $1.00 D
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Warrant 4/15/99 7/30/07 Common Stock 200 $1.00 D
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Warrant 7/16/99 7/30/07 Common Stock 200 $1.00 D
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</TABLE>
Explanation of Responses:
* Reflects the automatic conversion of 18,855 shares of preferred stock into
9,427 shares of common stock upon the closing of the initial public
offering.
(1) As of the reporting date, this option is exercisable as to 50,000 shares.
This options vests as to an additional 12,500 shares on June 26, 2000.
(2) As of the reporting date, this option is exercisable as to 45,000 shares.
This options vests as to an additional 15,000 shares on January 5, 2001 and
January 5, 2002.
(3) As of the reporting date, this option is exercisable as to 10,000 shares.
This options vests as to an additional 5,000 shares on February 25 of each
year until fully vested.
(4) As of the reporting date, this option is exercisable as to 18,000 shares.
This options vests as to an additional 18,000 shares on August 2 of each
year until fully vested.
(5) As of the reporting date, this option is exercisable as to 1,786 shares.
This options vests as to an additional 1,786 shares on December 15, 2000,
2,777 shares on December 15, 2001, 2,777 shares on December 15, 2002, and
4,365 shares on December 15, 2003.
(6) This option vests as to 6,305 shares on the earlier of the filing of a
registration statement on Form S-8 or one year from the date of grant. This
option vests as to an additional 6,301 shares on December 15 of each year
until fully vested.
/s/John L. Youngblood 2/1/00
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**Signature of Reporting Person Date
** 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.
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