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*
Stempel, Dennis C.
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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)
[_] Director [_] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
Vice President, Chief Financial Officer and Treasurer
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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 15,111* 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 (1) 11/30/08 Common Stock 12,000 $1.00 D
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Employee Stock Option (2) 4/1/09 Common Stock 24,000 $1.00 D
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Employee Stock Option (3) 8/2/09 Common Stock 20,000 $2.50 D
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Employee Stock Option (4) 12/15/09 Common Stock 7,500 $12.60 D
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</TABLE>
Explanation of Responses:
* Reflects the automatic conversion of 2,222 shares of preferred stock into
1,111 shares of common stock upon the closing of the initial public
offering.
(1) This option will vest as to 4,000 shares on November 30 of each year until
fully vested.
(1) This option will vest as to 6,000 shares on April 1 of each year until
fully vested.
(3) As of the reporting date, this option is exercisable as to 4,000 shares.
This options vests as to an additional 4,000 shares on August 2 of each
year until fully vested.
(4) As of the reporting date, this option is exercisable as to 1,500 shares.
This options vests as to an additional 1,500 shares on December 15 of each
year until fully vested.
/s/Dennis C. Stempel 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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