FORM 4
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
1. Name and Address of Reporting Person:
Sullivan Daniel
(Last) (First)
225 West 37th Street, NY NY 10018
(Street) (City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol:
JLM Couture, Inc. / JLM
3. IRS or Social Security Number of Reporting Person (Voluntary):
4. Statement for Month/Year:
October 1999
5. If Amendment, Date of Original (Month/Year):
6. Relationship of Reporting Person to Issuer (Check all
applicable):
X Director
10% Owner
Officer (give title below)
Other (Specified below)
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned:
1. Title of Security:
2. Transaction Date:
(Month/Day/Year)
3. Transaction Code:
Code V
4. Securities Acquired (A) or Disposed of (D):
Amount (A) or (D) Price
5. Amount of Securities Beneficially Owned at End of Month:
6. Ownership Form-Direct (D) or Indirect (I):
7. Nature of Indirect Beneficial Ownership:
Table II - Derivative Securities Acquired, Disposed of, or
Beneficially Owned (e.g., puts, calls, warrants, options,
convertible securities):
1. Title of Derivative Security:
Common Stock
2. Conversion or Exercise Price of Derivative Security:
$2.00
3. Transaction Date (Month/Day/Year):
October 19, 1999
4. Transaction Code:
Code V
A
5. Number of Derivative Securities Acquired (A) or Disposed of
(D):
10,000 (A)
6. Date Exercisable and Expiration Date (Month/Day/Year):
October 19, 1999 October 19, 2002
(Date Exercisable) (Expiration Date)
7. Title and Amount of Underlying Securities:
Common Stock 10,000
(Title) (Amount of Number of Shares)
8. Price of Derivative Security:
9. Number of Derivative Securities Beneficially Owned at End of
Month:
20,000
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I):
D
11. Nature of Indirect Beneficial Ownership:
Explanation of Responses:
s/Daniel Sullivan 11/10/99
Signature of Reporting Person Date
