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OMB APPROVAL
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OMB Number 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response ....... 0.5
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UNITED STATES 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*
The H. William Coogan Irrevocable Trust
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(Last) (First) (Middle)
4712 Charmian Road
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(Street)
Richmond VA 23226
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
*
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Firstmark Corp. (FIRM)
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5 Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [ * ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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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)
[ ] 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.5)
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<S> <C> <C> <C>
Common Stock * D
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$.20 par value
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
*If the form is filed by more than one reporting person, see Instruction
5(b)(v).
Page 1 of 3
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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 7. Nature of
---------------------- of Exercise (D) or Indirect
1. Title of Date Expira- Number Price of Indirect Beneficial
Derivative Security Exer- tion of Derivative (I) Ownership
(Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
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</TABLE>
Explanation of Responses:
* See Attachment.
/s/ Susan C. Coogan 5/10/97
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**Signature of Reporting Person Date
Susan C. Coogan
Trustee
** 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 is insufficient, See Instruction 6 for procedure.
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.
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<PAGE>
Additional Information to Form 3
Name: The H. William Coogan Irrevocable Trust
Address: 4712 Charmian Road
Richmond, Virginia 23226
Issuer & Ticker Symbol: Firstmark Corp. (FIRM)
Date of Event Requiring Statement: *
* The H. William Coogan Irrevocable Trust (the "Trust") currently
owns 14,400 shares of the Issuer's Series B, cumulative, non-voting
preferred stock, par value $.20 per share ("Series B Preferred
Stock"). In March 1997, the Issuer's Board of Directors approved of
and directed the conversion of each issued and outstanding share of
Series B Preferred Stock into shares of Common Stock, effective April
1997, pursuant to the Statement of Resolution Establishing Series of
Shares of the Issuer, dated May 7, 1996 (the "Series B Resolution").
Pursuant to the terms of the Series B Resolution relating to the
determination of the number of shares of Common Stock that the holders
of Series B Preferred Stock shall receive upon such conversion, each
share of Series B Preferred Stock is convertible into 80.7571 shares
of Common Stock. Accordingly, upon the consummation of the conversion,
the Trust will receive 1,162,903 shares of Common Stock.
The conversion and the actual issuance of shares of Common Stock to the
Trust has not yet occurred and is pending the approval of the Federal
Communications Commission (the "FCC"). The Issuer currently owns the
voting stock of Champion Broadcasting Corporation ("CBC"), which owns
and operates radio stations subject to FCC regulation. FCC counsel to
CBC has advised the Issuer that the actual acquisition by the Trust of
beneficial ownership of Common Stock cannot occur until the Issuer
receives the necessary approval from the FCC or other arrangements are
made with respect to the voting stock of CBC that would obviate the
need for such FCC approval.
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