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OMB APPROVAL
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------ OMB Number 3235-0104
FORM 3 Expires: September 30, 1998
------ Estimated average burden
hours per response ....... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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
Brown Dr. Christopher
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(Last) (First) (Middle)
c/o Mr. Joseph S. Schuchert
Eaglestone Capital Services, Inc.
400 Oceangate, Suite 1125
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(Street)
Long Beach CA 90802
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
July 17, 1997
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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
Fountain Pharmaceuticals, Inc. - FPHI
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5. Relationship of Reporting Person to Issuer (Check all applicable)
[X] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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6. If Amendment, Date of Original (Month/Year)
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<PAGE>
FORM 3 (continued)
Table I -- Non-Derivative Securities Beneficially Owned
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3. Ownership Form:
1. Title of 2. Amount of Securities Direct (D) or 4. Nature of Indirect
Security Beneficially Owned Indirect (I) Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr.5)
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Common Stock 180,455 D
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Common Stock 27,270 (1) I By Wife
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Common Stock 63,921 (1) I By Children
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
<TABLE>
<CAPTION>
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<S> <C> <C> <C> <C> <C>
3. Title and Amount 5.Owner-
of Securities Underlying ship
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
1. Title of -------------------- or Exercise (D) or Indirect
Derivative Date Expira- Number Price of Indirect Beneficial
Security Exer- tion of Derivative (I) Ownership
(Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5)
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</TABLE>
Explanation of Responses:
(1) The reporting person disclaims beneficial ownership of these securities,
and this report shall not be deemed an admission that the reporting person
is the beneficial owner of such securities for purposes of Section 16 or
for any other purpose.
/s/ Dr. Christopher Brown 12-2-97
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**Signature of Reporting Person Date
Dr. Christopher Brown
** 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.
