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OMB APPROVAL
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FORM 3 OMB Number 3235-0104
------ 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
WESTERGARD, ALLEN R.
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(Last) (First) (Middle)
1520 E. Pima Street
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(Street)
Phoenix Arizona 85034
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
October 13, 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
SkyMall, Inc.; SKYM
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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)
Chief Financial Officer
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6. If Amendment, Date of Original (Month/Year)
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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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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
<PAGE>
FORM 3 (continued)
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Table II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
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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<S> <C> <C> <C> <C> <C> <C> <C>
Options to (1) (1) Common Stock 100,000 (1) D
Purchase
Common Stock
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</TABLE>
Explanation of Responses:
(1) Options to purchase 100,000 shares of Common Stock from the Company
pursuant to the 1994 Stock Option Plan at a purchase price of $4.69 per
share. Options are exercisable with respect to (i) 33,333 shares after
August 2, 1998, (ii) an additional 33,333 shares after September 2, 1999,
and (iii) the remaining 33,334 shares after September 2, 2000; and all
options expire September 2, 2007 in accordance with the Option Agreement.
/s/ Allen R. Westergard October 22, 1997
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**Signature of Reporting Person Date
Allen R. Westergard
** 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.
