======
FORM 3
======
UNITED STATES 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
================================================================================
1. Name and Address of Reporting Person*
The Worsley Family Revocable Trust DTD 7/28/98
- --------------------------------------------------------------------------------
(Last) (First) (Middle)
c/o Robert M. Worsley
1520 E. Pima Street
- --------------------------------------------------------------------------------
(Street)
Phoenix AZ 85034
- --------------------------------------------------------------------------------
(City (State) (Zip)
================================================================================
2. Date of Event
Requiring Statement
(Month/Day/Year)
August 23, 1999
================================================================================
3. I.R.S. Identification
Number of Reporting
Person, if an entity
(Voluntary)
================================================================================
4. Issuer Name and Ticker or Trading Symbol
SkyMall, Inc.; SKYM
================================================================================
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [X] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
-----------------------
================================================================================
6. If Amendment, Date of Original
(Month/Day/Year)
================================================================================
7. Individual or Joint/Group Filing (Check Applicable Line)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
================================================================================
<TABLE>
<CAPTION>
=================================================================================================================
TABLE I--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
=================================================================================================================
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership
(Instr. 4) Beneficially Owned Form: Direct (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
- -----------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C>
Common Stock 1,000,051(1) D
- -----------------------------------------------------------------------------------------------------------------
=================================================================================================================
</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).
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.
<PAGE>
Form 3 (continued)
<TABLE>
<CAPTION>
======================================================================================
Table II--DERIVATIVE SECURITIES BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
======================================================================================
1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities
(Instr. 4) cisable and Underlying Derivative Security
Expiration (Inst. 4)
Date
(Month/Day/Year)
---------------- -----------------------------
Date Expir- Amount or
Exer- tion Title Number of
cisable Date Shares
- --------------------------------------------------------------------------------------
<S> <C> <C> <C> <C>
None
- --------------------------------------------------------------------------------------
<CAPTION>
4. Conver- 5. Owner- 6. Nature of Indirect
sion or ship Beneficial Ownership
Exercise Form of (Inst. 5)
Price of Deriv-
Deri- ative
ative Security:
Security Direct
(D) or
Indirect
(I)
(Instr. 5)
- --------------------------------------------------------------------------------------
<S> <C> <C>
- --------------------------------------------------------------------------------------
======================================================================================
</TABLE>
Explanation of Responses:
THE WORSLEY FAMILY REVOCABLE TRUST DTD 7/28/98
By: /s/ Robert M. Worsley September 9, 1999
------------------------------- -----------------
**Signature of Reporting Person Date
Robert M. Worsley, Trustee
By: /s/ Christi M. Worsley September 9, 1999
------------------------------- -----------------
**Signature of Reporting Person Date
Christi M. Worsley, 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.
Page 2
SEC 1473 (7-97)
