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OMB APPROVAL
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OMB Number: 3235.0104
Expire: September 30, 1998
Estimated average burden
hours per response.....0.6
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| 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
(Print or Type Responses)
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1. Name and Address of Reporting Person*
Garber Ronald D.
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(Last) (First) (Middle)
11075 Santa Monica Blvd.
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(Street)
Los Angeles CA 90025
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(City) (State) (Zip)
2. Date of Event Requiring Statement 5/3/96
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(Month/Day/Year)
3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Koo Koo Roo (KKRO)
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5. Relationship of Reporting Person to Issuer (Check all applicable)
[ ] Director [X] Officer [ ] 10% Owner [ ] Other
(give title below) (specify below)
General Counsel
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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)
[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
TABLE I--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
<TABLE>
<CAPTION>
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership
(Instr. 3) Beneficially Owned Form: Direct (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
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<S> <C> <C> <C>
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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).
(Over)
SEC 1473 (7-96)
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FORM 3 (continued)
TABLE II--DERIVATIVE SECURITIES BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
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1. Title of Derivative 2. Date Exer- 3. Title and Amount 4. Conver- 5. Owner- 6. Nature of Indirect
Security (Instr. 4) cisable and of Security sion or ship Beneficial
Expiration Underlying Exercise Form of Ownership
Date Derivative Secu- Price of Derivative (Instr. 5)
(Month/Day/Year) rity (Instr. 4) Derivative Security:
------------------- ------------------- Security Direct
Date Expira- Title Amount (D) or
Exer- tion of Indirect
cisable Date Number (I)
of (Instr. 5)
Shares
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<S> <C> <C> <C> <C> <C> <C> <C>
Employee Stock Option Common
Option (right to buy) (1) 5/3/2006 Stock 50,000 $7.75 I
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</TABLE>
Explanation of Responses:
(1) This option vests in five equal annual installments beginning on the
first anniversary of the date of grant.
**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.
/s/ Ronald D. Garber 4/25/97
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**Signature of Reporting Person Date
