OMB Number 3235-0287
Expires: September 30, 1998
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
/ / Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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 (If the form is filed by more than
one reporting person, see Instruction 4(b)(v).)
Jacquet Richard J.
(Last) (First) (Middle)
500 Broadway
(Street)
Redwood City, CA 94063
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Ampex Corporation (AXC)
3. IRS or Social Security Number of Reporting Person
(Voluntary)
4. Statement for
(Month/Year)
7/97
5. If Amendment, Date of Original
(Month/Year)
6. Relationship of Reporting Persons to Issuer
(Check all applicable)
_______ Director ______ 10% Owner
X Officer (give title below) ______ Other (specify below)
-------
Vice President
7. Individual or Joint/Group filing (Check Applicable Line)
X Form filed by One Reporting Person
-------
_______ Form filed by More than One Reporting Person
<PAGE>
TABLE I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
<TABLE>
<S> <C> <C> <C> <C> <C> <C>
1.Title of Security 2.Transaction 3.Transaction 4. Securities Acquired 5. Amount of 6. Ownership 7. Nature of
(Instr.3) Date Code (A) or Disposed of Securities Form: Indirect
(Month/Date (Instr.8) (D) (Instr.3, 4 and 5) Beneficially Direct (D) Beneficial
/Year) Owned or Indirect(I) Ownership
at End of Month (Instr. 4)
(Inst. 3 and 4) (Instr. 4)
Code V Amount (A) or (D) Price
- -------------------- ------------ ------ ------ ------- ---------- ----- ------------------ --------------- ------------------
- -------------------- ------------ ------ ------ ------- ---------- ----- ------------------ --------------- ------------------
- -------------------- ------------ ------ ------ ------- ---------- ----- ------------------ --------------- ------------------
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
<PAGE>
TABLE II - Derivative Securities Acquired, Disposed of, or Beneficially
Owned (e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<S> <C> <C> <C> <C> <C>
1. 2. 3. 4. 5. 6.
Title of Derivative Conversion or Transaction Date Transaction Code Number of Derivatives Date Exercisable and
Security (Instr.3) Exercise Price of (Month/Day/Year) (Instr. 8) Securities Acquired (A) or Expiration Date
Derivative Security Disposed of (D) (Month/Day/Year)
Instr. 3, 4, and 5)
----- ------- ------- ------------------ ------------ ----------
Code V (A) (D) Date Exer- Expiration
cisable Date
- ---------------------- -------------------- ---------------- ----- ------- ------- ------------------ ------------ ----------
Option to acquire $4,875 7/18/97 A V 7,500 (Note 1) (Note 1)
(Note 1)
- ---------------------- -------------------- ---------------- ----- ------- ------- ------------------ ------------ ----------
- ---------------------- -------------------- ---------------- ----- ------- ------- ------------------ ------------ ----------
</TABLE>
<TABLE>
<S> <C> <C> <C> <C> <C>
1. 7. 8. 9. 10. 11.
Title of Title and Amount of Price of Number of Ownership Form of Nature of Indirect
Derivative Underlying Securities Derivative Derivative Derivative Security: Beneficial Ownership
Security Security Securities Direct (D) (Instr. 4)
(Instr.3) (Instr. 3 and 4) (Instr. 5) Beneficially or Indirect
------------- ---------- Owned at End (I) (Instr. 4)
Title Amount or of Month
Number of (Instr. 4)
Shares
- ----------- ------------- ---------- ---------- ------------ ----------------------- ----------------------
Option to Class A 7,500 $0 (Note 2) D
acquire Common
(Note 1) Stock
- ----------- ------------- ---------- ---------- ------------ ----------------------- ----------------------
- ----------- ------------- ---------- ---------- ------------ ----------------------- ----------------------
</TABLE>
Explanation of Responses:
Note 1: Non-qualified stock option grant pursuant to Rule 16b-3 under the Ampex
Corporation Stock Incentive Plan (the "Plan"). The option becomes exercisable as
to 34% of the underlying shares on July 18, 1998, and as to an additional 8.25%
quarterly thereafter until July 18, 2000. The option expires as to equivalent
percentages of underlying shares on the fifteen-month anniversary of the vesting
date for such shares.
Note 2: The column 9 total does not include other options outstanding under
the Plan, because their exercise prices and exercise periods are different.
/s/Richard J. Jacquet 8/5/97
-------------------------------- ---------
**Signature of Reporting Person Date
** 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.
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