OMB Number 3235-0104
Expires: September 30, 1998
Estimated average
burden hours per response....0.5
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
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*
Chalom Marc
(Last) (First) (Middle)
135 East 57th Street
(Street)
New York NY 10022
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
4/8/99
3. IRS Identification Number of Reporting Person, if an entity
(voluntary)
4. Issuer Name and Ticker or Trading Symbol
Ampex Corporation (AXC)
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
/ / Director / / 10% Owner
/x/ Officer (give title below) / / Other (specify below)
Vice President
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 I - Non-Derivative Securities Beneficially Owned
<TABLE>
<CAPTION>
<S> <C> <C> <C>
1. Title of 2. Amount 3. Ownership 4. Nature of Indirect
Security of Form: Beneficial Ownership
(Instr.4) Securities Direct (D) or (Instr. 5)
Beneficially Indirect
Owned (I)
(Instr. 4) (Instr. 5)
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
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 control number.
(over)
SEC 1474 (7-97)
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
FORM 3 (continued)
TABLE II - Derivative Securities Benefically Owned
(e.g., puts, calls, warrants, options, convertible securities)
<S> <C> <C> <C> <C> <C>
1. Title of 2. Date 3. Title and 4. Conversion 5. Ownership 6. Nature of Indirect
Derivative Exercisable Amount of or Exercise Form of Beneficial Ownership
Security and Securities Price of Derivative (Instr. 5)
(Instr.4) Expiration Underlying Derivative Security:
Date Security (Instr. 4) Security Direct (D) or
(Month/Day/Year) Indirect (I)
(Instr. 5)
Date Expira- Title Amount or
Exer- tion Number of
cisable Date Shares
- ------------------------------------------------------------------------------------------------------------------------------------
Option to acquire (Note 1) (Note 1) Class A Common Stock 150,000 $2.8125 D
- ------------------------------------------------------------------------------------------------------------------------------------
(Note 1)
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------
</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 March 24, 2000, and as to an additional 8.25%
quarterly thereafter until March 24, 2002. The option expres as to equivalent
percentages of underlying shares 15 months after the applicable vesting date for
such shares.
** Intentional misstatements or omissions of facts constitute Federal
Criminal Violations. See 18 U.S.C. 1001 and 15
U.S.C. 78ff(a).
/s/ Marc Chalom 4/15/99
**Signature of Reporting Person Date
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 1474 (7-97)
