OMB Number 3235-0362
Expires: February 1, 1994
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL 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).
/ / Form 3 Holdings Reported
/ X / Form 4 Transactions Reported
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
Slusser Peter
(Last) (First) (Middle)
153 East 53rd Street - Suite 5100
(Street)
New York, New York 10022
(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)
1998
5. If Amendment, Date of Original
(Month/Year)
6. Relationship of Reporting Person to Issuer
(Check all applicable)
X Director 10% Owner
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Officer (give title below) Other (specify
-------- below)
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805620.1
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TABLE I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
5. Amount of 6. Ownership
Securities Form:
2. Transaction Beneficially Direct (D) 7. Nature of
Date 3. Trans 4. Securities Acquired (A) or Owned at End or Indirect Indirect
1. Title of action Disposed of (D) of Month (I) Beneficial
Security (Month/Day/ Code Ownership
(Instr.3) Year) (Instr. 8) (Instr. 3, 4 and 5) (Instr. 3, 4) (Instr. 4) (Instr. 4)
Code V Amount (A) or (D) Price
<S> <C> <C> <C> <C> <C> <C>
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Print or Type Responses) SEC 2270 (3/91)
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805620.1
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Form 5 (continued) TABLE II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of 2 Conversion 3. Trans- 4. Transac- 5. Number of Derivative 6. Date Exercisable and
Derivative or Exercise action tion Code Securities Acquired (A) or Expiration Date (Month/Day/
Security Price of Date Disposed of (D) Year)
(Instr.3) Derivative (Month/ (Instr. 8) (Instr. 3, 4, and 5)
Security Day/Year)
Date Exercis- Expiration
(A) (D) able Date
<S> <C> <C> <C> <C> <C>
Option to acquire $2.4375 5/15/98 A 5,000 Note 1 Note 1
(Note 1)
(Print or Type Responses) SEC 2270 (3/91)
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805620.1
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<CAPTION>
Form 5 Table II (continued)
1. Title of 7. Title and Amount of Under 8. Price of 9. Number of 10.Ownership 11. Nature of
Derivative lying Securities Derivative Derivative Form of Deriva Indirect Bene
Security Security Securities tive Security: ficial Ownership
(Instr.3) (Instr.3 and 4) Beneficially Direct (D) or (Instr. 4)
(Instr. 5) Owned at End of Indirect (I)
Month (Instr. 4)
Amount or
Number of
Title Shares (Instr. 4)
<S> <C> <C> <C> <C> <C>
Option to acquire Class A Common 5,000 $0 Note 2 D
(Note 1) Stock
Explanation of Responses:
Note 1: Non-qualified stock option grant pursuant to Rule 16b-3 under the Ampex Corporation Stock Incentive Plan. The
option becomes exercisable on the date of the issuer's 1999 Annual Meeting of a Stockholders, and
expires fifteen months thereafter.
Note 2: This reporting person does not own any other options having the same exercise price and exercise period.
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Peter Slusser 2/11/99
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**Signature of Reporting Person Date
Peter Slusser
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
(Print or Type Responses) SEC 2270 (3/91)
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805620.1
