FORM 4
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person
InMed, Inc. d/b/a Incap, Inc.
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(Last) (First) (Middle)
2200 Ross Avenue, Suite 4200 West
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(Street)
Dallas, Texas 75201
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Malibu Entertainment Worldwide, Inc. (MBE)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
04/97
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [ X ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Common Stock 04/28/97 J* 19,408,504 A 39,323,513 I By MEI
Holdings, L.P.
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly
* Represents Common Stock acquired upon conversion of shares of Series F
Preferred Stock and Series G Preferred Stock which became convertible upon
shareholder approval of such conversion at the annual meeting of shareholders of
the issuer on April 28, 1997. This number does not reflect additional shares of
Common Stock to which the Reporting Person may be entitled, without payment of
additional consideration, upon the occurrence of certain future events beyond
the Reporting Persons' control pursuant to the Warrant granted to MEI Holdings,
L.P. on August 28, 1996, and the Investment Agreement entered into by the issuer
and MEI Holdings in June 1996.
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FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
of Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Series G
Preferred Stock $ 0 4/28/97 C (D) ** ** Common 2,135,513 -0- I By MEI
213,551 Stock Holdings,
L.P.
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Series F
Preferred Stock $ 0 4/28/97 C (D) *** *** Common 17,272,991 -0- I By MEI
1,727,299 Stock Holdings,
L.P.
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</TABLE>
Explanation of Responses:
** Shares of Series F Preferred Stock were converted to shares of Common Stock
following shareholder approval of such conversion at the annual meeting of
shareholders of the issuer on April 28, 1997.
*** Shares of Series G Preferred Stock were converted to shares of Common Stock
following shareholder approval of such conversion at the annual meeting of
shareholders of the issuer on April 28, 1997.
InMed, Inc.
May 1, 1997
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**Signature of Reporting Person Date
Daniel A. Decker
Executive Vice President
** 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 provided is insufficient, see Instruction 6 for procedures.
