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| FORM 3 |
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U.S. 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)
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*
Toombs Eugene M.
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(Last) (First) (Middle)
1116 Templeton Place
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(Street)
Town & Country MO 63017
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(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
October 16, 1996 (Estimated)
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Issuer Name and Ticker or Trading Symbol
TALX Corporation, Nasdaq symbol "TALX"
5. Relationship of Reporting Person to Issuer (Check all applicable)
[X] Director
[X] 10% Owner
[ ] Officer (give title below)
[ ] Other (specify below)
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 1 - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
1. Title of Security
Common Stock
2. Amount of Securities Beneficially Owned (Instr. 4)
272,993
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)
I
4. Nature of Indirect Beneficial Ownership (Instr. 5)
(1)
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* If the Form is filed by more than one Reporting Person, see Instruction 5.
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses)
<PAGE>
FORM 3 (continued)
<TABLE>
TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
<CAPTION>
1. Title of Derivative 2. Date Exercisable and 3. Title and Amount of 4. Conversion or 5. Ownership Form 6. Nature of
Security (Instr. 4) Expiration Date Securities Underlying Exercise Price of Derivative Indirect
(Month/Day/Year) Derivative Security of Derivative Security: Beneficial
-------------------------- (Instr. 4) Security Direct (D) or Ownership
-------------------------- Indirect (I) (Instr. 5)
Amount or (Instr. 5)
Date Expiration Number of
Exercisable Date Title Shares
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<C> <C> <C> <C> <C> <C> <C> <C>
Warrants 04/15/98 06/28/06 Common Stock 3,139 $.01 per share D
Series A Convertible
Preferred Stock (2) -------- -------- Common Stock 181,166 -------------- I (1)
Series B Convertible
Preferred Stock (2) -------- -------- Common Stock 15,403 -------------- I (1)
Series C Convertible
Preferred Stock (2) -------- -------- Common Stock 2,067 -------------- I (1)
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Explanation of Responses: (1) Represents securities directly owned by Mitek, Inc. of which Mr. Toombs is President, Chief Executive
Officer and a director. (2) Each share of the Issuer's Series A, B and C Convertible Stock will automatically convert into .2857142
shares of the Issuer's Common Stock upon the closing of the Issuer's initial public offering.
</TABLE>
/s/ Eugene M. Toombs October 10, 1996
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**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 provided is insufficient see Instruction 6 for procedure.
