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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5 OMB APPROVAL
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[X] Check box if no longer subject OMB NUMBER: 3235-0362
to Section 16. Form 4 or Expires: September 30, 1998
Form 5 obligations may Estimated average burden
continue. See Instruction 1(b). hours per response ...... 1.0
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[_] Form 3 Holdings Reported
[X] Form 4 Transactions Reported
ANNUAL 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
1. Name and Address of Reporting Person*
Andelman David
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(Last) (First) (Middle)
101 Sprague Street, P.O. Box 37
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(Street)
Readville (Boston), MA 02137
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(City) (State) (Zip)
Maxwell Shoe Company Inc. (MAXS)
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2. Issuer Name and Ticker or Trading Symbol
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3. IRS or Social Security Number of Reporting Person (Voluntary)
4/98
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4. Statement for Month/Year
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
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Officer (give Other (specify
----- title below) ------ below)
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7. Individual or Joint/Group Reporting
(check applicable line)
X Form Filed by One Reporting Person
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Form Filed by More than One Reporting Person
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<TABLE>
<CAPTION>
Table 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security 2. Trans- 3. Trans- 4. Secuirties Acquired (A) 5. Amount of 6. Ownership 7. Nature
(Instr. 3) action action or Disposed of (D) Securities Form: of Indirect
Date Code (Instr. 3, 4 and 5) Beneficially Direct Beneficial
(Month/ (Instr. 8) -------------------------- Owned at end (D) Ownership
Day/ of Issuer's Indirect (Instr. 4)
Year) Amount (A) or Price Fiscal Year (I)
(D) (Instr. 3 and 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Class A Common Stock,
par value $0.01 per share 4/27/98 C4 798,603 A I (1)
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$17.50
Class A Common Stock, per
par value $0.01 per share 4/27/98 S4 798,603 D share 0
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</TABLE>
(1) The reporting person holds the shares as sole trustee of a trust for the
benefit of Eleanor S. Blum.
* If the form is filed by more than one person, see instruction 4(b)(v).
(Over)
SEC 2270 (7-96)
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FORM 5 (continued)
<TABLE>
<CAPTION>
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security 2. Conversion 3. Transaction 4. Transaction 5. Number of Derivative 6. Date Exercisable
(Instr. 3) or Exercise Date Code Securities Acquired (A) and Expiration
Price of (Month/Day/ (Instr. 8) or Disposed of (D) Date
Derivative Year) (Instr. 3, 4, and 5) (Month/Day/
Security Year)
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(A) (D) Date Expiration
Exer- Date
cisable
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Class B Common Stock, par
value $0.01 per share (1) 4/27/98 C4 798,603 (2) (2)
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</TABLE>
<TABLE>
<CAPTION>
7. Title and Amount of 8. Price of Derivative 9. Number of Derivative 10. Ownership of 11. Nature of
Underlying Securities Security (Instr. 5) Securities Beneficially Derivative Security: Indirect Beneficial
(Instr. 3 and 4) Owned at End of Year Direct (D) or Ownership (Instr. 4)
Indirect (I) (Instr. 4)
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Title Amount or
Number of
Shares
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<S> <C> <C> <C> <C>
Class A
Common Stock 798,603 0 I(3) (3)
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</TABLE>
Explanation of Responses:
(1) Shares of Class B Common Stock may be converted into shares of Class A
Common Stock on a one-for-one basis without any additional payment by the
holders of the Class B Common Stock.
(2) Shares of Class B Common Stock may be converted at any time and have no
expiration date.
(3) The reporting person holds the shares as sole trustee of a trust for the
benefit of Eleanor S. Blum.
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ David Andelman 6/23/98
_______________________________ ______________
**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed. If
space provided 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.
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SEC 2270 (7-96)
