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Previous: HIGH INCOME PORTFOLIO, N-30D, 1998-05-27 |
Next: JOTAN INC, 3, 1998-05-27 |
FORM 3 U.S. SECURITIES AND EXCHANGE COMMISSION OMB Approval
Washington, D.C. 20549 OMB Number 3235-0104
Expires: September
30, 1998
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP Estimated average
OF SECURITIES burden hours per
response . . . 0.5
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.
(Print or Type Responses)
<TABLE>
1. Name and Address of 2. Date of Event-Requiring Statement 4. Issuer Name and Ticker or Trading Symbol
Reporting Person (Month/Day/Year)
JOTAN, INC. ("JTAN")
LIPSCOMB EDWARD L. October 1, 1997
(Last) (First) (Middle)
3. IRS or Social 5. Relationship of Reporting Person to Issuer
Security (Check all applicable)
118 West Adams Street Number of
(Street) Reporting ____ Director ____ 10% Owner
Person X Officer (give ____ Other (specify
(Voluntary) title below)
below)
Jacksonville Florida Vice President, Chief Executive Officer
32202 and Secretary
(City) (State)
6. If Amendment, 7. Individual or Joint/Group Filing (Check
Date of Applicable Line)
Original X Form filed by One Reporting Person
(Month/Year) ___ Form filed by More than One Reporting
Person
Table I - Non-Derivative Securities Beneficially Owned
<CAPTION>
<C> <C> <C> <C>
1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Direct (D) or Indirect Ownership (Instr. 5)
(Instr. 4 (I) (Instr. 5)
-------------------- ----------------------- ------------------------- ---------------------------------
Reminder: Report on a separate line for each class of securities
beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting SEC 1473 (7/96)
person, see instruction 5(b)(v).
<PAGE>
FORM 3 Table II - Derivative Securities Beneficially Owned
(continued) (e.g., puts, calls, warrants, options, convertible securities)
1. Title 2. Date Exer- 3. Title and 4. Conversion 5. Ownership 6. Nature of
of cisable Amount of or Exercise Form of Indirect
Deriv- and Securities Price of Derivative Beneficial
ative Expiration Underlying Derivative Security; Ownership
Security Date (Month/ Derivative Security Direct (D) (Instr. 5)
(Instr. Day/Year) Security or Indirect
4) (Instr. 4) (I) (Instr. 5)
----------- --------------- ------------- -------------- ----------------- -------------
Date Expira- Amount
Exer- tion or Number
cisable Date Title of Shares
------- ------- ----- ---------
Employee Stock Common
Option 10/1/98 10/1/98 Stock 30,000 $1.00 D
</TABLE>
Explanation of Responses:
**Intentional misstatements or omissions
of facts constitute Federal Criminal /s/ Edward L. Lipscomb 05/22/98
Violations. See 18 U.S.C. 1001 and Edward L. Lipscomb Date
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.
Potential persons who are to respond to the
collection of information contained in this
form are not required to respond unless the Page 2
form displays a currently valid OEM Number. SEC 1473 (7/96)
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