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FORM 4
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[ ] Check this box if no longer subject _________________________________
to Section 16. Form 4 or Form 5 | OMB Number: 3235-0287 |
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Instruction 1(b). | Estimated average burden |
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_________________________________
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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
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1. Name and Address of Reporting Person*
Family Golf Acquisition, Inc.(1)
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(Last) (First) (Middle)
c/o Family Golf Centers, Inc.
225 Broadhollow Road
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(Street)
Melville, NY 11747
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
MetroGolf Incorporated (MGLF)
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
January 1998
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5. If Amendment Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[ ] Director [X] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
[ ] Form filed by One Reporting Person
[X] Form filed by More than One Reporting Person
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or type Responses)
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<TABLE>
<CAPTION>
TABLE I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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5. Amount of 6. Owner-
Securities ship
2. Trans- 3. Trans- 4. Securities Acquired (A) Beneficially Form:
action action or Disposed of (D) Owned at Direct 7. Nature of
Date Code (Instr. 3, 4 and 5) End of (D) or Indirect
1. Title of Security (Month/ (Instr. 8) -------------------------- Month Indirect Beneficial
(Instr. 3) Day/ ---------- Amount (A) or Price (Instr. (I) Ownership
Year) Code V (D) 3 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 1/30/98 P 6,846,433(2) A $1.50 6,846,433 (3) (3)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (over)
(Print or type Responses) SEC 1473 (7-96)
</TABLE>
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FORM 4 (continued)
<TABLE>
<CAPTION>
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g. puts, calls, warrants, options, convertible securities)
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1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
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Title and Ownership
Number of Date Exer- Amount of Form of
Derivative cisable and Underlying Number of Deriv-
Securities Expiration Securities Price Derivative ative
Conver- Trans- Acquired (A) Date (Month/ (Instr. 3 of Securities Security:
sion or Trans- action or Disposed Day/Year) and 4) Deriv- Benefi- Direct
Exercise action Code of (D) -------------- -------------- ative cially (D) or Nature of
Title of Price of Date (Instr. (Instr. 3, Date Amount Secur- Owned at Indirect Indirect
Derivative Deriv- (Month/ 8) 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial
Security ative Day/ -------- ---------- cis- ation ber of (Instr. Month (Instr. Ownership
(Instr. 3) Security Year) Code V (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Stockholders (4) (4) J(4) (4) (4) (4) common 910,622 (4) 0 (4) (4)
Agreement, stock,
including no par
proxy and value
right to per
buy(4) share
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Warrant $1.00 (5) (5) 12/97 6/99 common 500,000 D
(right to stock,
buy)(5) no par
value
per
share
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Convertible $1.00 (5) (5) 12/97 6/99 common 500,000 D
Note stock,
(right to no par
buy)(5) value
per
share
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</TABLE>
Explanation of Responses:
(1) Pursuant to instruction 5(b)(v), this Form 4 is filed jointly by all of
the undersigned (collectively, the "Reporting Persons"), who may be
deemed to be members of a "group" pursuant to Section 13(d) of the
Securities Exchange Act of 1934, as amended (the "Exchange Act"). Family
Golf Acquisition, Inc. has been designated to make the filing of this
Form 4.
(2) Pursuant to Agreement and Plan of Merger, dated as of December 23, 1997
(the "Merger Agreement"), by and among Family Golf Acquisition, Inc.
("Purchaser"), Family Gold Centers, Inc. ("Parent") and MetroGolf
Incorporated ("Issuer"), on January 30, 1998 Purchaser consummated the
tender offer (the "Tender Offer") contemplated by the Merger Agreement
and purchased the shares of common stock covered by this Form 4 (the
"Shares").
(3) Purchaser claims direct beneficial ownership of the Shares. Parent claims
indirect beneficial ownership of the Shares through its affiliation with
Purchaser.
(4) Pursuant to the Stockholders Agreement, dated as of December 23, 1997,
among a certain principal stockholder of the issuer (the "Principal
Stockholders"), Purchaser and Parent, the Principal Stockholder validly
tendered, pursuant to the terms of the Tender Offer, 910,622 shares of
common stock of the issuer owned by him. Such 910,622 shares are included
in the number of Shares reported in Table I.
(5) Beneficial ownership of derivative securities previously reported. Warrant
has not yet been exercised and convertible note has not yet been
converted.
FAMILY GOLF ACQUISITION, INC.
BY: /s/ Robert J. Krause 2/10/98
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Name: Robert J. Krause Date
Title: Chief Executive Officer
** Signature of Reporting Person
** 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.
Page 2 of 2
SEC 1474 (7-96)
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FORM 4 (CONTINUED)
Joint Filer Information
Name: Family Golf Centers, Inc.
Address: 225 Broadhollow Road
Melville, NY 11747
Designated Filer: Family Golf Acquisition, Inc.
Period Covered By Statement: 1/1/98 - 1/31/98
Issuer and Ticker or Trading Symbol: MetroGolf Incorporated (MGLF)
Signature: FAMILY GOLF CENTERS, INC.
By: /s/ Dominic Chang
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Name: Dominic Chang
Title: President
