U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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)
1. Name and Address of Reporting Person
Shirman Jack
(Last) (First) (Middle)
100 Mallard Creek Road, Suite 250
(Street)
Louisville Kentucky 40207
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
9/27/96
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Issuer Name and Ticker or Trading Symbol
VideoLan Technologies, Inc. (VLNT)
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
/X/ Director / / 10% Owner
/X/ Officer (give title below) / / Other (specify below)
Chief Executive Officer
6. If Amendment, Date of Original (Month/Day/Year)
7. Individual or Joint/Group filing (Check Applicable Line)
/XX/ Form filed by One Reporting Person
/ / Form filed by More Than One Reporting Person
<TABLE>
<CAPTION>
Table I -- Non-Derivative Securities Beneficially Owned
2. Amount 3. Ownership
of Secu- Form:
rities Direct 4. Nature of
Bene- (D) or Indirect
ficially Indirect Beneficial
Owned (I) Ownership
1. Title of Security (Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5)
- -------------------------------- ------------- ------------- ----------------
<S> <C> <C> <C>
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction
5(b)(v).
<TABLE>
<CAPTION>
Table II--Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
2. Date Exercisable
and Expiration Date 3. Title and Amount of Securities Underlying Derivative
(Month/Day/Year) Security (Instr. 4)
---------------------- -----------------------------------------------------------
Date Amount or
1. Title of Derivative Exercis- Expiration Title Number of
Security (Instr. 4) able Date (1) Shares
- ---------------------------------------------- ---------- ---------- ---------------------------------------------- -----------
<S> <C> <C> <C> <C>
Employee Stock Option (r ight to buy) 9/27/97 9/26/01 Common Stock 100,000
Employee Stock Option (right to buy) 9/27/98 9/26/01 Common Stock 100,000
Employee Stock Option (right to buy) 9/27/99 9/26/01 Common Stock 50,000
Employee Stock Option (right to buy) 9/27/00 9/26/01 Common Stock 50,000
<CAPTION>
5. Ownership
Form of
Derivative
4. Conver- Security:
sion or Direct 6. Nature of
Exercise (D) or Indirect
Price of Indirect Beneficial
1. Title of Derivative Derivative (I) Ownership
Security (Instr. 4) Security (Instr. 5) (Instr. 5)
- ---------------------------------------------- ------------- ------------- --------------
<S> <C> <C> <C>
Employee Stock Option (right to buy) $6.12 D
Employee Stock Option (right to buy) $6.12 D
Employee Stock Option (right to buy) $6.12 D
Employee Stock Option (right to buy) $6.12 D
</TABLE>
Explanation of Responses:
(1) Subject to earlier expiration upon the occurrence/certain events.
s/Jack Shirman 10/7/96
- --------------------------------------- --------------------------
**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 is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information aimed
in this form are not required to respond unless the form displays a currently
valid CMB Number.