4 1 d4.txt FORM 4 --------------------------- ---------------------------- FORM 4 OMB APPROVAL --------------------------- ---------------------------- [_]Check this box OMB Number: 3235-0287 if no longer subject Expires: December 31, 2001 of Section 16. Form 4 Estimated average burden or Form 5 obligations hours per response.......0.5 may continue. See ---------------------------- Instruction 1(b). U.S. 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 (Print or Type Responses) -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Bramson Edward J. -------------------------------------------------------------------------------- (Last) (First) (Middle) 135 East 57th Street, 32nd Floor -------------------------------------------------------------------------------- (Street) New York, NY 10022 -------------------------------------------------------------------------------- (City) (State) (Zip) -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Ampex Corporation (AXC) -------------------------------------------------------------------------------- 3. IRS Identification Number of Reporting Person, if an entity (voluntary) -------------------------------------------------------------------------------- 4. Statement for Month/Year 10/01 -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) -------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [X] 10% Owner [X] Officer (give title below) [_] Other (specify below) President, Chairman & CEO ------------------------- -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (Check Applicable Line) [ ] Form filed by One Reporting Person [X] Form filed by More Than One Reporting Person -------------------------------------------------------------------------------- Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned --------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------ 1. 2. 3. 4. 5. 6. 7. Title of Security Transaction Transaction Securities Acquired (A) or Amount of Owner- Nature of (Instr. 3) Date Code Disposed of (D) Securities ship Indirect (Month/Day) (Instr. 8) (Instr. 3, 4 and 5) Beneficially Form: Beneficial Year) ---------------------------------------- Owned at End Direct Ownership Code V Amount (A) or Price of Month (D) or (Instr. 4) (D) (Instr. 3 Indirect and 4) (I) (Instr.4) ------------------------------------------------------------------------------------------------------------------------------------ Class A Common Stock (Note 1) 10/29/01 P 1,000,000 A $0.16 2,505,410 D ------------------------------------------------------------------------------------------------------------------------------------ 4,380,045 I (Note 2) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
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 4(b)(v). -------------------------------------------------------------------------------- Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) --------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Title of Conver- Trans- Trans- Number of Date Title and Amount Price Number Owner- Nature Derivative sion action action Derivative Exercisable and of Underlying of of ship of Security or Date Code Securities Expiration Date Securities Deriv- Deriv- Form In- (Instr. 3) Exer- (Month/ (Instr. Acquired (A) (Month/Day/Year) (Instr. 3 and 4) ative ative of direct cise Day/ 8) or Disposed Secur- Secur- Deriv- Bene- Price Year) of(D) ity ities ative ficial of (Instr. 3, (Instr. Bene- Secur- Owner- Deriv- 4 and 5) 5) ficially ity: ship ative --------------------------------------------------------- Owned Direct (Instr. Secur- Code V (A) (D) Date Expira- Title Amount at End (D) or 4) ity Exer- tion or of In- cisable Date Number Month direct of (Instr. (I) Shares 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Class A Option to Common Acquire (Note 3) $0.17 10/23/01 A V 850,000 04/23/02 04/23/05 Stock 850,000 $0 Note 4 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: THE FILING OF THIS REPORT SHALL NOT BE DEEMED AN ADMISSION THAT THE REPORTING PERSON IS, FOR PURPOSES OF SECTION 16 OR OTHERWISE, THE BENEFICIAL OWNER OF ALL OF THE SECURITIES DESCRIBED IN NOTE 2 TO TABLE 1 OF THIS REPORT. Note 1: Represents shares acquired by Sherborne & Company Incorporated ("SCI"), ------ of which Mr. Bramson is the controlling stockholder. Note 2: This number includes 400,000 shares owned by Sherborne Capital ------ Incorporated ("SC"), of which Mr. Bramson is the controlling stockholder; 1,850,000 shares owned by Sherborne Investments Corporation ("SIC"), of which Mr. Bramson is the controlling stockholder; 1,031,479 shares owned by SCI; 979,192 shares owned by Sherborne Holdings Incorporated ("SHI"), a subsidiary of Newhill Partners, L.P. (of which SCI is the general partner); and 119,374 shares owned by NH Bond Corp. ("NHBC"), a subsidiary of SHI. Mr. Bramson may be deemed to be the beneficial owner of the shares owned by SC, SIC, SCI, SHI, and NHBC. Note 3: Non-qualified stock option grant pursuant to Rule 16b-3 under the Ampex ------ Corporation Stock Incentive Plan (the "Plan"). Note 4: The column 9 total does not include other options outstanding under the ------ Plan, because their exercise prices and exercise periods are different. /s/ Edward J. Bramson November 2, 2001 --------------------------------------------- ----------------------- **Signature of Reporting Person Date Edward J. Bramson Individually and as President of SC, SIC, SCI and SHI, and Vice President of NHBC ** 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 contained in this form are not required to respond unless the form displays a currently valid OMB Number.