FORM 4
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person
Belfort, Jordan
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(Last) (First) (Middle)
500 North Broadway, Suite 240
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(Street)
Jericho, New York 11753
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Steven Madden, Ltd. (SHOO)
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3. IRS or Social Security Number of Reporting Person, if an entity (Voluntary)
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4. Statement for Month/Year
October 1997
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [X] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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Common Stock 10/7/97 P 20,000 A 7.69 1,339,371(1) I See
Footnote 2.
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Common Stock 10/9/97 P 5,000 A 8.125 1,339,371(1) I See
Footnote 2.
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Common Stock 10/10/97 P 10,000 A 8.156 1,339,371(1) I See
Footnote 2.
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Common Stock 10/13/97 P 5,000 A 7.969 1,339,371(1) I See
Footnote 2.
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly
FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
of Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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Warrants(3) 5.50 10/10/97 P 10,000 Present 12/10/98 Common 10,000 3.25 10,000 I See
Stock FN 2.
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Explanation of Responses:
(1) This number includes 315,000 shares issuable upon exercise of the Units
reported on the Form 3 filed by Mr. Belfort on September 17, 1997 and 10,000
shares issuable upon exercise of the warrants reported on this Form 4..
(2) These shares and warrants were purchased by J2 Holdings, Incorporated, a New
York corporation. Mr. Belfort is the president and sole shareholder of J2
Holdings, Incorporated.
(3) Each warrant entitles the holder to purchase one share of common stock at a
price of $5.50 per share. The warrants are exercisable through December 10,
1998, and may be redeemed by the Company, under certain conditions.
** Intentional misstatements or omissions of facts constitute Federal
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Jordan Belfort October 15, 1997
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** 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.
