FORM 4 -------------------------------- [ ] CHECK THIS BOX IF NO LONGER OMB APPROVAL SUBJECT TO SECTION 16. FORM 4 OR -------------------------------- FORM 5 OBLIGATIONS MAY CONTINUE. OMB NUMBER: 3235-0287 SEE INSTRUCTION 1(B). EXPIRES: SEPTEMBER 30, 1998 (PRINT OR TYPE RESPONSES) ESTIMATED AVERAGE BURDEN HOURS PER RESPONSE..........0.5 -------------------------------- 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 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer Dharia, Arvind Steven Madden, Ltd. (SHOO) (Check all applicable) - -------------------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS or Social 4. Statement for Month/Year [X] Director [ ] 10% Owner Security Number [X] Officer [ ] Other 52-16 Barnett Avenue of Reporting June, 1998 (give title (specify title - --------------------------------------- Person below) below) (Street) (Voluntary) CHIEF FINANCIAL OFFICER ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ Long Island City, NY 11104 5. If Amendment, 7. Individual or Joint/Group Filing - --------------------------------------- Date of Original (Check Applicable Line) (City) (State) (Zip) (Month/Year) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership Form: 7. Nature of (Instr.3) action action Code or Disposed of (D) Securities Direct (D) or Indirect Date (Instr. 8) (Instr. 3,4 and 5) Beneficially Indirect (I) Beneficial Owned at End of (Instr. 4) Ownership (Month/ Month (Instr. 4) Day/Year) ------------------------------------------------- Code V Amount (A) or (D) Price (Instr. 3 and 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, $.0001 par value 6/22/98 S 2,500 D $11.50 per 75,000 D shares share shares - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock, $.0001 par value 6/22/98 S 2,500 D $11.375 per 75,000 D shares share shares ==================================================================================================================================== 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 person, SEE Instruction 4(b)(v). SEC 1474 (7/96) Page 1 of 3
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (E.G., puts, calls, warrants, options, convertible securities) - --------------------------------------------------------------------------------- 1. Title of 2. Conversion 3. Transaction 4. Transaction 5. Number of Derivative or Exercise Date Code Derivative Security Price of (Month/Day/Year) (Instr. 8) Securities (Instr. 3) Derivative Acquired (A) Security or Disposed of (D) --------------------------------- Code (A) (D) - --------------------------------------------------------------------------------- OPTIONS $5.50 06/22/98 C 25,000 - --------------------------------------------------------------------------------- - --------------------------------------------------------------------------------- - --------------------------------------------------------------------------------- - --------------------------------------------------------------------------------- - --------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (E.G., puts, calls, warrants, options, convertible securities) - ----------------------------------------------------------------------------------------------------------- 6. Date 7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of Exercisable of Underlying Derivative Derivative Form of Indirect and Expiration Securities Security Securities Derivative Beneficial Date (Instr. 3 and 4) Beneficially Security: Ownership (Month/Day/Year) Owned at Direct (D) or (Instr. 4) End of Indirect (I) Month (Instr. 4) ------------------------------------------- (Instr. 4) Amount Date Expir- or Exer- ation Number cisable Date Title of Shares - ----------------------------------------------------------------------------------------------------------- 06/01/97 05/31/05 Common Stock 25,000 75,000 D - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- Explanation of Responses: SEC 1474 (7/96) Page 2 of 3
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. /s/ ARVIND DHARIA July 9, 1998 78ff(a). ---------------------------- ------------ Arvind Dharia 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. Page 3 of 3