- ------ U.S. SECURITIES AND EXCHANGE COMMISSION FORM 4 WASHINGTON, D.C. 20549 - ------ STATEMENT OF CHANGES IN BENEFICIAL [ ] Check this box if no longer OWNERSHIP subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1934 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 Koppelman Charles 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 c/o Steven Madden, Ltd. of Reporting 8/01 (give title (specify title 52-16 Barnett Avenue Person, if an below) below) - --------------------------------------- Entity (Voluntary) (Street) Executive Chairman of the Board - --------------------------------------- ------------------------------------------------------------------------ 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 (Instr. 4) Ownership (Month/ of Month (Instr. 4) Day/Year) (Instr. 3 and 4) ------------------------------------------------- Code V Amount (A) or (D) Price - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 8/06/01 S 50,000 D $16.446 41,500 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 8/16/01 A 50,000 A $ 7.00 41,500 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 8/16/01 S 8,500 D $16.5441 41,500 D - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses)
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) (Instr. 3, 4 and 5) - -------------------------------------------------------------------------------- Code V (A) (D) - -------------------------------------------------------------------------------- Options $7.00 8/16/01 M 50,000 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - --------------------------------------------------------------------------------
- ----------------------------------------------------------------------------------------------------------- 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) (Instr. 5) Beneficially Security: Ownership (Month/Day/Year) Owned at Direct (D) or (Instr. 4) End of Indirect (I) Month (Instr. 4) (Instr. 4) - ----------------------------------------------------------------------------------------------------------- Date Expira- Title Amount or Exer- tion Number of cisable Date Shares - ----------------------------------------------------------------------------------------------------------- 7/18/00 7/18/05 Common 50,000 -- 41,500 D Stock - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- Explanation of Responses:
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. /s/ CHARLES KOPPELMAN September 10, 2001 78ff(a). ------------------------------------------------------ **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 Page 2 of 2 SEC 1474 (3/91) for procedure. Page 2