U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 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
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1. Name and Address of Reporting Person
HAUSMAN MARVIN S.
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(Last) (First) (Middle)
#1 ASH LAKE ROAD
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(Street)
STEVENSON, WA 99648
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
MARCH 7, 2002
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
OXIS INTERNATIONAL, INC. (symbol-OXIS.OB)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
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7. Individual or Joint/Group Filing (Check applicable line)
[X] Form Filed by One Reporting Person
[_] Form Filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Beneficially Owned
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3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print of Type Responses)
(Over)
FORM 3 (continued)
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Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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Series F Preferred Stock,
par value $.01 per share Immed. N/A Common Stock 2,500,000 $0.10 I(1)
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Common Stock Purchase
Warrants Immed. 3/1/07 Common Stock 250,000 $1.00 I(1)
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Explanation of Responses:
(1) The reported shares are owned of record by a limited partnership in which
Dr. Hausman is a limited partner. The number of shares reported represents a
best estimate of Dr. Hausman's percentage interest in the limited partnership,
multiplied by the total number of shares held by the limited partnership. In
that Dr. Hausman does not control the general partner of the limited
partnership, and has no investment control over the securities held by the
limited partnership, Dr. Hausman disclaims ownership of the reported shares.
/s/ Dr. Marvin S. Hausman 3/22/2002
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Dr. Marvin S. Hausman 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 provided is insufficient, see Instruction 6 for procedure.
(Print of Type Responses)
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