FORM 3 ------------------------------- OMB APPROVAL ------------------------------- OMB number: 3235-0104 Expires: April 30, 1997 Estimated average burden hours per response..........0.5 ------------------------------- U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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 - ----------------------------------------------------------------------------------------------------------------------------------- | | 1. Name and Address of Reporting Person | 2. Date of Event Re- | 4. Issuer Name and Ticker or Trading Symbol | quiring Statement | Wolrson Sir Brian G. | (Month/Day/Year) | NATURAL HEALTH TRENDS CORP. (NHTC) - ----------------------------------------------| |--------------------------------------------------------- (Last) (First) (Middle) | 08/04/97 | | | | 5. Relationship of Reporting | 6. If Amendment, Date 44 Welbeck Street | | Person to Issuer | of - ----------------------------------------------|--------------------------| (Check all applicable) | Original (Street) | 3. IRS or Social Se- | | (Month/Day/Year) | curity Number of | X Director __ 10% Owner| | Reporting Person | __ Officer __ Other | | (Voluntary) | (give title (specify | | | below) below) | London England WIM 7HF | | _________________ | | | | - ----------------------------------------------|------------------------------------------------------------------------------------ (City) (State) (Zip) | Table I -- Non-Derivative Securities Beneficially Owned - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security | 2. Amount of Securities | 3. Ownership | 4. Nature of Indirect (Instr. 4) | Beneficially Owned | Form: Direct | Beneficial Ownership | (Instr. 4) | (D) or Indirect | (Instr. 5) | | (I) (Instr. 5) | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | - -------------------------------------------------|----------------------------|------------------------|--------------------------- | | | =================================================================================================================================== Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses) SEC 1473 (8/92)
FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative | 2. Date Exercisable | 3. Title and Amount of | 4. Conver- | 5. Owner- | 6. Nature of Security | and Expiration | Securities Underlying | sion or | ship | Indirect (Instr. 4) | Date | Derivative Security | Exercise | Form of | Beneficial | (Month/Day/Year) | (Instr. 4) | Price of | Deriv- | Ownership | | | Deri- | ative | (Instr. 5) | | | vative | Security: | | | | Security | Direct | |------------------------|------------------------------| | (D) or | | Date | Expira- | Title | Amount or | | Indirect | | Exer- | tion | | Number of | | (I) | | cisable | Date | | Shares | | (Instr. 5)| - --------------------------|------------|-----------|--- ---------|----------------|----------------|---------------|---------------- Options (right to buy)[1] | 08/04/98 | 07/04/07 |Common Stock,| 400,000 | $0.59375 | D | | | |$.001 par | | | | | | |value | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- Options (right to buy)[1] | 08/04/98 | 07/04/07 |Common Stock,| 400,000 | $0.59375 | D | | | |$.001 par | | | | | | |value | | | | | | | | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- | | | | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- | | | | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- | | | | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- | | | | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- | | | | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- | | | | | | | - --------------------------|------------|-----------|-------------|----------------|----------------|---------------|---------------- | | | | | | | - ----------------------------------------------------------------------------------------------------------------------------------- Explanation of Responses: Note 1: Consists entirely of non-qualified stock options granted by NHTC. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Sir Brian Wolfson August 14, 1997 ----------------------------- --------------- Note: File three copies of this Form, one of which must be manually signed. ** Signature of Reporting Date If space provided is insufficient, See Instruction 6 for procedure. Person Page 2 SEC 1473 (8/92)