SEC Form 3
FORM 3 UNITED STATES 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
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
SLOSSER KENNETH P

(Last) (First) (Middle)
C/O AMERICAN HOME MORTGAGE
520 BROADHOLLOW ROAD

(Street)
MELVILLE NY 11747

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/04/2003
3. Issuer Name and Ticker or Trading Symbol
AMERICAN HOME MORTGAGE INVESTMENT CORP [ AHH ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, par value $0.01 per share 26,667(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants (right to buy) 09/30/1999 09/30/2004 Common Stock, par value $0.01 per share ("Common Stock") 50,000(2) $7.8(3) D
Explanation of Responses:
1. These shares include 10,000 shares of restricted Common Stock which were granted to Mr. Slosser in consideration of his services as a director and will vest 100% on July 12, 2005.
2. Friedman, Billings, Ramsey & Co., Inc. ("FBR") received compensation from American Home Mortgage Holdings, Inc. ("Holdings") for serving as Holdings' financial advisor and lead underwriter in connection with Holdings' initial public offering, which compensation included warrants to purchase 250,000 shares of Holdings' common stock. As a Managing Director of FBR, Mr. Slosser received 50,000 of these warrants. As a result of an internal reorganization completed on December 3, 2003, all outstanding options and warrants formerly exercisable into shares of common stock of Holdings are now exercisable into shares of Common Stock of American Home Mortgage Investment Corp.
3. This exercise price may be subject to adjustment from time to time as provided in Article III of the Warrant Agreement entered into by and between Holdings and FBR, a form of which is attached as Exhibit 10.12 to Amendment No. 4 to Holdings' Registration Statement on Form S-1 (File No. 333-82409).
/s/ Kenneth P. Slosser 12/05/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** 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 is insufficient, see Instruction 6 for procedure.
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