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*
McNamara Shawn

(Last) (First) (Middle)
6700 NORTH ANDREWS AVENUE
SECOND FLOOR

(Street)
FORT LAUDERDALE FL 33309

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/30/2005
3. Issuer Name and Ticker or Trading Symbol
RELATIONSERVE MEDIA INC [ (RSVM.OB) ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Acting CEO, Senior VP
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 10,000(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
Stock Option (right to buy) (2) 11/30/2010 Common Stock 100,000 $3.85 D
Explanation of Responses:
1. Common Stock Issued pursuant to the Issuer's 2005 Incentive Stock Plan and vest as to 33.3% of the Common Stock on May 30, 2006, 33.3% on November 30, 2006, and 33.3% on November 30, 2007.
2. Options issued pursuant to the Issuer's 2005 Incentive Stock Plan and vests as to 33.3% of the options become exercisable May 30, 2006, 33.3% on November 30, 2006, and 33.3% on November 30, 2007.
/s/ McNamara, Shawn 12/30/2005
** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.