-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DPqTUFPCB2kTnx1tc/C8aPQfeQLpUhtr6f6q98fVZHtmYSeY9k6njkdt/jgzQ86E WjxQL+9Y0sGmiOZnsHcqUw== 0000912057-01-005638.txt : 20010223 0000912057-01-005638.hdr.sgml : 20010223 ACCESSION NUMBER: 0000912057-01-005638 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GAMETECH INTERNATIONAL INC CENTRAL INDEX KEY: 0001045014 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 330612983 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-52969 FILM NUMBER: 1542926 BUSINESS ADDRESS: STREET 1: 2209 W 1ST ST STE 113-114 CITY: TEMPE STATE: AZ ZIP: 85281 BUSINESS PHONE: 6028041101 MAIL ADDRESS: STREET 1: 2209 W 1ST STREET SUITE 113 114 CITY: TEMPE STATE: AZ ZIP: 85281 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BLANCHARD VERN D CENTRAL INDEX KEY: 0001055443 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O GAMETECH INTERNATIONAL INC STREET 2: 2209 W 1ST ST STE 113 CITY: TEMPE STATE: AZ ZIP: 85281 MAIL ADDRESS: STREET 1: C/O GAMETECH INTERNATIONAL INC STREET 2: 2209 W 1ST ST STE 113 CITY: TEMPE STATE: AZ ZIP: 85281 SC 13G/A 1 a2038373zsc13ga.txt SC 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G/A UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. 1)* GameTech International, Inc. ------------------------------------------------------------------------------- (Name of Issuer) Common Stock, par value $.001 per share ------------------------------------------------------------------------------- (Title of Class of Securities) 36466D 10 2 -------------------------- (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). SCHEDULE 13G CUSIP NO. 36466D 10 2 1. NAME OF REPORTING PERSON Vern D. Blanchard, as Trustee of the CJB Family Trust; Vern D. Blanchard as Individual - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) | | (b) | | - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OR ORGANIZATION United States - -------------------------------------------------------------------------------- 5. SOLE VOTING POWER NUMBER OF 1,041,615 SHARES ----------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER OWNED BY 0 EACH ----------------------------------------------------- REPORTING 7. SOLE DISPOSITIVE POWER PERSON 1,041,615 WITH ----------------------------------------------------- 8. SHARED DISPOSITIVE POWER 0 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,041,615 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 9.8 % - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* - IN,OO* * Trustee ITEM 1. (a) NAME OF ISSUER: GameTech International, Inc. (b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 900 Pentium Road Reno, Nevada 89511 ITEM 2. (a) NAME OF PERSONS FILING: Vern D. Blanchard, as the Trustee of the CJB Family Trust; Vern D. Blanchard as Individual. (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 900 Pentium Road Reno, Nevada 89511 (c) CITIZENSHIP: United States (d) TITLE OF CLASS OF SECURITIES: Common Stock (e) CUSIP NUMBER: 36466D 10 2 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: (a) | | BROKER OR DEALER REGISTERED UNDER SECTION 15 OF THE ACT, (b) | | BANK AS DEFINED IN SECTION 3(a)(6) OF THE ACT, (c) | | INSURANCE COMPANY AS DEFINED IN SECTION 3(a)(19) OF THE ACT, (d) | | INVESTMENT COMPANY REGISTERED UNDER SECTION 8 OF THE INVESTMENT COMPANY ACT, (e) | | INVESTMENT ADVISER REGISTERED UNDER SECTION 203 OF THE INVESTMENT ADVISERS ACT OF 1940, (f) | | EMPLOYEE BENEFIT PLAN, PENSION FUND WHICH IS SUBJECT TO THE PROVISIONS OF THE EMPLOYEE RETIREMENT SECURITY ACT OF 1974 OR ENDOWMENT FUND; SEE 13d-1(b)(1)(ii)(F), (g) | | PARENT HOLDING COMPANY, IN ACCORDANCE WITH RULE 13d-1(b)(ii)(G); SEE ITEM 7, (h) | | GROUP, IN ACCORDANCE WITH RULE 13d-1(b)(ii)(H). X NOT APPLICABLE ITEM 4. OWNERSHIP If the percent of the class owned, as of January 31, 2001 of the year covered by the statement, or as of the last day of any month described in Rule 13d-1(b)(2), if applicable, exceeds five percent, provide the following information as of that date and identify those shares which there is a right to acquire. (a) AMOUNT BENEFICIALLY OWNED AS OF JANUARY 31, 2001: - Amount beneficially owned by the CJB Family Trust, Vern D. Blanchard as Trustee: 901,015 shares of Common Stock. - Amount beneficially owned by Vern D. Blanchard, as individual: 140,600 shares of Common Stock. Includes 135,000 shares of Common Stock issuable upon the exercise of stock options granted to Mr. Blanchard on November 1, 1996 and currently exercisable. (b) PERCENT OF CLASS: See number 11 of cover page (c) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS AS OF JANUARY 31, 2001: (i) SOLE POWER TO VOTE OR TO DIRECT THE VOTE. - 901,015 shares of Common Stock as Trustee of the CJB Family Trust - 5,600 shares of Common Stock held by Mr. Blanchard - 135,000 shares of Common Stock issuable upon the exercise of stock options granted November 1, 1996 and currently exercisable. (ii) SHARED POWER TO VOTE OR TO DIRECT THE VOTE. 0 (iii) SOLE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF. - 901,015 shares of Common Stock as Trustee of the CJB Family Trust - 5,600 shares of Common Stock held by Mr. Blanchard - 135,000 shares of Common Stock issuable upon the exercise of stock options granted November 1, 1996 and currently exercisable. (iv) SHARE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF 0 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following: | | ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON Not Applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY Not Applicable ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP Not Applicable ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not Applicable ITEM 10. CERTIFICATION Not Applicable SIGNATURE The filing of this Amendment to Schedule 13G and the statements herein shall not be construed as an admission that I am, for the purposes of Section 13(d) or 13(g) of the Exchange Act, or for any other purpose, the beneficial owner of any of the securities described herein. After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. 2/12/01 --------------------------------- Date /s/ VERN D. BLANCHARD --------------------------------- Signature VERN D. BLANCHARD TRUSTEE CJB FAMILY TRUST --------------------------------- Name/Title /s/ VERN D. BLANCHARD --------------------------------- Vern D. Blanchard As Individual -----END PRIVACY-ENHANCED MESSAGE-----