-----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, IJOZ/ul24KvbMCuOyG4hawEC626E3s9v7ICnxpQDr2oONTZhJJ/Iovsmyags7Oo6 pNg3/zxeOFsdPOD6lXE22g== 0001137091-08-000595.txt : 20081104 0001137091-08-000595.hdr.sgml : 20081104 20081104172654 ACCESSION NUMBER: 0001137091-08-000595 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20081104 DATE AS OF CHANGE: 20081104 GROUP MEMBERS: MICHELLE NEELY SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FORMAT INC CENTRAL INDEX KEY: 0001137091 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-84256 FILM NUMBER: 081161742 BUSINESS ADDRESS: STREET 1: 336 PLAZA ESTIVAL CITY: SAN CLEMENTE STATE: CA ZIP: 92672 BUSINESS PHONE: 949.481.9203 MAIL ADDRESS: STREET 1: 3553 CAMINO MIRA COSTA, SUITE E CITY: SAN CLEMENTE STATE: CA ZIP: 92672 FORMER COMPANY: FORMER CONFORMED NAME: FORMAT INC /FA/ DATE OF NAME CHANGE: 20010321 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: NEELY RYAN A CENTRAL INDEX KEY: 0001127621 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 336 PLAZA ESTIVAL CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 9495109647 SC 13G 1 rneely_13g-110408.htm SCHEDULE 13G rneely_13g-110408.htm


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 

SCHEDULE 13G

 
Under the Securities Exchange Act of 1934
(Amendment No. ___)
 
 
Format, Inc.

(Name of Issuer)
 
 
Common Stock, $0.001 par value per share

(Title of Class of Securities)
 
 
34637 R 10 0

(CUSIP Number)
 
 
December 31, 2007

(Date of Event Which Requires Filing of this Statement)
 
 
Check the following box to designate the rule pursuant to which the Schedule is filed:

¨ Rule 13d-1(b)

¨ Rule 13d-1(c)

x Rule 13d-1(d)
 
*
 
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).
 

 
         
  1
 
NAMES OF REPORTING PERSONS
   
     
   
            Michelle Neely
   
  2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
   
   
(a)  ¨
   
   
(b)  ¨
   
  3
 
SEC USE ONLY
   
         
  4
 
CITIZENSHIP OR PLACE OF ORGANIZATION
   
     
   
            United States
   
     
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
 
  5    SOLE VOTING POWER
   
 
             1,000,000
 
  6    SHARED VOTING POWER
   
 
                 0
 
  7    SOLE DISPOSITIVE POWER
   
 
               1,000,000
 
  8    SHARED DISPOSITIVE POWER
   
 
              0
         
  9
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
     
   
            3,000,000 (1)
   
10
 
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
 
x
     
   
           
   
11
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
     
   
            79.5%*
   
12
 
TYPE OF REPORTING PERSON (See Instructions)
   
     
   
            IN
   
 

 
         
  1
 
NAMES OF REPORTING PERSONS
   
     
   
            Ryan Neely
   
  2
 
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
   
   
(a)  ¨
   
   
(b)  ¨
   
  3
 
SEC USE ONLY
   
         
  4
 
CITIZENSHIP OR PLACE OF ORGANIZATION
   
     
   
            United States
   
     
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
 
  5    SOLE VOTING POWER
   
 
                2,000,000
 
  6    SHARED VOTING POWER
   
 
              0
 
  7    SOLE DISPOSITIVE POWER
   
 
               2,000,000
 
  8    SHARED DISPOSITIVE POWER
   
 
             0
         
  9
 
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
     
   
            3,000,000 (1)
   
10
 
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See Instructions)
 
x
     
   
  
   
11
 
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
     
   
            79.5%*
   
12
 
TYPE OF REPORTING PERSON (See Instructions)
   
     
   
            IN
   
 

 
 
Item 1
 
(a)
  
Name of Issuer:
  
 
  
 
         
     
  
Format, Inc.
  
 
  
 
         
Item 1
 
(b)
  
Address of Issuer’s Principal Executive Offices:
  
 
  
 
         
     
  
San Clemente, California  92672
  
 
  
 
         
Item 2
 
(a)
  
Name of Person Filing:
  
 
  
 
         
     
  
Michelle Neely
Ryan Neely
  
 
  
 
         
Item 2
 
(b)
  
Address of Principal Business Offices or, if none, Residence:
  
 
  
 
         
     
  
3553 Camino Mira Costa, Suite E
San Clemente, California  92672
  
 
  
 
         
Item 2
 
(c)
  
Citizenship
  
 
  
 
         
     
  
Michelle Neely – United States
Ryan Neely – United States
  
 
  
 
         
Item 2
 
(d)
  
Title of Class of Securities:
  
 
  
 
         
     
  
Common Stock, $0.001 par value per share
  
 
  
 
         
Item 2
 
(e)
  
CUSIP Number:
  
 
  
 
         
     
  
34637 R 10 0 
  
 
  
 
   
Item 3.
 
If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b), check whether the person filing is a:
   
   
Not Applicable.
   
Item 4.
 
Ownership.
     
   
(a)
  
Amount Beneficially Owned:
     
     
  
Michelle Neely (1) – 1,000,000
Ryan Neely (1)– 2,000,000
     
   
(b)
  
Percent of Class: %
     
     
  
Michelle Neely (1) – 79.5%*
Ryan Neely (1) – 79.5%*
 
4

 
     
  
 
  
 
  
 
   
(c)
  
Number of shares as to which such person has:
       
     
  
(i)
  
sole power to vote or to direct the vote:
       
     
  
 
  
Michelle Neely – 1,000,000
Ryan Neely – 2,000,000
       
     
  
(ii)
  
shared power to vote or to direct the vote:
       
     
  
 
  
0
 
Item 5.
  
Ownership of Five Percent or Less of a Class.
  
       
                   
 
  
Not Applicable.
  
       
             
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.
  
   

*
Calculated based on 3,770,083 shares of the Issuer’s common stock outstanding as of December 31, 2007.
     
(1)
Michelle Neely, the issuer’s former officer and sole director, is married to Ryan Neely, the issuer’s current sole officer and one of its directors.
 
5

 
SIGNATURE

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
 
       
Date: November 3, 2008
By:
/s/ Michelle Neely  
   
Michelle Neely
 
       
 
By:
/s/ Ryan Neely
 
   
Ryan Neely
 
 
6

 
EXHIBIT A

AGREEMENT FOR JOINT FILING OF SCHEDULE 13G

The undersigned and each other person executing this joint filing agreement (the “Agreement’) agree as follows:

(1) The undersigned and each other person executing this Agreement are individually eligible to use the Schedule 13G to which this Exhibit is attached and such Schedule 13G is filed on behalf of the undersigned and each other person executing this Agreement; and

(2) The undersigned and each other person executing this Agreement are responsible for the timely filing of such Schedule 13G and any amendments thereto, and for the completeness and accuracy of the information concerning such person contained therein; but none of the undersigned or any other person executing this Agreement is responsible for the completeness or accuracy of the information concerning any other persons making the filing, unless such person knows or has reason to believe that such information is inaccurate.

This Agreement may be executed in any number of counterparts, each of which shall be deemed to be an original, but all of which, taken together, shall constitute one and the same instrument.
 
           
Date: November 3, 2008
     
Signature:
/s/ Michelle Neely
       
Name:
Michelle Neely
       
       
Signature:
/s/ Ryan Neely
       
Name:
Ryan Neely
 
 
 
7

 
 
 
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