-----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, EG9dXKuPeNmlbsvajlLg/xiZdV3qQ8bSPKJJR4QuM42lW22p3lN8tA9Lzh6TILQv 35/y6vBkWOG7vYDTVt59Zg== 0001019056-02-000754.txt : 20021105 0001019056-02-000754.hdr.sgml : 20021105 20021105133009 ACCESSION NUMBER: 0001019056-02-000754 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020930 FILED AS OF DATE: 20021105 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: TOMBARI LAWRENCE P CENTRAL INDEX KEY: 0001203376 RELATIONSHIP: DIRECTOR IRS NUMBER: 000000000 STATE OF INCORPORATION: T3 FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 MAIL ADDRESS: STREET 1: ONLINE GAMING SYSTEMS LTD STREET 2: 3225 MCLEOD DRIVE CITY: LAS VEGAS STATE: NV ZIP: 89121 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ONLINE GAMING SYSTEMS LTD \ CENTRAL INDEX KEY: 0001003739 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 133858917 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27256 FILM NUMBER: 02809524 BUSINESS ADDRESS: STREET 1: 200 E PALMETTO PARK RD, STE 200 CITY: BOCA RATON STATE: FL ZIP: 33432 BUSINESS PHONE: 5613936685 MAIL ADDRESS: STREET 1: 3225 MCLEDO DRIVE STREET 2: 1ST FLOOR CITY: LAS VEGAS STATE: NV ZIP: 89121 FORMER COMPANY: FORMER CONFORMED NAME: CEEE GROUP CORP DATE OF NAME CHANGE: 19951120 FORMER COMPANY: FORMER CONFORMED NAME: ATLANTIC INTERNATIONAL ENTERTAINMENT LTD DATE OF NAME CHANGE: 19961203 FORMER COMPANY: FORMER CONFORMED NAME: ONLINE GAMING SYSTEMS INC DATE OF NAME CHANGE: 19991115 4 1 tombari4_sep.txt 4
- ------ -------------------------------- FORM 4 OMB APPROVAL - ------ -------------------------------- OMB Number: 3235-0287 [ ] Check this box if no longer Expires: January 31, 2005 subject to Section 16. Form 4 Estimated average burden or Form 5 obligations may hours per response..........0.5 continue. See Instruction 1(b) -------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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(h) of the Investment Company Act of 1940 (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer Online Gaming Systems, Ltd. (Check all applicable) Tombari, Lawrence P. OGAM - -------------------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS Identifi- 4. Statement for Month/Day/Year [X] Director [ ] 10% Owner cation Number [X] Officer [ ] Other of Reporting (give title (specify below) Person, if an below) entity c/o Online Gaming Systems, Ltd. (voluntary) President & CFO 3225 McLeod Drive 1st Floor September 2002 - --------------------------------------- ------------------------------------------------------------------------ (Street) 5. If Amendment, Date of 7. Individual or Joint/Group Filing Original (Month/Day/Year) (check applicable line) [X] Form Filed by One Reporting Person [ ] Form Filed by More than One Las Vegas, NV 89121 Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title 2. Trans- 2A.Deemed 3.Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership Form: 7. Nature of of action Execution action or Disposed of (D) Securities Direct (D) or Indirect Security Date Date,if Code (Instr. 3,4 and 5) Beneficially Indirect (I) Beneficial (Instr.3) any (Instr.8) Owned Following (Instr. 4) Ownership (Month/Day/ Reported (Instr. 4) (Month/ Year) Transaction(s) Day/Year) (Instr. 3 and 4) -------------------------------------------- Code V Amount (A) or (D) Price - ----------------------------------------------------------------------------------------------------------------------------------- Common Stock 09/20/02 P 50,000 A $.06 633,333 D - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- 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 4(b)(v). Potential 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 control number. (Over) SEC 1474 (9-02)
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (E.G., puts, calls, warrants, options, convertible securities) - -------------------------------------------------------------------------------------- 1. Title of 2. Conversion 3. Transaction 3A.Deemed 4. Transaction 5. Number of Derivative or Exercise Date Execution Code Derivative Security Price of (Month/Day/ Date, if (Instr. 8) Securities (Instr. 3) Derivative Year) any Acquired (A) Security (Mo/Dy/Yr) or Disposed of (D) (Instr. 3, 4, and 5) -------------------------------------- Code V (A) (D) - --------------------------------------------------------------------------------------------------- Option (to buy) $.03 09/20/02 A(1) 20,000 - --------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (E.G., puts, calls, warrants, options, convertible securities) - ----------------------------------------------------------------------------------------------------------- 6. Date 7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of Exercisable of Underlying Derivative Derivative Form of Indirect and Expiration Securities Security Securities Derivative Beneficial Date (Instr. 3 and 4) Beneficially Security: Ownership (Month/Day/Year) (Instr. 5) Owned Follow- Direct (D) or (Instr. 4) ing Reported Indirect (I) Transactions(s) (Instr. 4) (Instr. 4) ------------------------------------------ Amount Date Expir- or Exer- ation Number cisable Date Title of Shares - ----------------------------------------------------------------------------------------------------------- 09/20/02 09/20/07 Common 20,000 253,352 D Stock - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------- - -----------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) Granted pursuant to Employment Agreement /s/ LAWRENCE P. TOMBARI 10/25/02 ------------------------------- ------------------ **Signature of Reporting Person Date ** 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 provided is insufficient, see Instruction 6 for procedure. -----END PRIVACY-ENHANCED MESSAGE-----