3 1 d3.txt FORM 3 =============================================================================== +--------+ | FORM 3 | U.S. 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* JONA, INC. ---------------------------------------------------------------------------- (Last) (First) (Middle) 1701 EAST E. STREET ---------------------------------------------------------------------------- (Street) CASPER WY 82601 ---------------------------------------------------------------------------- (City) (State) (Zip) 2. Date of Event Requiring Statement (Month/Day/Year) 01/17/02 -------------- 3. IRS Identification Number of Reporting Person if an Entity (Voluntary) -------------- 4. Issuer Name and Ticker or Trading Symbol WEBB INTERACTIVE SERVICES, INC. (WEBB.OB) ----------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ___ Director ___ Officer _X_ 10% Owner ___ Other (give title below) (specify below) ---------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) 01/23/02 ---------------------------- 7. Individual or Joint Group Filing (Check Applicable Line) ____ Form Filed by One Reporting Person _XX_ Form filed by More than One Reporting Person TABLE I--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
-------------------------------------------------------------------------------- 1. Title 2. Amount of 3. Ownership Form: 4. Nature of of Securities Bene- Direct (D) or Indirect Bene- Security ficially Owned Indirect (I) ficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5) -------------------------------------------------------------------------------- Common Stock 1,100,000(1) D -------------------------------------------------------------------------------- Common Stock 15,000(2) I By sole shareholder and spouse -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- --------------------------------------------------------------------------------
* If the form is filed by more than one reported person, see Instruction 5(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. TABLE II--DERIVATIVE SECURITIES BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities)
------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conversion 5. Ownership 6. Nature of In- Security (Instr. 4) cisable and Underlying Derivative Security or Form of direct Bene- Expiration (Instr. 4) Exercise Derivative ficial Date Price Security: Ownership (Month/Day/ of Direct (D) (Instr. 5) Year) Derivative or In- ---------------------------------------------------- Security direct (I) Date Expira- Amount or (Instr. 5) Exer- tion Title Number of cisable Date Shares ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Warrants(1) (right to buy) 12/21/01 12/21/04 Common Stock 60,000 $1.00 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock Warrants(1) (right to buy) 01/17/02 01/17/07 Common Stock 1,100,000 $1.00 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ -----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) These securities are owned directly by Jona, Inc. and indirectly by Neil A. McMurry who is the sole shareholder of Jona, Inc. (2) These securities are owned directly by Neil A. McMurry and his spouse, and indirectly owned by Jona, Inc. JONA, INC. /s/ Neil A. McMurry April 10, 2002 ------------------------------- ----------------- **Signature of Reporting Person Date As President of Jona, Inc. ** 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. Joint Filer Statement Name: Neil A. McMurry Address: 1701 E. East Street Casper, WY 82601 Designated Filer: Jona, Inc. Issuer and Ticker Symbol: Webb Interactive Services, Inc. (WEBB.OB) Date of Event Requiring Statement: January 17, 2002 Signature: /s/ Neil A. McMurry ------------------- Neil A. McMurry