-----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, GVdlm98TRecyDPdc5yk2ritCYsyAeyOsOI7Pf+2j/kgf9P8YqWIeYQhaG4uI/z8y HvmAGv+c7Q6fN+0VhESZQg== 0000949353-99-000031.txt : 19990914 0000949353-99-000031.hdr.sgml : 19990914 ACCESSION NUMBER: 0000949353-99-000031 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990531 FILED AS OF DATE: 19990913 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUNBURST ACQUISITIONS III INC CENTRAL INDEX KEY: 0001046120 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 841432001 STATE OF INCORPORATION: CO FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-23559 FILM NUMBER: 99710214 BUSINESS ADDRESS: STREET 1: 4807 S ZANG WAY CITY: MORRISON STATE: CO ZIP: 80465 BUSINESS PHONE: 3039792404 COMPANY DATA: COMPANY CONFORMED NAME: QUINN MICHAEL R CENTRAL INDEX KEY: 0001094361 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 2082 CHERRY STREET CITY: DENVER STATE: CO ZIP: 80207 BUSINESS PHONE: 3033210461 MAIL ADDRESS: STREET 1: 2082 CHERRY STREET CITY: DENVER STATE: CO ZIP: 80207 4 1 FORM 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION FORM 4 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(f) of the Investment Company Act of 1940 ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ | | | | |1.Name and Address of Reporting Person * |2.Issuer Name and Ticker/Trading Symbol|6.Relationship of Reporting | | | | Person(s) to Issuer | | |Sunburst Acquisitions III, Inc. | (Check All Applicable) | |Quinn Michael R. |---------------------------------------| ( X ) Director ( X ) 10% Owner| | (Last) (First) (Middle)|3.IRS Identifica-|4.Statement for | ( X ) Officer ( ) Other | | | tion Number of | Month/Year | (Give Title below) (Specify below)| |2082 Cherry Street | Reporting | | | | (Street 1) | Person, if |May 1999 | Secretary and Treasurer | | | an entity |---------------------|------------------------------------| | | (Voluntary) | 5.If Amendment, |7.Individual or Joint/Group Filing | | (Street 2) | | Date of Original | (Check Applicable) | | | | (Month/Year) | Form filed by: | |Denver CO 80207 | | | (X) One Reporting Person | | (City) (State) (Zip) | | | ( ) More Than One Reporting Person| - ------------------------------------------------------------------------------------------------------------------------------------
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ |1 Title of Security |2 Trans- |3 Trans- |4 Securities Acquired |5 Amount of |6 Ownership|7 Nature of Indirect | | (Instruction 3) | action | action | (A) or Disposed of (D) | Securities | Form: | Beneficial Ownership | | | Date | Code | (Instructions 3, 4, 5) | Beneficially | Direct(D) | (Instruction 4) | | | (Month/ | (Instr 8)|------------------------| Owned at | or | | | | Day) |----------| Amount |(A)| Price | End of Month |Indirect(I)| | | | Year) | Code | V | |(D)| |(Instrs 3, 4) | (Instr 4) | | |--------------------------------|---------|------|---|-----------|---|--------|--------------|-----------|------------------------| |Common Stock, no par value | Jan/99 | P | V | 134,880 | A | $0.025 | 940,880 | D | | |--------------------------------|---------|------|---|-----------|---|--------|--------------|-----------|------------------------| |Common Stock, no par value | May/99 | C | | 15,000 | A | (1)| 955,880 | D | | |--------------------------------|---------|------|---|-----------|---|--------|--------------|-----------|------------------------| | | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ (1) Each share of Series A Convertible Preferred Stock is convertible into two shares of Common Stock at any time on or after March 31, 1998. 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). SEC 1474 (7-97)
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.Con- |3.Trans-|4.Trans-|5.Number of |6.Date |7.Title and Amount|8.Price |9.Number|10.Own-|11.Nature| | Derivative | ver- | action | action | Derivative | Exercisable and | of Underlying | of |of Deri-|ership | of | | Security | sion | Date | Code | Securities | Expiration Date | Securities | Deri- |vative |Form of|Indirect | | (Instr 3) | or | (Month/| (Instr | Acquired (A) or | (Month/Day/Year)|(Instructions 3,4)| vative |Secur- |of Der-|Benefici-| | | Exer- | Day/ | 8) | Disposed of (D) |-----------------|------------------| Sec- |ties |ivative|al | | | cise | Year) | |(Instrs 3, 4, 5) | Date | Expir- | |Amount | urity |Owned at|Securi-|Ownership| | | Price | |--------|-----------------| Exer- | ation | Title |or Num- |(Instr |End of |ties: |(Instr 4)| | | of | |Code| V | (A) | (D) | cisable| Date | |ber of | 5) |Month |Direct | | | | Deriva-| | | | | | | | |Shares | |(Instr4 |(D) or | | | | tive | | | | | | | | | | | |Indi- | | | | Securi-| | | | | | | | | | | |rect(I)| | | | ty | | | | | | | | | | | |(Instr | | | | | | | | | | | | | | | | 4) | | |------------|--------|--------|----|---|--------|--------|--------|--------|---------|--------|--------|--------|-------|---------| |Series A | | | | | | | | | | | | | | | |Convertible | | | | | | | | | | | | | | | |Preferred | | | | | | | | |Common | | | | | | |Stock, no | | | | | | | | |Stock, no| | | | | | |par value | (1)|05/25/99| C | | | 7,500 | 3/1/98 | (1)|par value| 15,000 | (1)| -0- | D | | - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Each share of Series A Convertible Preferred Stock is convertible into two shares of Common Stock at any time on or after March 31, 1998. /s/Michael R. Quinn 9-10-99 --------------------------------- -------------------- ** Signature of Reporting Person Date ** Intentional misstatements or ommissions 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a valid OMB Number.
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