-----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, Tumm12JVjwgXMusJ+387RY3dmR2gRUpkyvpwMJqttn5lljiMZDnQFghnDHvvGfM+ EImTRcuPN6HHKgS7MpS4qQ== 0001010412-03-000339.txt : 20031121 0001010412-03-000339.hdr.sgml : 20031121 20031121121423 ACCESSION NUMBER: 0001010412-03-000339 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031118 FILED AS OF DATE: 20031121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERRELL DAVID C CENTRAL INDEX KEY: 0001235098 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23511 FILM NUMBER: 031017241 BUSINESS ADDRESS: STREET 1: 9005 COBBLE CANYON LANE CITY: SANDY STATE: UT ZIP: 84093 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST DELTAVISION INC CENTRAL INDEX KEY: 0001051488 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 870412182 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 9005 COBBLE CANYON LANE CITY: SANDY STATE: UT ZIP: 84093 BUSINESS PHONE: 8019420555 MAIL ADDRESS: STREET 1: 9005 COBBLE LANE CITY: SANDY STATE: UT ZIP: 84093 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-11-18 1 0001051488 FIRST DELTAVISION INC FTDV 0001235098 MERRELL DAVID C 0 0 0 1 Stockholder Common Stock 2003-11-18 4 A 0 378000 0.0062 A 1124592 D Acquired shares following a change in control of the Company in a transaction exempt from Section 16(b) of the Securities and Exchange Act of 1934 pursuant to Rule 16b-3 in consideration of the execution and delivery of a Letter of Indemnification to the Company. Reflects 4 for 1 forward split which became effective April 4, 2002. /s/ David C. Merrell 2003-11-21 -----END PRIVACY-ENHANCED MESSAGE-----