-----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, KLvdEg7OZFcldJWRZEc4qFNTST6xHlIwCU1sC/JEHMqI16w174aQ9/rE+Y3mwzIH RGmUJG/yVsWObiUfSgDxNg== 0001204459-04-000080.txt : 20040219 0001204459-04-000080.hdr.sgml : 20040219 20040219095027 ACCESSION NUMBER: 0001204459-04-000080 CONFORMED SUBMISSION TYPE: 6-K PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040218 FILED AS OF DATE: 20040219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SUNGOLD INTERNATIONAL HOLDINGS CORP CENTRAL INDEX KEY: 0001073674 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 000000000 FISCAL YEAR END: 0831 FILING VALUES: FORM TYPE: 6-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-30006 FILM NUMBER: 04614714 BUSINESS ADDRESS: STREET 1: 500 666 BURRARD ST CITY: VANCOUVER BC V6C 3P6 STATE: A1 MAIL ADDRESS: STREET 1: 500 666 BURRRARD ST CITY: VANCOUVER STATE: A1 ZIP: 99999 FORMER COMPANY: FORMER CONFORMED NAME: SUNGOLD GAMING INTERNATIONAL LTD DATE OF NAME CHANGE: 19981203 6-K 1 sungoldf6k.htm FORM 6-K Sungold International: Form 6-K - Prepared by TNT Filings Inc.
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FORM 6-K

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

Report of Foreign Private Issuer

Pursuant to Rule 13a-16 or 15d-16
of the Securities Exchange Act of 1934

FOR THE MONTH OF: FEBRUARY 2004
   
COMMISSION FILE NUMBER: (SEC File No: 0-30006)

 

SUNGOLD INTERNATIONAL HOLDINGS CORP.
(Translation of registrant's name into English)

 

#500 - 666 Burrard Street
Vancouver, British Columbia
Canada, V6C 3P6
(Address of principal executive office)

Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.

Form 20-F       X           Form 40-F __

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation ST Rule 101(b)(1): [__]

Note: Regulation S-T Rule 101(b)(1) only permits the submission in paper of a Form 6-K if submitted solely to provide an attached annual report to security holders.

Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation ST Rule 101(b)(7): [__]

Note: Regulation S-T Rule 101(b)(7) only permits the submission in paper of a Form 6-K if submitted to furnish a report or other document that the registrant foreign private issuer must furnish and make public under the laws of the jurisdiction in which the registrant is incorporated, domiciled or legally organized (the registrant's "home country"), or under the rules of the home country exchange on which the registrant's securities are traded, as long as the report or other document is not a press release, is not required to be and has not been distributed to the registrant's security holders, and, if discussing a material event, has already been the subject of a Form 6-K submission or other Commission filing on EDGAR.

Indicate by check mark whether by furnishing the information contained in this Form, the registrant is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.

Yes ____             No   X     

If "Yes" is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 82-_________________


Form 45-103F4

REPORT OF EXEMPT DISTRIBUTION

Issuer Information

  1. State the full name, address and telephone number of the issuer of the security distributed. Include former name if name has changed since last report. If this report is filed by a vendor, other than the issuer, also state the full name and address of the vendor.

Sungold International Holdings Corp.
500 Park Place, 666 Burrard Street
Vancouver, BC V6C 3P6

Tel: (604) 669-9580
Fax: (604) 669-9577

  1. State whether the Issuer is or is not a reporting issuer and, if reporting, each of the jurisdictions in which it is reporting:

The issuer is reporting in British Columbia

Details of Distribution

  1. State the distribution date. If the report is being filed for securities distributed on more than one distribution date, state all distribution dates.

February 10, 2004

  1. For each security distributed:
  1. describe the type of security:
     
  2. state the total number of securities distributed. If the security is convertible or exchangeable, describe the type of underlying security, the terms of exercise or conversion and any expiry date:
Type: Common Shares @ $0.04 USD / share and Warrants @ $0.04 USD / warrant
Number: 4,000,000 shares @ $0.04 USD
  4,000,000 warrants @ $0.04 USD. Expiry date: February 10. 2007
(Issued in settlement of debt; no cash was raised through this issuance)
  1. Provide details of the distribution by completing the attached schedule.

     
  2. Complete the following table for each Canadian and foreign jurisdiction where purchasers of the securities reside. Provide a total dollar value of all securities distributed in all jurisdictions. Do not include in this table, securities issued as payment for commissions or finder's fees disclosed under item 7, below.

    Total Dollar Value Raised from
Each Jurisdiction Price per Security Purchasers in the Jurisdiction
where Purchasers Reside (CDN$) (CDN$)
     
     
BRITISH COLUMBIA, CANADA $0.053 $210,437 *
     
     
     
     
Total dollar value of distribution in all    
jurisdictions (Canadian $)   $210,437 *
* Shares for debt    
     

Commissions and Finder's Fees

  1. Provide the following information for each person who is being compensated in connection with the distribution(s). When disclosing compensation paid or to be paid, include discounts, commissions or other fees or payments of a similar nature directly related to the distribution. Do not include payments for services incidental to the trade, such as clerical, printing, legal or accounting services.

Not Applicable. No commissions or finder's fees paid.

  Compensation Paid Exemption Relied  
Full Name and (if applicable, number On and Date of Price
Address of Person and type of securities) Distribution Per Share
being Compensated (CDN$) (if applicable) (CDN$)
       
       
 

 

 

 
       
       
       

Certificate

On behalf of the Issuer (or Vendor), I certify that the statements made in this report and in each schedule to this report are true.

DATED at Vancouver, BC this 13th day of February 2004.

SUNGOLD INTERNATIONAL HOLDINGS CORP.
Name of Issuer or Vendor (please print)
 

Anne Kennedy, Director

Print name and position of person signing
 
 

/signed/ANNE KENNEDY

Signature

SCHEDULE

Provide the following information on a separate page attached to this report for each type of security distributed. The information in this schedule will not be placed on the public file of any securities regulatory authority.

If the report is being filed for securities distributed on more than one distribution date, add a column to identify the dates the securities were distributed.

In British Columbia, for distributions under the exemptions in Part 4 of Multilateral Instrument 45-103 Capital Raising Exemptions, non-reporting issuers must also give the telephone number and e-mail address of the purchaser. If the purchaser has refused to provide this information, the issuer must include a statement to this effect in the report.

Do not include in this table, securities issued as payment of commissions or finder's fees disclosed under item 7 of the form.

Full Name and   Total  
Residential Address Number and Type of Purchase Price Exemption
of Purchaser Securities Purchased (CDN$) Relied On
       
Kim N. Hart 4.000,000 Units   Sections 45(2)(10)
#2604, 699 Cardero Street consisting of 4,000,000 $0.053 and
Vancouver, BC V6G 3H7 Common shares   74(2)(9) of the Act
  and 4,000,000 warrants    
       

IT IS AN OFFENCE TO MAKE A MISREPRESENTATION IN THIS REPORT.

Instructions:

  1. File this report and the applicable fee with the securities regulatory authority in each jurisdiction in which the issuer has distributed securities on or before the 10th day after the distribution of the security.
     
  2. If distributions have not occurred within 10 days of each other, separate reports must be filed.
     
  3. In order to determine the fee payable, consult the securities legislation of each jurisdiction. In some jurisdictions, the fee is calculated as a percentage of the proceeds realized by the issuer from, or total dollar value of, the securities distributed in that jurisdiction, as set out in item 5 of this report.


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

   
  SUNGOLD INTERNATIONAL HOLDINGS CORP.
   
Date: February 13, 2004  
   
  By*:
  /signed/ ANNE KENNEDY
  Anne Kennedy, Director
   
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