SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0362
Estimated average burden
hours per response: 1.0
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
X
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
BARESEL ROGER P

(Last) (First) (Middle)
201 ROBERT S KERR AVE STE 210

(Street)
OKLAHOMA CITY OK 73102

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FULLNET COMMUNICATIONS INC [ FULO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & CFO
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
12/31/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
Common Stock 31,456 D
Common Stock 88,867(1) D
Common Stock 63,850 I Held by Judith A. Baresel, wife of Roger P. Baresel
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option $0.04 10/09/2003 4J 261,197 11/16/2004(2) 10/09/2013 Common Stock 261,197 $0 261,197 D
Stock Option $0.04 10/09/2003 4J 75,000 10/09/2006(3) 10/09/2013 Common Stock 75,000 $0 75,000 D
Stock Option $0.05 03/18/2004(4) 03/18/2012 Common Stock 40,000 40,000 I Held by Judith A. Baresel, wife of Roger P. Baresel
Stock Option $1 10/13/2001(5) 10/13/2010 Common Stock 100,000 100,000 D
Stock Option $0.11 11/16/2004 11/16/2011 Common Stock 23,745 23,745 D
Stock Option $0.5 10/16/2001 10/16/2011 Common Stock 52,452 52,452 I(1) Held by Judith A. Baresel, wife of Roger P. Baresel
Common Stock Purchase Warrant $2 05/31/2001 05/31/2006 Common Stock 12,500 12,500 D
Stock Option $0.04 10/09/2003 4J 33,574 11/16/2004 10/09/2013 Common Stock 33,574 $0 33,574 D
Explanation of Responses:
1. Held jointly by Roger P. Baresel and Judith A. Baresel
2. One-third of the options vest on each of the first three anniversary dates following October 9, 2003.
3. One-half of the options vest on each of the first two anniversary dates following March 18, 2002.
4. These options vest in 25,000 increments on January 13, 2001, April 13, 2001, July 13, 2001 and October 13, 2001.
5. One-third of the options vest on each of the first three anniversary dates following November 16, 2001.
Remarks:
J - Grant to reporting person of options to purchase shares of common stock of FullNet Communications, Inc.
Roger P Baresel 02/17/2004
** Signature of Reporting Person Date
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).
** 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.
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 Number.