-----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, DyVODpIbMhclDaAfVfndc99SYGefshBOkUNzVGn8qFlee+HRga9tXDGzYYs7H9JG 1RVXXL36sxqyH1AjdyQYyw== 0000950147-01-501266.txt : 20010723 0000950147-01-501266.hdr.sgml : 20010723 ACCESSION NUMBER: 0000950147-01-501266 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010627 FILED AS OF DATE: 20010720 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: M B A HOLDINGS INC CENTRAL INDEX KEY: 0001097273 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 870522680 STATE OF INCORPORATION: NV FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-28221 FILM NUMBER: 1684871 BUSINESS ADDRESS: STREET 1: 9419 E SAN SALVADOR STREET 2: SUITE 105 CITY: SCOTTSDALE STATE: AZ ZIP: 85258-5510 BUSINESS PHONE: 480-860228 MAIL ADDRESS: STREET 1: 9419 E SAN SALVADOR STREET 2: SUITE 105 CITY: SCOTTSDALE STATE: AZ ZIP: 85258-5510 COMPANY DATA: COMPANY CONFORMED NAME: CANNON KEITH CENTRAL INDEX KEY: 0001144784 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O IMPERIAL FINANCIAL PRINTING STREET 2: 7100 EAST LINCOLN DR. #230 CITY: SCOTTSDALE STATE: AZ ZIP: 85253 MAIL ADDRESS: STREET 1: C/O IMPERIAL FINANCIAL PRINTING STREET 2: 7100 EAST LINCOLN DR. #230 CITY: SCOTTSDALE STATE: AZ ZIP: 85253 3 1 e-7133.txt FORM 3 FOR KEITH CANNON ------------------------------ OMB APPROVAL ------------------------------ ------ OMB Number 3235-0104 FORM 3 Expires: December 31, 2001 ------ Estimated average burden hours per response ....... 0.5 ------------------------------ 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 ================================================================================ 1. Name and Address of Reporting Person Cannon Keith - -------------------------------------------------------------------------------- (Last) (First) (Middle) 9419 E. San Salvador, Suite 105 - -------------------------------------------------------------------------------- (Street) Scottsdale AZ 85258 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) 6-27-01 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### ================================================================================ 4. Issuer Name and Ticker or Trading Symbol MBA Holdings, Inc. MBAI ================================================================================ 5. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) -------------------------------------------------------------------- ================================================================================ 6. If Amendment, Date of Original (Month/Year) ================================================================================ 7. Individual or Joint/Group Filing (Check Applicable Line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person ================================================================================ FORM 3 (continued) Table I -- Non-Derivative Securities Beneficially Owned ================================================================================ 3. Ownership Form: 1. Title of 2. Amount of Securities Direct (D) or 4. Nature of Indirect Security Beneficially Owned Indirect (I) Beneficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr.5) - -------------------------------------------------------------------------------- Common Stock 97,454 D - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- ================================================================================ 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) =============================================================================================================== 3. Title and Amount of Securities Underlying 5. Owner- Derivative Security ship 2. Date Exercisable (Instr. 4) Form of and Expiration Date ----------------------- 4. Conver- Derivative (Month/Day/Year) Amount sion or Security: 6. Nature of 1.Title of -------------------- or Exercise Direct Indirect Derivative Date Expira- Number Price of (D) or Beneficial Security Exer- tion of Derivative Indirect(I) Ownership (Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5) - --------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------- ===============================================================================================================
Explanation of Responses: /s/ Keith Cannon 7-12-01 ------------------------------- ----------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -----END PRIVACY-ENHANCED MESSAGE-----