-----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, PFEKsmD5QQclux2a+fXTuPXWo1YYAujUVgF5pEpjlGIfhn4cDqpzpm7gFMe9jbGy tKauNpvTYKZhyrXqOSAKqQ== 0001072006-99-000001.txt : 19990212 0001072006-99-000001.hdr.sgml : 19990212 ACCESSION NUMBER: 0001072006-99-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990130 FILED AS OF DATE: 19990211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EQUITY GROWTH SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0000050471 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER & OFFICE EQUIPMENT [3570] IRS NUMBER: 112050317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-03718 FILM NUMBER: 99531485 BUSINESS ADDRESS: STREET 1: 320 ISLAND WAY STREET 2: STE 210 CITY: CLEARWATER STATE: FL ZIP: 33767 BUSINESS PHONE: 9412559582 MAIL ADDRESS: STREET 1: 320 ISLAND WAY STREET 2: STE 210 CITY: CLEARWATER STATE: FL ZIP: 33767 FORMER COMPANY: FORMER CONFORMED NAME: INFOTEC INC DATE OF NAME CHANGE: 19930506 COMPANY DATA: COMPANY CONFORMED NAME: BLUE LAKE CAPITAL CORP CENTRAL INDEX KEY: 0001072006 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 902 CLINT MOORE RD STREET 2: SUITE 136 CITY: BOCA RATON STATE: FL ZIP: 33487 BUSINESS PHONE: 5619982025 MAIL ADDRESS: STREET 1: 902 CLINT MOORE RD CITY: BOCA RATON STATE: FL ZIP: 33487 3 1 FORM 3 FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D.C. 2054 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 Blue Lake Capital Corp, 902 Clint Moore Road, Suite 136; Boca Raton, Florida 33487 2. Issuer Name and Ticker or Trading Symbol Equity Growth Systems, inc. 3. IRS or Social Security Number or Reporting Person (Voluntary) 65-0703836 4. Statement for Month/Year January, 1999 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (check all applicable) __ Director X 10% Owner __ Officer __ Other (Specify Below) - --------------------------------- 7. Individual or Joint/Group Reporting (Check applicable line) Form filed by One Reporting Person X Form filed by More than One Reporting Person Table I - Non-Derivative Securities Beneficially Owned 1. Title of Security (Instruction 4) Common Stock 2. Amount of Securities Beneficially Owned (Instruction 4) 630,000 shares 3. Ownership Form: Direct (D) or Indirect (I) (Instruction 5) Direct 4. Nature of Indirect Beneficial Ownership (Instruction 5) Not Applicable 1. Title of Security (Instruction 4) Common Stock 2. Amount of Securities Beneficially Owned (Instruction 4) 90,000 shares 3. Ownership Form: Direct (D) or Indirect (I) (Instruction 5) Indirect 4. Nature of Indirect Beneficial Ownership (Instruction 5) Shares held by husband's company who lives in the household 1. Title of Security (Instruction 4) Common Stock 2. Amount of Securities Beneficially Owned (Instruction 4) 485,000 shares 3. Ownership Form: Direct (D) or Indirect (I) (Instruction 5) Indirect 4. Nature of Indirect Beneficial Ownership (Instruction 5) Shares held by husband's company who lives in the household 1. Title of Security (Instruction 4) Common Stock 2. Amount of Securities Beneficially Owned (Instruction 4) 108,750 shares 3. Ownership Form: Direct (D) or Indirect (I) (Instruction 5) Indirect 4. Nature of Indirect Beneficial Ownership (Instruction 5) Shares held by Company President as trustee for minor child Shayna Tucker who lives in the household. 1. Title of Security (Instruction 4) Common Stock 2. Amount of Securities Beneficially Owned (Instruction 4) 108,750 shares 3. Ownership Form: Direct (D) or Indirect (I) (Instruction 5) Indirect 4. Nature of Indirect Beneficial Ownership (Instruction 5) Shares held by Company President as trustee for minor child Montana Tucker who lives in the household. Table II - Derivative Securities Beneficially Owned 1. Title of Derivative Security (Instruction 4) None 2. Date Exercisable and Expiration Date Exercisable Expiration Date Date 3. Title and Amount of Securities Underlying Derivative Security (Instruction 4) Title Amount or Number of Shares 4. Conversion of Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instruction 5) 6. Nature of Indirect Beneficial Ownership (Instruction 5) Explanation of Responses: /s/ Michelle Tucker - ----------------------------------------- January 12, 1999 /s/ Leonard Miles Tucker /s/ Michelle Tucker, President for Blue Lake Capital Corp Date /s/ Leonard Miles Tucker, Husband /s/ Michelle Tucker as trustee for Shayna Tucker /s/ Michelle Tucker as trustee for Montana Tucker **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 provided 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 currently valid OMB number. Names and social security or tax id numbers for more than one reporting person. Michelle Tucker###-##-#### Shayna Tucker###-##-#### Montana Tucker###-##-#### Leonard Miles Tucker###-##-#### -----END PRIVACY-ENHANCED MESSAGE-----