-----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, S+7nXqclcFbZrySDdpT2nAGZx6exy1c73cZfxMP9eJuFqpWlythO01vJ5SA6jMLr MsSEKB6SEZjqZtiOOSB7gA== 0000057201-00-000003.txt : 20000208 0000057201-00-000003.hdr.sgml : 20000208 ACCESSION NUMBER: 0000057201-00-000003 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000126 FILED AS OF DATE: 20000207 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COYOTE NETWORK SYSTEMS INC CENTRAL INDEX KEY: 0000057201 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 362448698 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-05486 FILM NUMBER: 525888 BUSINESS ADDRESS: STREET 1: 4360 PARK TERRACE DRIVE CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91361 BUSINESS PHONE: 8187357600 MAIL ADDRESS: STREET 1: 4360 PARK TERRACE DRIVE CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91361 FORMER COMPANY: FORMER CONFORMED NAME: DIANA CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: FH INDUSTRIES CORP DATE OF NAME CHANGE: 19850814 FORMER COMPANY: FORMER CONFORMED NAME: SCOT LAD FOODS INC DATE OF NAME CHANGE: 19841202 COMPANY DATA: COMPANY CONFORMED NAME: MCCULLOUGH JAMES R CENTRAL INDEX KEY: 0001017540 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O COYOTE NETWORK SYSTEMS INC STREET 2: 4360 PARK TERRACE DRIVE CITY: WESTLAKE VILLAGE STATE: CA ZIP: 91361 BUSINESS PHONE: 818357600 3 1 FORM 3 ========== =============================== FORM 3 OMB APPROVAL ========== =============================== OMB Number 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response 0.5 ================================ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 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 McCullough, James R. - -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o Coyote Network Systems, Inc. 4360 Park Terrace Drive - -------------------------------------------------------------------------------- (Street) Westlake Village, CA 91361 - -------------------------------------------------------------------------------- (City) (State) (ZIP) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) January 26, 2000 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Issuer Name and Ticker Trading Symbol Coyote Network Systems, Inc. (CYOE) ================================================================================ 5. Relationship of Reporting Person to Issuer (check all applicable) [ X ] Director [ ] 10% Owner [ X ] Officer (give title below) [ ] Other (specify below) Chief Executive Officer --------------------------- ================================================================================ 6. If Amendment, Date of Original (Month/Day/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 ================================================================================ Table I - Non-Derivative Securities Beneficially Owned ================================================================================
1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Beneficially Owned (Instr.4) Direct (D) or Indirect (I) Beneficial Ownership (Instr. 5) (Instr. 5) - ----------------------- ------------------------------- ----------------------------- ------------------------ Common Stock 2,000,000 I By KRJ, LLC (1) - ----------------------- ------------------------------- ----------------------------- ------------------------ Common Stock 500 D - ----------------------- ------------------------------- ----------------------------- ------------------------ ==============================================================================================================
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) Page 1 of 2 Pages FORM 3 (continued) ================================================================================ Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
- ----------------------- -------------------- -------------------------- ----------------- ---------------- ------------- 1. Title of Derivative 2. Date Exercisable 3. Title and Amount of 4. Conversion or 5. Ownership 6. Nature of Security and Expiration Securities Underlying Exercise Price Form of Indirect (Instr. 4) Date Derivative Security of Derivative Derivative Beneficial (Month/Day/Year) (Instr. 4) Security Security: Ownership Direct (D) or (Instr. 5) Indirect (I) (Instr. 5) - ----------------------- -------------------- -------------------------- ----------------- --------------- ------------- Date Expir- Amount Exer- ation Title or cisable Date Number of Shares - ------------------------ --------- --------- ---------------- --------- ---------------- ---------------- ------------- Employee Stock Option (2) 01/14/06 Common Stock 750,000 $5.00 D (right to buy) - ------------------------ --------- --------- ---------------- --------- ---------------- ---------------- ------------- - ------------------------ --------- --------- ---------------- --------- ---------------- ---------------- ------------- - ------------------------ --------- --------- ---------------- --------- ---------------- ---------------- ------------- - ------------------------ --------- --------- ---------------- --------- ---------------- ---------------- ------------- - -------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) The reporting person owns a one-third membership interest in KRJ, LLC, which directly owns the reported securities. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. (2) Pursuant to an employment agreement dated January 26, 2000, the reporting person received options to purchase 750,000 shares of the Company's common stock (the "Options") at $5.00 per share. Of such Options, 300,000 are currently vested with the remaining Options vesting over three years, beginning on January 14, 2001, subject to acceleration if certain common stock price targets are met and sustained. /s/ James R. McCullough 02/07/00 ------------------------------- -------- **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. 78 ff(a). Page 2 of 2 Pages
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