-----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, BtAMtAogzeRG9eFnVMgxm8cqigicG/UNAXE4PocnGJGzCVxYWgTulU69rV/12h5x rMvIiBZBQVE4misPugxEow== 0000829323-05-000005.txt : 20050118 0000829323-05-000005.hdr.sgml : 20050117 20050118134159 ACCESSION NUMBER: 0000829323-05-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050113 FILED AS OF DATE: 20050118 DATE AS OF CHANGE: 20050118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBERTI JACOBS FAMILY TRUST CENTRAL INDEX KEY: 0001264800 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 033-19980-D FILM NUMBER: 05533164 MAIL ADDRESS: STREET 1: 31 N SUFFOLK LANE CITY: LAKE FOREST STATE: IL ZIP: 60045 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CGI HOLDING CORP CENTRAL INDEX KEY: 0000829323 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 870450450 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 300 N MANNHEIM CITY: HILLSIDE STATE: IL ZIP: 60162 BUSINESS PHONE: 7083570900 MAIL ADDRESS: STREET 1: 300 N MANNHEIM CITY: HILLSIDE STATE: IL ZIP: 60162 FORMER COMPANY: FORMER CONFORMED NAME: GEMSTAR ENTERPRISES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: NORTH STAR PETROLEUM INC DATE OF NAME CHANGE: 19900530 4 1 roberti011305_ex.xml X0202 4 2005-01-13 0 0000829323 CGI HOLDING CORP CGIH 0001264800 ROBERTI JACOBS FAMILY TRUST 31 N SUFFOLK LANE LAKE FOREST IL 60045 0 0 1 0 Common Stock, $.001 par value 2005-01-13 4 S 0 10000 4.293 D 3520333 D Stock Warrant .10 2002-12-23 2012-12-23 Common Stock, $.001 par value 1000000 1000000 D Stock Warrant .10 2003-08-12 2013-08-12 Common Stock, $.001 par value 680000 680000 D Stock Warrant .13 2003-07-31 2013-07-31 Common Stock, $.001 par value 1000000 1000000 D Stock Warrant .50 2004-01-20 2014-01-20 Common Stock, $.001 par value 40000 40000 D Joan B. Roberti, Trustee 2005-01-17 -----END PRIVACY-ENHANCED MESSAGE-----