4 1 apatoff81502.txt 8/15/02 FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |X| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). 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(h) of the Investment Company Act of 1940 ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person*/ 2. Issuer Name and Ticker or Trading / 6. Relationship of Reporting Person(s) to Issuer / Symbol / (Check all applicable) / / / / ___ Director ___ 10% Owner / / ___ Officer X Other / DBS Industries, Inc. ("DBSI") / (give title below) (specify below) / / Apatoff, Michael / / Former 10% Owner ----------------------------------------/---------------------------------------- /------------------------------------------------- (Last) (First) (Middle) / 3. IRS Identification/ 4. Statement for / 7. Individual or Joint/Group Filing / Number of / (Month/Day/Year) / (Check Applicable Line) / Reporting Person, / / 11 Edwards Avenue / if an entity / 08/15/02 / ___ Form filed by One Reporting Person ----------------------------------------/ (Voluntary) /------------------/ (Street) / / 5. If Amendment, / ___ Form filed by More than One Reporting / / Date of Original / Person / / (Month/Day/Year) / / / / --------------------------------------- / / / (City) (State) (Zip) / / / ------------------------------------------------------------------------------------------------------------------------------------
TABLE I - NONDERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ------------------------------------------------------------------------------------------------------------------------------------ 1. Title /2.Trans- /2A. Deemed /3.Transaction/4. Securities Acquired (A) or /5. Amount of /6. Ownership / 7. Nature of of / action / Execution/ Code / Disposed of (D) (Instr. 3, / Securities / Form: / Indirect Security / Date / Date, if / Instr. 8) / 4 and 5) / Beneficially/ Direct (D)/ Beneficial (Inst.3) /(Mo/Day/Yr)/ any / / / Owned / or / Ownership / / (Mo/Day/Yr) /------------------------------------------------/ Following / Indirect / / / / Code / V / Amount /(A) or (D)/ Price / Reported / (I) / (Instr. 4) / / / / / / / / Trans- / / / / / / / / / / action(s) / (Instr.4) / / / / / / / / /(Inst. 3 & 4)/ / ==================================================================================================================================== Common Stock 8/15/02 S 265,957 D $0.000004 D N/A ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 8/19/02 S 500,000 D $0.000004 D N/A ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/18/02 S 172,414 D $0.000006 D N/A ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 11/26/02 S 1,000,000 D $0.000004 D N/A ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 12/2/02 S 2,210,993 D $0.000004 1,729,007 D N/A ====================================================================================================================================
2 FORM 4 (continued) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) ------------------------------------------------------------------------------------------------------------------------------------ 1. / 2. /3. /3A. Deemed/4.Trans-/5. Number of/6. Date /7. Title and /8. /9. /10. /11. Title of / Con- / Trans-/ Execution/ action / Derivative / Exercisable / Amount of / Price / Number / Owner- /Nature Derivative / version / action / Date, if / Code / Securities / and Expiration / Underlying / of / of / ship /of Security / or / Date / any / / Acquired / Date / Securities / Deriv- / Deriv- / Form of/In- (Instr. 3) / Exercise/ (Month// (Month/ /(Inst.8)/ (A) or / / / ative / ative / Deriv- /direct / Price of/ Day/ / Day/ / / Disposed of/(Month/Day/Year)/(Instr. 3 & 4) / Secu- / Secu- / ative /Bene- / of / Year) / Year) / / (D) / / / rity / rities / Secu- /ficial / Deriv- / / / / / / / / Benefi-/ rities /Owner- / ative / / / /(Inst.3,4,5)/ / /(Inst.4)/ cially / Benefi-/ship / Secu- / / /--------/------------/----------------/---------------/ / Owned / cially / / rity / / /Code/ V / (A) / (D) / Date / Expir-/ Title /Amount / /Follow- / Owned /(Inst. / / / / / / / / Exer- / ation / / or / /ing / / 4) / / / / / / / / cisable/ Date / /No. of / /Reported/(Inst.4)/ / / / / / / / / / / /Shares / /Trans- / / / / / / / / / / / / / /actions / / / / / / / / / / / / / /(Inst.4)/ / ==================================================================================================================================== Warrants to $0.70 12/2/02 S 36,250 1/18/01 1/18/05 Common 36,250 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.60 12/2/02 S 25,000 7/27/01 7/27/05 Common 25,000 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.62 12/2/02 S 50,000 8/9/01 8/9/05 Common 50,000 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.47 12/2/02 S 53,191 8/16/01 8/16/05 Common 53,191 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.50 12/2/02 S 50,000 8/20/01 8/20/05 Common 50,000 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.50 12/2/02 S 250,000 8/20/01 8/20/05 Common 250,000 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.50 12/2/02 S 250,000 8/20/01 8/20/05 Common 250,000 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------
TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) ------------------------------------------------------------------------------------------------------------------------------------ 1. / 2. /3. /3A. Deemed/4.Trans-/5. Number of/6. Date /7. Title and /8. /9. /10. /11. Title of / Con- / Trans-/ Execution/ action / Derivative / Exercisable / Amount of / Price / Number / Owner- /Nature Derivative / version / action / Date, if / Code / Securities / and Expiration / Underlying / of / of / ship /of Security / or / Date / any / / Acquired / Date / Securities / Deriv- / Deriv- / Form of/In- (Instr. 3) / Exercise/ (Month// (Month/ /(Inst.8)/ (A) or / / / ative / ative / Deriv- /direct / Price of/ Day/ / Day/ / / Disposed of/(Month/Day/Year)/(Instr. 3 & 4) / Secu- / Secu- / ative /Bene- / of / Year) / Year) / / (D) / / / rity / rities / Secu- /ficial / Deriv- / / / / / / / / Benefi-/ rities /Owner- / ative / / / /(Inst.3,4,5)/ / /(Inst.4)/ cially / Benefi-/ship / Secu- / / /--------/------------/----------------/---------------/ / Owned / cially / / rity / / /Code/ V / (A) / (D) / Date / Expir-/ Title /Amount / /Follow- / Owned /(Inst. / / / / / / / / Exer- / ation / / or / /ing / / 4) / / / / / / / / cisable/ Date / /No. of / /Reported/(Inst.4)/ / / / / / / / / / / /Shares / /Trans- / / / / / / / / / / / / / /actions / / / / / / / / / / / / / /(Inst.4)/ / ==================================================================================================================================== Warrants to $0.29 12/2/02 S 17,241 11/19/01 11/19/05 Common 17,241 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.12 11/27/02 S 1,250,000 3/7/02 12/15/02 Common 1,250,000 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.12 11/27/02 S 1,250,000 3/7/02 1/15/02 Common 1,250,000 $0.000004 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Warrants to $0.12 11/27/02 S 1,250,000 3/7/02 2/15/03 Common 1,250,000 $0.000004 0 D N/A Purchase Common Stock ------------------------------------------------------------------------------------------------------------------------------------ Options to 60,310 D N/A Purchase Common Stock ==================================================================================================================================== Explanation of Responses: /S/ MICHAEL APATOFF 12/2/02 -------------------------------- ---------- Michael Apatoff 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 provided is insufficient, see Instruction 6 for procedure.