-----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, SHhjNCxPFQPu1t4eRPFfoaUiacfjLuxlesOHCwp7yXHkPGKAIafTrMjYHdaHDsDs nj+Wr4kAYdOa3FQ5o4OEnQ== 0000950129-02-004492.txt : 20020905 0000950129-02-004492.hdr.sgml : 20020905 20020905125259 ACCESSION NUMBER: 0000950129-02-004492 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020820 FILED AS OF DATE: 20020905 COMPANY DATA: COMPANY CONFORMED NAME: EDWARDS JOHN S CENTRAL INDEX KEY: 0001186143 OTHER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 5212 BRITTMORE CITY: HOUSTON STATE: TX ZIP: 770041 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CAL DIVE INTERNATIONAL INC CENTRAL INDEX KEY: 0000866829 STANDARD INDUSTRIAL CLASSIFICATION: OIL, GAS FIELD SERVICES, NBC [1389] IRS NUMBER: 953409686 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22739 FILM NUMBER: 02757258 BUSINESS ADDRESS: STREET 1: 400 N SAM HOUSTON PKWY E STREET 2: SUITE 400 CITY: HOUSTON STATE: TX ZIP: 77060 BUSINESS PHONE: 2816180400 MAIL ADDRESS: STREET 1: 400 N SAM HOUSTON PKWY E STREET 2: SUITE 400 CITY: HOUSTON STATE: TX ZIP: 77060 3 1 h99564ae3.txt JOHN SHAW EDWARDS FOR CAL DIVE INTERNATIONAL INC. -------------------------- OMB APPROVAL -------------------------- - ------ OMB Number: 3235-0104 FORM 3 Expires: January 31, 2005 - ------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Estimated average burden WASHINGTON, DC 20549 hours per response.... 0.5 -------------------------- 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 (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* | 2. Date of Event Requiring Statement | (Month/Day/Year) EDWARDS JOHN SHAW | AUGUST 20, 2002 - ------------------------------------------|----------------------------------------------------------------------------------------- (Last) (First) (Middle) | 3. I.R.S. | 4. Issuer Name AND Ticker | 6. If Amendment, Date | Identification | or Trading Symbol | of Original 5212 Brittmore Road | Number of | | (Month/Day/Year) - ------------------------------------------| Reporting Person,| CDIS | (Street) | if an entity | | | (voluntary) |---------------------------------------|--------------------------- HOUSTON TEXAS 77041 | | 5. Relationship of Reporting Person(s)| 7. Individual or - ------------------------------------------| | to Issuer (Check all applicable) | Joint/Group Filing (City) (State) (Zip) | | | (Check Applicable Line) | | Director 10% Owner | | | ----- ----- | X Form filed by | | Officer (give title below) | ----- One Reporting | | ----- | Person | | X Other (specify below) | | | ----- | Form filed by | | Co-President - Subsidiary | ----- 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 Beneficial Ownership (Instr. 4) | Beneficially Owned | Direct (D) or | (Instr. 5) | (Instr. 4) | Indirect (I) | | | (Instr. 5) | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- 1. Cal Dive International, Inc. | | | Common Stock* | 72,645.17 | D | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- 2. Cal Dive International, Inc. | | | Common Stock* | 14,350 | I | Power of Attorney - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- * Pursuant to a Share Exchange | | | Rights Agreement | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ----------------------------------|---------------------------|---------------------|----------------------------------------------- | | | - ------------------------------------------------------------------------------------------------------------------------------------ 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 5(b)(v). PERSONS WHO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. (Over) SEC 1473(7-02)
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 Securities |4. Conversion |5. Ownership |6. Nature of Security (Instr. 4) | and Expiration Date | Underlying Derivative Securities | or Exercise | Form of | Indirect | (Month/Day/Year) | (Instr. 4) | Price of | Derivative| Beneficial | | | Derivative | Security: | Ownership | | | Security | Direct | (Instr. 5) | | | | (D) or | |------------------------|--------------------------------------| | Indirect | | | | | Amount or | | (I) | | Date | Expiration| | Number of | | (Instr. 5)| | Exercisable| Date | Title | Shares | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - -----------------------|------------|-----------|-----------------------|--------------|---------------|-------------|-------------- | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: /s/ JOHN S. EDWARDS 8/29/02 --------------------------------- ------- **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). 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. Page 2
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