-----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, NI0iR6d84P8jKJ2gCqKHvEWRqj0/gWNbJK53B8NZIRwiAe21GfzeMaFH0YAVO4hU cin7aWzuxGlzwa4/Z9QeWw== /in/edgar/work/0000897069-00-000507/0000897069-00-000507.txt : 20001019 0000897069-00-000507.hdr.sgml : 20001019 ACCESSION NUMBER: 0000897069-00-000507 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001004 FILED AS OF DATE: 20001018 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LATIN AMERICAN CASINOS INC CENTRAL INDEX KEY: 0000880242 STANDARD INDUSTRIAL CLASSIFICATION: [5500 ] IRS NUMBER: 650159115 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-19709 FILM NUMBER: 742235 BUSINESS ADDRESS: STREET 1: 200 NE 164TH ST CITY: NORTH MIAMI BEACH STATE: FL ZIP: 33162 BUSINESS PHONE: 3057561000 MAIL ADDRESS: STREET 1: 200 NE 164TH ST CITY: N MIAMI BEACH STATE: FL ZIP: 33162 COMPANY DATA: COMPANY CONFORMED NAME: AUGUSTINE FUND LP CENTRAL INDEX KEY: 0001053372 STANDARD INDUSTRIAL CLASSIFICATION: [ ]OWNER IRS NUMBER: 364186782 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 141 WEST JACKSON BLVD STE 1792 CITY: CHICAGO STATE: IL ZIP: 60604 MAIL ADDRESS: STREET 1: 141 WEST JACKSON BLVD. STE. 2182 CITY: CHICAGO STATE: IL ZIP: 60606 3 1 0001.txt FORM 3 - -------- FORM 3 OMB APPROVAL - -------- OMB Number: 3235-0104 Expires: December 31, 2001 Estimated average burden hours per response.....0.5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC. 20549 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* Augustine Fund, LP (Last) (First) (Middle) -------------------------------------------- 141 W. Jackson, Suite 2182 -------------------------------------------- (Street) Chicago, IL 60604 -------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 2. Date of Event-Requiring Statement (Month/Day/Year) 10/4/00 - -------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) - -------------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol Latin American Casinos, Inc. (LACI) (Nasdaq National Market) - -------------------------------------------------------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) __ Director _X_ 10% Owner __ Officer (give title below) __ Other (specify below) __________________________ - -------------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) - -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (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 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially owned Form: Direct (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) - ---------------------------------------------------------------------------------------------------------------------------------- Common Stock 479,806 D - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------
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). Potential persons who are to respond to the collection of information contained in this form Page 3 of 3 are not required to respond unless the form displays a currently valid OMB Number. Page 1 of 3 FORM 3 (CONTINUED)
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect Security (Instr. 4) cisable and Underlying Derivative sion or ship Beneficial Ownership Expiration Security (Instr. 4) Exercise Form of (Instr. 5) Date Price Deri- (Month/Day/Year) of vative Deri- Security: vative Direct Security (D) or Indirect (I) (Instr. 5) Amount Date Expira- or Exer- tion Title Number cisable Date of Shares - ------------------------------------------------------------------------------------------------------------------------------------ Option 10/30/00 10/30/00 Common Stock 325,000 $1.25 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Augustine Fund, LP, by John Porter, President of general partner /s/ John Porter, President of general partner --------------------------------------------- ** Signature of Reporting Person October 13, 2000 ---------------- Date Note: File three copies of this Form, one of which must be manually signed. If space 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 of 3 FORM 3 (CONTINUED) Additional Reporting Persons - -------------------------------------------------------------------------------- Additional Reporting Person Amount of Securities Nature of Indirect and Address Beneficially owned Beneficial Ownership (Instr. 4) (Instr. 5) - -------------------------------------------------------------------------------- Augustine Capital Management, LLC 804,806* * 141 W. Jackson, Suite 2182 Chicago, IL 60604 - -------------------------------------------------------------------------------- John T. Porter 141 W. Jackson, Suite 2182 Chicago, IL 60604 804,806* * - -------------------------------------------------------------------------------- Brian D. Porter 141 W. Jackson, Suite 2182 Chicago, IL 60604 804,806* * - -------------------------------------------------------------------------------- Thomas Duszynski 141 W. Jackson, Suite 2182 Chicago, IL 60604 804,806* * - -------------------------------------------------------------------------------- David R. Asplund 804,806* * 141 W. Jackson, Suite 2182 Chicago, IL 60604 - -------------------------------------------------------------------------------- * 479,806 shares of Common Stock indirectly beneficially owned (held in the name of Augustine Fund, LP) and 325,000 shares indirectly beneficially owned by an option (held by Augustine Fund, LP) described on page 2 of this form. Each of the additional filers listed on this page is a general partner, officer or director of the Augustine Fund, LP and may be deemed to have a pecuniary interest in the shares of Common Stock beneficially owned by Augustine Fund, LP. Signatures of Additional Reporting Persons: Dated October 13, 2000 AUGUSTINE CAPITAL MANAGEMENT, LLC /s/ John T. Porter John T. Porter, President of general partner /s/ John T. Porter John T. Porter /s/ Brian D. Porter Brian D. Porter /s/ Thomas Duszynski Thomas Duszynski /s/ David R. Asplund David R. Asplund 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 3 of 3 -----END PRIVACY-ENHANCED MESSAGE-----