-----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, GibRDN5lEeqCPflG0ZVH78e0WIEvGb+lcs3j1LBHdher+znpD7h0SsXein+xPpud TTPERhFFPQpkosaFwhFH4Q== 0000892569-97-001308.txt : 19970514 0000892569-97-001308.hdr.sgml : 19970514 ACCESSION NUMBER: 0000892569-97-001308 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970304 FILED AS OF DATE: 19970513 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RESPONSE USA INC CENTRAL INDEX KEY: 0000889087 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] IRS NUMBER: 223088639 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-20770 FILM NUMBER: 97601477 BUSINESS ADDRESS: STREET 1: 11-K PRINCESS ROAD CITY: LAWRENCEVILLE STATE: NJ ZIP: 08648 BUSINESS PHONE: 6098964500 MAIL ADDRESS: STREET 1: 11-K PRINCESS ROAD CITY: LAWRENCEVILLE STATE: NJ ZIP: 08648 COMPANY DATA: COMPANY CONFORMED NAME: BKR INC CENTRAL INDEX KEY: 0001038854 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 7944 E BECK LN STREET 2: SUITE 210 CITY: SCOTTSDALE STATE: AZ ZIP: 85260 BUSINESS PHONE: 6024839337 MAIL ADDRESS: STREET 1: 7944 E BECK LN STREET 2: SUITE 210 CITY: SCOTTSDALE STATE: AZ ZIP: 85260 3 1 FORM 3 1 - ------- ------------------------------ FORM 3 OMB APPROVAL - ------- OMB Number: 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response.....0.5 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 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* 2. Date of Event Requiring Statement BKR, Inc. - -------------------------------------------------- (Last) (First) (Middle) (Month/Day/Year) 03/04/97 7944 East Becklane, #210 - -------------------------------------------------------------------------------- (Street) 3. IRS or Social Security Number of Reporting Person (Voluntary) Scottsdale, Arizona 85260 88-0371100 - -------------------------------------------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol RESPONSE USA, INC. (RUOK) - -------------------------------------------------------------------------------- 5. Relationship to Reporting Person(s) 6. If Amendment, Date of to Issuer Original (Month/Day/Year) (Check all applicable) [ ] Director [X] 10% Owner [ ] Owner [ ] Officer [ ] Other --------------------------------------- (give title (specify 7. Individual or Joint/Group below) below) Filing (Check Applicable Line) [ ] Form filed by One Reporting Person [X] Form filed by More than One Reporting Person - -------------------------------------------------------------------------------- TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
- -------------------------- ------------------------------- -------------------- ------------------------------------- 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial (Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 4) (D) or Indirect (Instr. 5) (I)(Instr. 5) - -------------------------- ------------------------------- -------------------- ------------------------------------- Common Stock 1,094,164 (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). (Over) SEC 1473 (7-96) 2 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 Security (Instr. 4) cisable and Underlying Derivative Security sion or ship Indirect Expiration (Instr. 4) Exercise Form of Beneficial Date Price of Deriv- Ownership Deri- ative (Instr. 5) (Month/Day/Year) vative Security: ------------------- ---------------------------------- Security Direct Amount (D) or of Indirect (I) Date Expira- Number (Instr. 5) Exer- tion Title of cisable Date Shares - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- ------------- - -------------------------- --------- --------- --------------------------- ------ ------------ ---------------- -------------
BKR, INC., a Nevada corporation /s/ Bert Bedrosian, President May 12, 1997 - ---------------------------------------------- ------------ **Signature of Reporting Person Date 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). 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 SEC 1473 (7-96) 3 JOINT FILER INFORMATION Name: Robin Bedrosian Address: 7944 East Becklane, #210 Scottsdale, Arizona 85260 Designated Filer: BKR, Inc. Issuer & Ticker Symbol: Response USA, Inc. (RUOK) Date of Event Requiring Statement: March 4, 1997 Signature: /s/ Robin Bedrosian, Secretary ------------------------------ 4 JOINT FILER INFORMATION Name: Bert Bedrosian Address: 7944 East Becklane, #210 Scottsdale, Arizona 85260 Designated Filer: BKR, Inc. Issuer & Ticker Symbol: Response USA, Inc. (RUOK) Date of Event Requiring Statement: March 4, 1997 Signature: /s/ Bert Bedrosian, President ------------------------------ -----END PRIVACY-ENHANCED MESSAGE-----