-----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, H6qIhlBZeKRIavSsd3nGsJt02hLb1Y0vDjYr1Oi6Rn4IWGtZlIPMrGT/SgEBASYG xLgZ7H+5tb8Idrb46GboHQ== 0000950144-96-007348.txt : 19961029 0000950144-96-007348.hdr.sgml : 19961029 ACCESSION NUMBER: 0000950144-96-007348 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19961028 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: REPUBLIC ENVIRONMENTAL SYSTEMS INC CENTRAL INDEX KEY: 0000944148 STANDARD INDUSTRIAL CLASSIFICATION: HAZARDOUS WASTE MANAGEMENT [4955] IRS NUMBER: 222769024 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25890 FILM NUMBER: 96648776 BUSINESS ADDRESS: STREET 1: 16 SENTRY PARK WEST STREET 2: 1787 SENTRY PARK WEST STE 400 CITY: BLUE BELL STATE: PA ZIP: 19422 BUSINESS PHONE: 2152834900 MAIL ADDRESS: STREET 1: 16 SENTRY PARK WEST STREET 2: 1787 SENTRY PARK WEST CITY: BLUE BELL STATE: PA ZIP: 19422 COMPANY DATA: COMPANY CONFORMED NAME: HUIZENGA H WAYNE CENTRAL INDEX KEY: 0000917702 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 200 EAST LAS OLAS BLVD CITY: FORT LAUDERDALE STATE: FL ZIP: 33301 BUSINESS PHONE: 9546276018 MAIL ADDRESS: STREET 1: 200 EAST LAS OLAS BLVD CITY: FORT LAUDERDALE STATE: FL ZIP: 33301 3 1 INTERNT'L ALLIANCE SERVICES, INC. FORM 3 1 - -------- FORM 3 - -------- U.S. 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 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date Huizenga H. Wayne Statement Trading Symbol of Original - ---------------------------------------- (Month/Day/Year) International Alliance Services, (Month/Day/Year) (Last) (First) (Middle) 10/18/96 Inc. "IASI" N/A 200 South Andrews Avenue ---------------------------- ---------------------------------- ----------------------- - ---------------------------------------- 3. IRS or Social Security 5. Relationship of Reporting 7. Individual or Joint/ (Street) Number of Reporting Person to Issuer Group Filing (Check Ft. Lauderdale Florida 33301 Person (Voluntary) (Check all applicable) applicable line) - -------------------------------------- Director X 10% Owner X Form filed by (City) (State) (Zip) ---------------------------- ----- ----- ----- One Reporting Officer Other Person ----- (give ----- (specify Form filed by title below) below) ----- More than One Reporting Person ---------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Beneficially Owned Direct (D) or Beneficial (Instr. 4) Indirect (I) Ownership (Instr. 4) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2,000,000 D N/A - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ *If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses)
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect (Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership Expiration Date Derivative Security Exercise Form of (Instr. 5) (Month/Day/ (Instr. 4) Price of Deriv- Year) Deri- ative vative Security: Security ------------------------------------------------- Direct Date Expira- Amount or (D) or Exercis- tion Title Number Indirect (I) able Date of Shares (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Warrant (Right to Buy) 10/18/96 10/18/98 Common Stock 2,000,000 $2.625 D N/A - ------------------------------------------------------------------------------------------------------------------------------------ Warrant (Right to Buy) 10/18/96 10/18/99 Common Stock 2,000,000 $3.125 D N/A - ------------------------------------------------------------------------------------------------------------------------------------ Warrant (Right to Buy) 10/18/96 10/18/00 Common Stock 2,000,000 $3.875 D N/A - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: /s/ H. Wayne Huizenga October 25, 1996 **Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------- ------------------- Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date H. Wayne Huizenga Note. File three copies of this Form, one of which must be manually signed. Page 2 If space provided is insufficient, See Instruction 6 for procedure. (Print or Type Responses)
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