3 1 e-6012.txt FORM 3 OF PAULK, GREG J. ------------------------------ OMB APPROVAL ------------------------------ ------ OMB Number 3235-0104 FORM 3 Expires: December 31, 2001 ------ Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. 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 ================================================================================ 1. Name and Address of Reporting Person Paulk, Greg J. Ryan Joey Paul Trust dated 10/22/97 Brady Stevens Trust dated 10/22/97 Andrews, Robert -------------------------------------------------------------------------------- (Last) (First) (Middle) 412 East Gowan Road -------------------------------------------------------------------------------- (Street) North Las Vegas Nevada 89032 -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) 12/29/2000 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Issuer Name and Ticker or Trading Symbol Meadow Valley Corporation - MVCO ================================================================================ 5. Relationship of Reporting Person to Issuer (Check all applicable) [ ] Director [X] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) -------------------------------------------------------------------- ================================================================================ 6. If Amendment, Date of Original (Month/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 ================================================================================ FORM 3 (continued) Table I -- Non-Derivative Securities Beneficially Owned ================================================================================ 3. Ownership Form: 1. Title of 2. Amount of Securities Direct (D) or 4. Nature of Indirect Security Beneficially Owned Indirect (I) Beneficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr.5) -------------------------------------------------------------------------------- Common Stock, $.001 par value 357,600(1) D -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ================================================================================ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ===================================================================================================== 3. Title and Amount of Securities Underlying 5. Owner- Derivative Security ship 2. Date Exercisable (Instr. 4) Form of and Expiration Date ------------------------ 4. Conver- Derivative (Month/Day/Year) Amount sion or Security: 6. Nature of 1. Title of --------------------- or Exercise Direct Indirect Derivative Date Expira- Number Price of (D) or Beneficial Security Exer- tion of Derivative Indirect(I) Ownership (Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5) ----------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------- =====================================================================================================
Explanation of Responses: (1) 307,415 shares owned by Greg J. Paulk 15,895 shares owned by the Ryan Joey Paul Trust dated 10/22/97 15,895 shares owned by the Brady Stevens Trust dated 10/22/97 18,395 shares owned by Robert Andrews Each reporting person disclaims beneficial ownership of shares held by other reporting persons. /s/ Greg J. Paulk January 8, 2001 -------------------------------------- --------------- Greg J. Paulk Date /s/ Ryan Joey Paulk January 8, 2001 -------------------------------------- --------------- Ryan Joey Paulk, Trustee of the Date Ryan Joey Paulk Trust dated 10/22/97 /s/ Brady Stevens January 8, 2001 -------------------------------------- --------------- Brady Stevens, Trustee of the Date Brady Stevens Trust dated 10/22/97 /s/ Robert Andrews January 8, 2001 -------------------------------------- --------------- Robert Andrews Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). POWER OF ATTORNEY Each person whose signature appears below hereby appoints each and all of the other persons below, as his true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for him, and in his name, place and stead, in any and all capacities, to sign any or all amendments to this Form 3 and to sign any other filings as required by Section 16 of the Securities Exchange Act, and to file the same, with the Securities and Exchange Commission, granting unto the attorneys-in-fact and agents, full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes as he might or could do in person, hereby ratifying and confirming to all that such attorneys-in-fact and agents or any of them, or their or his substitute or substitutes, may lawfully do or cause to be done by virtue hereof. January 8, 2001 /s/ Greg J. Paulk --------------------------- --------------------------------------- Date Greg J. Paulk January 8, 2001 /s/ Ryan Joey Paulk --------------------------- --------------------------------------- Date Ryan Joey Paulk, Trustee of the Ryan Joey Paulk Trust dated 10/22/97 January 8, 2001 /s/ Brady Stevens --------------------------- --------------------------------------- Date Brady Stevens, Trustee of the Brady Stevens Trust dated 10/22/97 January 8, 2001 /s/ Robert Andrews --------------------------- --------------------------------------- Date Robert Andrews