-----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, CBHHhbPwWqQNgMmsBDBwmvarSowfrZD7j0TXWcHqV+fds4a8PfuKPdBDC8ozvVJr HksbKXG/HBXje4RE5IREww== 0001001348-97-000075.txt : 19970430 0001001348-97-000075.hdr.sgml : 19970430 ACCESSION NUMBER: 0001001348-97-000075 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19961231 FILED AS OF DATE: 19970429 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SUMMO MINERALS CORP CENTRAL INDEX KEY: 0000941230 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS METAL ORES [1090] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27272 FILM NUMBER: 97589432 BUSINESS ADDRESS: STREET 1: 1776 LINCOLN ST STREET 2: STE 1100 CITY: ENVER STATE: CO ZIP: 80203 MAIL ADDRESS: STREET 1: 1776 LINCOLN ST STREET 2: STE 1100 CITY: DENVER STATE: CO ZIP: 80203 COMPANY DATA: COMPANY CONFORMED NAME: ROBINS JOHN E CENTRAL INDEX KEY: 0001034420 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 866 625 HOWE STREET STREET 2: VANCOUVER BC V6CT26 CITY: CANADA MAIL ADDRESS: STREET 1: 866 625 HOWE STREET STREET 2: VANCOUVER BC V6CT26 CITY: CANADA 5 1 FORM 5 U.S. Securities and Exchange Commission Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Check this box if no longer OMB APPROVAL subject to Section 16. Form 4 or OME Number 3235-0287 Form 5 obligations may continue. Expires:April 30,1997 See Instruction 1(b). Estimated average burden hours per response .. 0.5 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 Robins John E. (Last) (First) (Middle) 860-625 Howe Street (Street) Vancouver British Columbia, Canada V6C2T6 (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol Summo Minerals Corporation 3. IRS or Social Security Number of Reporting Persons (Voluntary) 4. Statement for Month/Year 12/96 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person to Issuer (Check all applicable) X Director 10% Owner Officer (give title Other (specify below) below) TABLE I NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED 1. Title of 2. Transaction 3. Transaction Security Date Code 4. Securities Acquired (A) or Disposed of (D) 5. Amount of Securities Beneficially Owned at End of Month 6. Ownership Form: Direct (D) or Indirect (I) 7. Nature of Indirect Beneficial Ownership TABLE II DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security Options to Purchase Common Stock 2. Conversion or Exercise Price of Derivative Security $2.50 Cdn. 3. Transaction Date (Month/Day/Year) 12/24/96 4. Transaction Code D 5. Number of Derivative Securities Acquired (A) or Disposed of (D) 150,000 (D) 6. Date Exercisable: 05/30/96 Expiration Date :(Month/Day/Year) 05/29/06 7. Title and Amount of Underlying Securities 150,000 shares of Common Stock 8. Price of Derivative Security Nominal 9. Number of Derivative Securities Beneficially Owned at End of Month 0 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) D 11. Nature of Indirect Beneficial Ownership 1. Title of Derivative Security Options to Purchase Common Stock 2. Conversion or Exercise Price of Derivative Security $1.40 Cdn. 3. Transaction Date (Month/Day/Year) 12/24/96 4. Transaction Code A 5. Number of Derivative Securities Acquired (A) or Disposed of (D) 150,000 (A) 6. Date Exercisable: 25% exerciseable immediately; additional 25% exerciseable after May 29, 1997; additional 25% exerciseable after May 29, 1998; additional 25% exerciseable after May 29, 1999. Expiration Date: 05/29/01 7. Title and Amount of Underlying Securities 150,000 shares of Common Stock 8. Price of Derivative Security Nominal 9. Number of Derivative Securities Beneficially Owned at End of Month 150,000 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) D 11. Nature of Indirect Beneficial Ownership Explanation of Responses: /s/ James D. Frank April 24, 1997 Attorney in Fact Signature of Reporting Date Person ** 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. -----END PRIVACY-ENHANCED MESSAGE-----