|
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
|
| |||||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
|||
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
PAULK GREG J 412 EAST GOWAN ROAD NORTH LAS VEGAS, NV 89032 |
 |  X |  |  |
/s/ Greg J. Paulk Individually and as managing member of P2SA Equity LLC | 03/03/2005 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | This transaction should have been reported on a Form 4. |
(2) | All shares transferred as capital contribution to the P2SA Equity LLC ("P2SA") for no monetary consideration. Shares were contributed by the following: Greg Jesse Paulk Trust, Dated 1/23/1998: 332,415 Ryan Joey Paulk Trust, Dated 10/22/1997: 15,895 Brady Stevens Trust, Dated 10/22/1997: 15,895 Robert Andrews: 18,395 As a result of the contribution, these persons acquired membership interests in P2SA in proportion to shares contributed. Greg J. Paulk is the trustee of the Greg Jesse Paulk Trust, Dated 1/23/1998, the managing member of P2SA, and has sole voting and dispositive control of the shares held by P2SA. Mr. Paulk disclaims ownership of shares held by P2SA except to the extent of the beneficial ownership of the Greg Jesse Paulk Trust, Dated 1/23/1998. |
(3) | D/A |