SEC Info  
    Home      Search      My Interests      Help      Sign In      Please Sign In

Baltic International USA Inc. – ‘3’ for 8/25/97 re: Baltic International USA Inc.

As of:  Monday, 8/25/97   ·   For:  8/25/97   ·   Accession #:  918545-97-8   ·   File #:  0-26558

Find Words in Filings emoji
 
  in    Show  and   Hints

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer

 8/25/97  Baltic International USA Inc.     3          10% Owner   1:5K   Baltic International USA Inc.

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Initial Statement of Beneficial Ownership of           2±     9K 
                Securities by an Insider                                         



UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person JONAS AF JOCHNICK PLACE FLAGEY 7, BTE 7 1050 BRUSSELS BELGIUM 2. Date of Event Requiring Statement (Month/Day/Year) AUGUST 15 1997 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol BALTIC INTERNATIONAL USA, INC. BISA 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 6. If Amendment, Date of Original (Month/Day/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 [Enlarge/Download Table] ___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect | | Securities | Form: | Beneficial Ownership | | Beneficially | Direct(D) or | | | Owned | Indirect(I) | | ___________________________________________________________________________________________________________________________________| COMMON STOCK |1250000 |I | By Celox S.A. | -----------------------------------------------------------------------------------------------------------------------------------| COMMON STOCK |1250000 |I | By ORESA Ventures N.V. | -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Date Exer- |3.Title and Amount | |4. Conver-|5. Owner- |6. Nature of Indirect | Security | cisable and | of Underlying | |sion or |ship | Beneficial Ownership | | Expiration | Securities | |exercise |Form of | | | Date(Month/ |-----------------------|---------|price of |Deriv- | | | Day/Year) | |Amount |deri- |ative | | | Date | Expira- | |or |vative |Security: | | | Exer- | tion | Title |Number of|Security |Direct(D) or | | | cisable | Date | |Shares | |Indirect(I) | | ___________________________________________________________________________________________________________________________________| Warrants |8/15/97 |8/1/02 |Common stock |1250000 |$0.65 |I |By Celox S.A. | -----------------------------------------------------------------------------------------------------------------------------------| Warrants |8/15/97 |8/1/02 |Common stock |1250000 |$0.65 |I |By Oresa Ventures N.V. | -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| Explanation of Responses: SIGNATURE OF REPORTING PERSON DAVID A. GROSSMAN, ATTORNEY-IN-FACT DATE AUGUST 22, 1997

Dates Referenced Herein   and   Documents Incorporated by Reference

This ‘3’ Filing    Date    Other Filings
Filed on / For Period end:8/25/97SC 13D
8/22/97
 List all Filings 
Top
Filing Submission 0000918545-97-000008   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
AboutPrivacyRedactionsHelp — Sun., Apr. 28, 6:07:56.1pm ET