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Sirrom Investments Inc. – ‘3’ for 3/31/98 re: Consumat Systems Inc.

As of:  Friday, 4/10/98   ·   For:  3/31/98   ·   Accession #:  950144-98-4454   ·   File #:  0-09253

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

 4/10/98  Sirrom Investments Inc.           3          10% Owner   1:9K   Consumat Systems Inc.             Bowne of Atlanta Inc./FA

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           Sirrom Investment/Consumat Enviromental Sys Form 3     2     14K 

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-------- 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 [Enlarge/Download Table] ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date Sirrom Investments, Inc. Statement Trading Symbol of Original ---------------------------------------- (Month/Day/Year) Consumat Environmental Systems, (Month/Day/Year) (Last) (First) (Middle) March 31, 1998 Inc. CSMT 500 Church Street, Suite 200 ---------------------------- ---------------------------------- ----------------------- ---------------------------------------- 3. IRS or Social Security 5. Relationship of Reporting 7. Individual or Joint/ (Street) Number of Reporting Person to Issuer Group Filing (Check Nashville, Tennessee 37219 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 100,000 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ *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) (8/96)
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[Enlarge/Download Table] 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 ------------------------------------------------- (D) or Date Expira- Amount or Indirect Exercis- tion Title Number (I) able Date of Shares (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ Warrant 3/31/98 4/30/01 Common Stock 250,000 $ .01 per share 0 ------------------------------------------------------------------------------------------------------------------------------------ Warrant 7/16/98(1) 4/30/01 Common Stock 66,379 $2.25 per share 0 ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ (1) Exercisable only if the indebtedness evidenced by a secured promissory note dated September 30, 1997 with Sirrom Investments, Inc. is outstanding on July 16, 1998. Explanation of Responses: By: /s/ Donald S. Barrickman Vice President April 10, 1998 **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 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)

Dates Referenced Herein   and   Documents Incorporated by Reference

Referenced-On Page
This ‘3’ Filing    Date First  Last      Other Filings
7/16/982
Filed on:4/10/982SC 13G
For Period end:3/31/98110-K,  10-Q
9/30/97210QSB
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Filing Submission 0000950144-98-004454   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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