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Capital Beverage Corp. – ‘3’ for 7/9/01 re: Capital Beverage Corp.

As of:  Tuesday, 7/10/01   ·   For:  7/9/01   ·   Accession #:  1015769-1-500100   ·   File #:  1-13181   ·   Deletion:  This Filing was Deleted by the SEC on 7/20/01.

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

 7/10/01  Capital Beverage Corp.            3          Director    1:6K   Capital Beverage Corp.            Grassi & Co./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           Initial Statement of Beneficial Ownership of           2     11K 
                Securities by an Insider                                         

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UNITED STATES SECURITIES AND EXCHANGE COMMISSION FORM 3 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 (Print or Type Responses) 1. Name and Address of Reporting Person* Matrisciani Michael -------------------------------------- (Last) (First) (Middle) c/o Capital Beverage Corporation 700 Columbia Street, Erie Basin Brooklyn, New York 11231 2. Date of Event Requiring Statement (Month/Day/Year) 6/29/01 3. IRS Identification Number of Reporting Person, if an entity (voluntary) 4. Issuer Name and Ticker or Trading Symbol Capital Beverage Corporation (CBEV) 5. Relationship of Reporting Person(s) to Issuer X_ Director 10% Owner _ Officer (give title Other (Specify below) below) 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check all applicable) _X_Form filed by One Reporting Person ___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 Securities 3. Ownership Form: 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Direct (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly SEC 1473 (7-96) *If the form is filed by more than one reporting person, see Instruction 5(b)(v). (Over)
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FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) [Enlarge/Download Table] ---------------------------- ------------------- --------------------- -------------- ------------ --------------- 1.Title of Derivative Security 2.Date Exercisable 3.Title and Amount of 4.Conversion 5.Ownership 6. Nature of (Instr. 4) and Expiration Derivative Security or Exercise Form of Indirect Date (Instr. 4) of Derivative Derivative Beneficial (Month/Day/Year) Security Security Ownership Direct (D) (Instr. 5) (I) (Instr. 5) ------- ------------ --------------- ----------- Date Expiration Title Amount or Exer- Date Number of cisable Shares ------------------------------------------------------------------------------------------------------------------------------- Explanation of Responses: Shares **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /S/Michael Matrisciani July 9, 2001 -------------------------- --------------- Date See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. Potential persons who are to 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.

Dates Referenced Herein   and   Documents Incorporated by Reference

Referenced-On Page
This ‘3’ Filing    Date First  Last      Other Filings
Deleted on:7/20/01
Filed on:7/10/01SC 13D
For Period end:7/9/012
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Filing Submission 0001015769-01-500100   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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