| SEC Info | Home | Search | My Interests | Help | Sign In | Please Sign In | ||||||||||||||||||||
As Of Filer Filing As/For/On Docs:Pgs Issuer Agent 1/21/03 Pacific Cma Inc 5 Director 2:9 Pacific Cma Inc Frascona...Greenstein/FA
Document/Exhibit Description Pages Size
1: 5 Annual Statement of Change in Beneficial Ownership HTML 20K
of Securities
2: 5 Annual Statement of Change in Beneficial Ownership PDF 15K
of Securities
|
FORM 5 Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). Form 3 Holdings Reported Form 4 Transactions Reported |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 ANNUAL STATEMENT OF CHANGES BENEFICIAL OWNERSHIP 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 |
OMB APPROVAL OMB Number: 3235-0362 Expires: January 31, 2005 Estimated average burden hours per response...1.0 |
| 1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol
PACIFIC CMA, INC. "PCCM" |
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable) _X Director __ 10% Owner _ Officer (give title below) Other (specify below)
| ||||||
| (Last)(First)(Middle)
CHAN, KAZE |
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) | 4. Statement for
Month/Year
12/2002 |
7. Individual or Joint/Group Reporting
(check applicable line)
_X_ Form Filed by One Reporting Person __ Form Filed by More than One Reporting Person | |||||
| Unit D, 11/F, Garment
Center, 576-586 Castle
Peak Road
Cheung Sha Wan, Kowloon, Hong Kong (City)(State)(Zip) |
5. If Amendment,
Date of Original
(Month/Year)
|
|||||||
|
1. Title of Security (Inst. 3) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |||||||
| 2. Transaction
Date
(Month/Day/ Year) |
3. Transaction
Code (Inst. 8) |
4. Securities Acquired (A) or Disposed of (D) (Inst. 3, 4, and 5) | 5. Amount of Securities Beneficially Owned at the end of Issuer's Fiscal Year (Inst. 3 and 4) | 6. Ownership
Form: Direct (D) or Indirect (I) (Inst. 4) |
7. Nature of
Indirect Beneficial Ownership (Instr. 4) | |||
|
Amount |
(A) or (D) | Price | ||||||
| COMMON STOCK | 12/31/2001 | A | 62,500 | A | ** | 62,500 | D | |
| COMMON STOCK | 3/09/2002 | A4 | 300 | A | ** | 300 | D | |
*If the form is filed by more than one reporting person, see instruction 4(b)(v).
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts calls warrants options, convertible securities) | |||||||||||||
| 1. Title of
Derivative Security (Inst. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Trans-
action Date (Month/ Day/ Year) |
4. Trans-
action Code (Instr. 8) |
5. Number of
Derivative Securities Acquired (A) or Disposed of (D) (Inst. 3, 4 and 5) |
6. Date Exercisable and
Expiration Date (Month/Day/Year) |
7. Title and Amount of
Underlying Securities (Inst. 3 and 4) |
8. Price of
Derivative Security (Inst. 5) |
9. Number
of Derivative Securities Beneficially Owned at End of Year (Inst. 4) |
10.
Ownership of Derivative Security: Direct (D) or Indirect (I) (Inst. 4) |
11. Nature of Indirect Beneficial Ownership (Inst. 4) | |||
|
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
||||||||
Explanation of Responses: ** Kaze Chan was granted a total of 62,800 shares for professional services rendered to the Company. 62,500 shares are valued at $0.18, and 300 shares are valued at $0.25.
| By: /S/ KAZE CHAN | 1/20/2003 |
| **Signature of Reporting Person | Date |
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 788ff(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.
| This 5 Filing | Date | Other Filings | ||
|---|---|---|---|---|
![]() | ||||
| For The Period Ended | 12/31/02 | 5, NT 10-K, 10KSB/A, 10KSB | ||
| Filed On / Filed As Of | 1/21/03 | 5 | ||
| 1/31/05 | ||||
| Top | List All Filings | |||