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Schwedel David A – ‘3’ for 12/4/07 re: Synthesis Energy Systems Inc

On:  Tuesday, 12/4/07, at 12:00pm ET   ·   For:  12/4/07   ·   As:  10% Owner   ·   Accession #:  1214659-7-2595   ·   File #:  1-33522

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

12/04/07  Schwedel David A                  3          10% Owner   1:3K   Synthesis Energy Systems Inc      Securex Filings/FA

Initial Statement of Beneficial Ownership of Securities   —   Form 3
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Initial Statement of Beneficial Ownership of        HTML      4K 
                          Securities -- c12470f3_ex.xml/2.2                      





This document is an XML File that may be rendered in various formats:

Form 3  –  Plain Text  –  EDGAR System  –  SEC Website  –  XML Listing  –  <?xml?> File
 

 
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
SCHWEDEL DAVID A

(Last) (First) (Middle)
4000 PONCE DE LEON BLVD
SUITE 470

(Street)
MIAMI FL 33143

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/4/07
3. Issuer Name and Ticker or Trading Symbol
SYNTHESIS ENERGY SYSTEMS INC [ SYMX ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
 Director X 10% Owner
 Officer (give title below)  Other (specify below)

5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
 Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 3,306,200 D 
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
 /s/ David A. Schwedel 12/4/07
 ** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.


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