SEC Info - Ward David - ‘5’ for 9/30/02 re: Blue Moon Investments

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Ward David – ‘5’ for 9/30/02 re: Blue Moon Investments

On: Friday, 11/15/02, at 5:03pm ET · For: 9/30/02 · Accession #: 1140361-2-745 · File #: 0-29021

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

11/15/02  Ward David                        5          Director    1:17K  Blue Moon Investments             Broadridge Fin’l… Inc/FA

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 5 — SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 5           Annual Statement of Changes in Beneficial           HTML     17K 
                Ownership of Securities by an Insider

This is an HTML Document rendered as filed. [ Alternative Formats ]

Form 5

Form 5		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
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[ ]	Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b).		Estimated average burden hours per response. . . 1.0
[ ]	Form 3 Holdings Reported
[ ]	Form 4 Transactions Reported

1. Name and Address of Reporting Person* Ward, David	2. Issuer Name and Ticker or Trading Symbol Blue Moon Investments (N/A)		6. Relationship of Reporting Person(s) to Issuer (Check all applicable) _X_ Director _X_ 10% Owner _X_ Officer (give title below) ___ Other (specify below) President, C.E.O. and C.F.O.
(Last) (First) (Middle) 19690 - 50th Avenue	3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) N/A	4. Statement for Month/Year 09/30/2002
(Street) Langley, B.C. V3A 4J2		5. If Amendment, Date of Original (Month/Year)	7. Individual or Joint/Group Filing (Check Applicable Line) _X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person
(City) (State) (Zip)	Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security (Instr. 3)	2. Transaction Date (Month/ Day/ Year)	2A. Deemed Execution Date, if any (Month/ Day/ Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common								152,000	D

* If the form is filed by more than one reporting person, see instruction 4(b)(v).

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.

(Over)
SEC 2270 (9-02)

FORM 5 (continued)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1.
Title of Derivative Security
(Instr.3)

2.
Conversion or
Exercise
Price of
Derivative
Security

3.
Transaction
Date
(Month/
Day/
Year)

3A.
Deemed Execution Date, if any
(Month/
Day/
Year)

4.
Transaction
Code
(Instr. 8)

5.
Number of Derivative
Securities
Acquired (A) or Disposed of(D)
(Instr. 3, 4 and 5)

6.
Date Exercisable
and Expiration Date
(Month/Day/Year)

7.
Title and Amount of
Underlying Securities
(Instr. 3 and 4)

8.
Price of
Derivative
Security
(Instr. 5)

9.
Number of
Derivative
Securities
Beneficially
Owned at
End of
Year
(Instr. 4)

10.
Ownership
Form of
Derivative
Security:
Direct (D) or Indirect (I)
(Instr. 4)

11.
Nature of
Indirect
Beneficial
Ownership
(Instr. 4)

Code

(A)

(D)

Date
Exercisable

Expiration
Date

Title

Amount
or
Number
of Shares

Explanation of Responses:

**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).	/s/ *David Ward* **Signature of Reporting Person	11/15/2002 Date
Note:	File three copies of this Form, one of which must be manually signed. If space 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 Number.

Page 2

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Dates Referenced Herein and Documents Incorporated by Reference

This ‘5’ Filing	Date	Other Filings

	1/31/05
Filed on:	11/15/02	3, 4, 5
For Period end:	9/30/02	5
		List all Filings

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Filing Submission 0001140361-02-000745 – Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Ward David – ‘5’ for 9/30/02 re: Blue Moon Investments

On: Friday, 11/15/02, at 5:03pm ET · For: 9/30/02 · Accession #: 1140361-2-745 · File #: 0-29021

Previous ‘5’: ‘5’ on 11/15/02 for 9/30/02 · Next: ‘5’ on 1/29/04 for 12/31/03 · Latest: ‘5’ on 1/29/04 for 12/31/03

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 5 — SEA’34Filing Table of Contents

This is an HTML Document rendered as filed. [ Alternative Formats ]

Dates Referenced Herein and Documents Incorporated by Reference

Annual Statement of Changes in Beneficial Ownership of Securities by an Insider — Form 5 — SEA’34
Filing Table of Contents