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Walker Scott – ‘3’ for 7/29/02 re: Return Assured Inc.

On:  Tuesday, 8/6/02, at 11:56am ET   ·   For:  7/29/02   ·   Accession #:  1176721-2-5   ·   File #:  0-21679

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

 8/06/02  Walker Scott                      3          Director    1:8K   Return Assured Inc.               Nat’l Edgar Svcs 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           Initial Statement of Beneficial Ownership of           3     13K 
                Securities by an Insider                                         

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FORM 3 OMB APPROVAL -------------------------------------- OMB Number: 3235-0104 Expires: January 31, 2005 Estimated average burden hour per response 0.5 -------------------------------------- U.S. 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ------------------------------------------------------------------------------ 1. Name and Address of Reporting Person (1) Walker, Scott ----------------------------------------------------------- (Last) (First) (Middle) 5962 La Place Court, Suite 230 ----------------------------------------------------------- (Street) Carlsbad, California 92008 ----------------------------------------------------------- (City) (State) (Zip) ----------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) June 24, 2002 ----------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) ----------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol Return Assured Incorporated ("RTRN") ----------------------------------------------------------------------------- 5. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) President and CEO -------------------------------------------------- ----------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/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 Page 1
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[Enlarge/Download Table] TABLE 1--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED -------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Form: Direct (Instr. 4) (Instr. 4) (D) or Indirect (I) (Instr. 5) -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- Common Stock 0 -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- (1) If the Form if 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. Page 2
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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 2. Date Exercisable 3. Title and Amount 4. Conversion 5. Ownership 6. Nature of Derivative and Expiration of Securities or Exercise Form of Indirect Security (Instr. 4) Date (Month/Day/Year) Underlying Price of Derivative Beneficial Derivative Derivative Security Ownership Security Security (Instr. 4) (Instr. 5) ---------------------------------------------- Date Expiration Amount or Direct (D) Exercisable Date Title Number of or Shares Indirect (I) (Instr. 5) -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- Explanation of Responses: /s/ Scott Walker July 29, 2002 ---------------------------------------- ------------------ ** Signature of Reporting Person (1) Date (1) International 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. Page 3

Dates Referenced Herein

Referenced-On Page
This ‘3’ Filing    Date First  Last      Other Filings
1/31/051None on these Dates
Filed on:8/6/02
For Period end:7/29/023
6/24/021
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Filing Submission 0001176721-02-000005   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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