SEC Info - Jarjour Roula, et al. - ‘3’ for 4/9/03 re: Perfect Health Care Corp.

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

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1. Name and Address of Reporting Person^*

JARJOUR ANTOINE

(Last)

(First)

(Middle)

4017 COLBY AVE

(Street)

EVERETT

98201

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
4/9/03

3. Issuer Name and Ticker or Trading Symbol
PERFECT HEALTH CARE CORP [ None ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	10% Owner
X	Officer (give title below)	Other (specify below)
President

5. If Amendment, Date of Original Filed (Month/Day/Year)

6. Individual or Joint/Group Filing (Check Applicable Line)

	Form filed by One Reporting Person
X	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)

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Convertible Preferred Stock Series A	4/9/03	⁽¹⁾	Common Stock $.001 par value	16,000,000	⁽²⁾	D

1. Name and Address of Reporting Person^*

JARJOUR ANTOINE

(Last)

(First)

(Middle)

4017 COLBY AVE

(Street)

EVERETT

98201

(City)

(State)

(Zip)

1. Name and Address of Reporting Person^*

JARJOUR ROULA

(Last)

(First)

(Middle)

4017 COLBY AVENUE

(Street)

EVERETT

98201

(City)

(State)

(Zip)

Explanation of Responses:

(1) The conversion privilege does not expire.

(2) Each preferred share is convertible into 10 common shares. There are no call or redemption provisions.

	Antoine Jarjour	12/1/03
	Roula Jarjour	12/1/03
	** 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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

Jarjour Roula, et al. – ‘3’ for 4/9/03 re: Perfect Health Care Corp.

On: Monday, 12/1/03, at 3:55pm ET · For: 4/9/03 · As: Director and Officer · Accession #: 1189619-3-152 · File #: 0-30697

Previous ‘3’: None · Next & Latest: ‘3’ on 8/8/12 for 11/1/08

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34
Filing Table of Contents

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Jarjour Roula, et al. – ‘3’ for 4/9/03 re: Perfect Health Care Corp.

On: Monday, 12/1/03, at 3:55pm ET · For: 4/9/03 · As: Director and Officer · Accession #: 1189619-3-152 · File #: 0-30697

Previous ‘3’: None · Next & Latest: ‘3’ on 8/8/12 for 11/1/08

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34Filing Table of Contents

This ‘3’ Document is an XML Data File that may be rendered in various formats:

Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34
Filing Table of Contents