-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CuLzusUBUgjUiddUinHsf9omQbkGlXEix47HTtDasH2xx63h5eFnn2uEdYhUU/tZ OHvDsJ6roSanszFRaSKfZg== 0000906477-99-000017.txt : 19990426 0000906477-99-000017.hdr.sgml : 19990426 ACCESSION NUMBER: 0000906477-99-000017 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990423 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CASINOVATIONS INC CENTRAL INDEX KEY: 0001004673 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DURABLE GOODS, NEC [5099] IRS NUMBER: 911696010 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-56183 FILM NUMBER: 99599354 BUSINESS ADDRESS: STREET 1: 6744 S SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 BUSINESS PHONE: 7027337195 MAIL ADDRESS: STREET 1: 6744 S SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SMITH BOB L CENTRAL INDEX KEY: 0001084600 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 6744 S SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 BUSINESS PHONE: 7027337195 MAIL ADDRESS: STREET 1: 6744 S SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 SC 13D 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 CASINOVATIONS INCORPORATED - ------------------------------------------------------------------------ (Name of Issuer) Common Stock $.001 par value - ------------------------------------------------------------------------ (Title of Class of Securities) 14761P 10 4 - ------------------------------------------------------------------------ (CUSIP Number) Jay L. King; 6744 S. Spencer Street, Las Vegas, Nevada 89119; Tel: (702) 733-7195 - ------------------------------------------------------------------------ (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) April 23, 1999 - ------------------------------------------------------------------------ (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d- l(b)(3) or (4), check the following box [ ] NOTE: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-l(a) for other parties to whom copies are to be sent. *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). SCHEDULE 13D CUSIP NO. 14761P 10 4 PAGE 2 OF 5 PAGES ------------------- ------- ------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Bob L. Smith 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] 3 SEC USE ONLY 4 SOURCE OF FUNDS* Not applicable. 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [ ] Not applicable. 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States 7 SOLE VOTING POWER 398,998 NUMBER OF SHARES 8 SHARED VOTING POWER BENEFICIALLY 1,000 OWNED BY EACH 9 SOLE DISPOSITIVE POWER REPORTING 398,998 PERSON WITH 10 SHARED DISPOSITIVE POWER 1,000 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 399,998 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 5.5% 14 TYPE OF REPORTING PERSON* IN *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. This Schedule 13D ("Schedule 13D") of Bob L. Smith is filed with respect to his ownership of the common stock, $.001 par value of Casinovations Incorporated, a Nevada corporation. ITEM 1. SECURITY AND ISSUER Common Stock, $.001 par value (the "Common Stock") of Casinovations Incorporated (the "Issuer"); 6744 S. Spencer Street, Las Vegas, Nevada 89119. ITEM 2. IDENTITY AND BACKGROUND (a) Bob L. Smith (b) 280 Liberty Street, S.E., Suite 300, Salem, Oregon 97301 (c) Director of the Issuer. (d) Mr. Smith has not during the last five years been convicted in a criminal proceeding. (e) Mr. Smith has not during the last five years been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction resulting in a judgment decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) Mr. Smith is a citizen of the United States of America. ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION Not applicable. ITEM 4. PURPOSE OF TRANSACTION The filing of this Schedule 13D is a result of the Issuer's registration of its common stock under the Securities Act of 1934, as amended (the "Act") on Form 8-A as filed with the Securities and Exchange Commission ("SEC") on April 23, 1999. The shares owned by Mr. Smith reflected in this Schedule 13D were owned prior to the filing of the Form 8-A. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
PRESENTLY OWNED PERCENTAGE ----------------- -------------- Sole Voting Power 398,998 , 5.4% 3 Shared Voting Power 1,000 0.01% Sole Dispositive Power 398,998 , 5.4% Shared Dispositive Power 1,000 0.01% Total Beneficial Ownership 399,998 5.5% ________________ This amount represents 217,535 shares of Common Stock issued directly to Mr. Smith, 147,906 shares of Common Stock issued to VIP's Industries, Inc., an entity controlled by Mr. Smith, and 33,557 shares of Common Stock issuable to Mr. Smith upon the exercise of Class A Warrants. Shares of Common Stock may be subject to applicable community property laws. This amount represents 1,000 shares issued jointly to Mr. Smith and his daughter, Christina Smith. These percentages reflect the percentage share ownership with respect to 7,295,420 shares, the number of shares of Common Stock outstanding as of January 31, 1999.
ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER Pursuant to that certain Registration Statement on Form SB- 2/A, the Issuer has registered 21,253 shares of Common Stock and 33,557 shares of Common Stock underlying the Class A Warrants on behalf of Mr. Smith as a selling security holder. In addition, Mr. Smith has agreed to subject 173,438 shares of Common Stock to certain disabilities imposed by the Department of Corporations of the State of California (the "California Department of Corporations") as part of the registration of the Common Stock with the California Department of Corporations. The disabilities include limitations on the ability to participate in cash or property dividends paid by the Issuer and in any distribution of assets in the event of a liquidation of the Issuer. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS Not applicable. 4 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: April 23, 1999 /s/ Bob L. Smith --------------------------------- BOB L. SMITH 5
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