-----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, L1UDe9VnyFpBpvlc9rahbtkK+mk56Q+z/WB41bO/E3WLNNSfWsuNazqLA99EyJTu SclQzQUKnBha5DWPqpg4kw== 0000912057-97-006187.txt : 19970222 0000912057-97-006187.hdr.sgml : 19970222 ACCESSION NUMBER: 0000912057-97-006187 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970219 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ALTAIR INTERNATIONAL GOLD INC CENTRAL INDEX KEY: 0001016546 STANDARD INDUSTRIAL CLASSIFICATION: METAL MINING [1000] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-50361 FILM NUMBER: 97538832 BUSINESS ADDRESS: STREET 1: 1725 SHERIDAN AVE STREET 2: SUITE 140 CITY: CODY STATE: WY ZIP: 82414 BUSINESS PHONE: 3075878245 MAIL ADDRESS: STREET 1: 1725 SHERIDAN AVE STREET 2: SUITE 140 CITY: CODY STATE: WY ZIP: 82414 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: COSTIN C PATRICK CENTRAL INDEX KEY: 0001033985 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1850 AQUILA AVENUE CITY: RENO STATE: NV ZIP: 89509 SC 13G 1 SC 13G -------------------------- OMB APPROVAL OMB Number: 3235-0145 Expires: December 31, 1997 Estimated average burden hours per response...14.90 -------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* ------ Altair International, Inc. ---------------------------------- (Name of Issuer) Common Stock ---------------------------------- (Title of Class of Securities) 02136 W-10-2 ---------------------------------- (CUSIP Number) *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 the disclosures provided in a prior page. The information required in 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). (Continued on following page(s)) Page 1 of 4 Pages CUSIP No. 02136W-10-2 13G Page 2 of 4 Pages - ------------------------------------------------------------------------------- (1) Names of Reporting Persons. S.S. or I.R.S. Identification Nos. of Above Persons Charles Patrick Costin ###-##-#### - ------------------------------------------------------------------------------- (2) Check the Appropriate Box if a Member (a) / / of a Group* (b) / / - ------------------------------------------------------------------------------- (3) SEC Use Only - ------------------------------------------------------------------------------- (4) Citizenship or Place of Organization USA - ------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power Beneficially 1,028,333 Owned by -------------------------------------------------- Each Reporting (6) Shared Voting Power Person With None -------------------------------------------------- (7) Sole Dispositive Power 410,833 -------------------------------------------------- (8) Shared Dispositive Power None - ------------------------------------------------------------------------------- (9) Aggregate Amount Beneficially Owned by Each Reporting Person 1,028,333 - ------------------------------------------------------------------------------- (10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* - ------------------------------------------------------------------------------- (11) Percent of Class Represented by Amount in Row (9) 7% - ------------------------------------------------------------------------------- (12) Type of Reporting Person* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! Page 3 of 4 Pages ITEM 1(A). NAME OF ISSUER Altair International, Inc. - ------------------------------------------------------------------------------- ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES 1725 Sheridan Avenue, Suite 140 Cody, WY 82414 - ------------------------------------------------------------------------------- ITEM 2(A). NAME OF PERSON(S) FILING C. Patrick Costin - ------------------------------------------------------------------------------- ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE 1850 Aquila Ave. Reno, NV 89509 - ------------------------------------------------------------------------------- ITEM 2(C). CITIZENSHIP USA - ------------------------------------------------------------------------------- ITEM 2(D). TITLE OF CLASS OF SECURITIES Common Stock - ------------------------------------------------------------------------------- ITEM 2(E). CUSIP NUMBER 02136W-10-2 - ------------------------------------------------------------------------------- ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13D-1(B), OR 13D-2(B), CHECK WHETHER THE PERSON FILING IS A (a) / / Broker or Dealer registered under Section 15 of the Act Not Applicable (b) / / Bank as defined in section 3(a)(6) of the Act Not Applicable (c) / / Insurance Company as defined in section 3(a)(19) of the Act Not Applicable (d) / / Investment Company registered under section 8 of the Investment Company Act Not Applicable (e) / / Investment Adviser registered under section 203 of the Investment Advisers Act of 1940 Not Applicable (f) / / Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see Rule 13d-1(b)(1)(ii)(F) Not Applicable (g) / / Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G) (Note: See Item 7) Not Applicable (h) / / Group, in accordance with Rule 13d-1(b)(1)(ii)(H) Not Applicable Page 4 of 4 Pages ITEM 4. OWNERSHIP (a) Amount Beneficially Owned: 1,028,333 --------------------------------------------------------------------------- (b) Percent of Class: 7% --------------------------------------------------------------------------- (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote 1,028,333 (includes 617,500 shares held in escrow over which the reporting person has voting power but not dispositive power and includes 185,000 underlying currently exercisable options) ----------------------------------------------------------------- (ii) shared power to vote or to direct the vote 0 ----------------------------------------------------------------- (iii) sole power to dispose or to direct the disposition of 410,833 ----------------------------------------------------------------- (iv) shared power to dispose or to direct the disposition of 0 ----------------------------------------------------------------- ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS Not Applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON Not Applicable - ------------------------------------------------------------------------------- ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY Not Applicable - ------------------------------------------------------------------------------- ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP Not Applicable - ------------------------------------------------------------------------------- ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not Applicable - ------------------------------------------------------------------------------- ITEM 10. CERTIFICATION Not Applicable 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. February 13, 1997 ---------------------------------------- (Date) /s/ C. PATRICK COSTIN ---------------------------------------- (Signature) C. Patrick Costin ---------------------------------------- (Name/Title) -----END PRIVACY-ENHANCED MESSAGE-----