-----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, KzIA4UuYZclGJWBzsmTaEF/f8HVAMAktYM1BSE3PhzedQsb4q43urK//jhskGgIR HHz8e75zwwwUcFhUoTTwiw== 0001047469-03-005701.txt : 20030214 0001047469-03-005701.hdr.sgml : 20030214 20030214181949 ACCESSION NUMBER: 0001047469-03-005701 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030214 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BLANCHARD VERN D CENTRAL INDEX KEY: 0001055443 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O GAMETECH INTERNATIONAL INC STREET 2: 2209 W 1ST ST STE 113 CITY: TEMPE STATE: AZ ZIP: 85281 MAIL ADDRESS: STREET 1: C/O GAMETECH INTERNATIONAL INC STREET 2: 2209 W 1ST ST STE 113 CITY: TEMPE STATE: AZ ZIP: 85281 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GAMETECH INTERNATIONAL INC CENTRAL INDEX KEY: 0001045014 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS AMUSEMENT & RECREATION [7990] IRS NUMBER: 330612983 STATE OF INCORPORATION: DE FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-52969 FILM NUMBER: 03569618 BUSINESS ADDRESS: STREET 1: 2209 W 1ST ST STE 113-114 CITY: TEMPE STATE: AZ ZIP: 85281 BUSINESS PHONE: 6028041101 MAIL ADDRESS: STREET 1: 2209 W 1ST STREET SUITE 113 114 CITY: TEMPE STATE: AZ ZIP: 85281 SC 13G/A 1 a2103624zsc13ga.htm FORM SC 13G/A
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    UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G

Under the Securities Exchange Act of 1934
(Amendment No. 5)*		  
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GameTech International, Inc.
(Name of Issuer)

Common Stock, par value $.001 per share
(Title of Class of Securities)

 
 
36466D 10 2
 
 
   
(CUSIP Number)		    

December 31, 2002
(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

        o      Rule 13d-1(b)

        o      Rule 13d-1(c)

        ý      Rule 13d-1(d)

*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 cover 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).

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 control number.

CUSIP No.            36466D 10 2        

1.   Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).

 
 
Vern D. Blanchard, as Trustee of the CJB Family Trust; Vern D. Blanchard as Individual
 
 
 
 
2.   Check the Appropriate Box if a Member   (a)   o
    of a Group (See Instructions)   (b)   o

 
 
 
 
 
 
 
3.   SEC Use Only

 
 
 
 
 
 
 
4.   Citizenship or Place of Organization

 
 
United States
 
 
 
 
Number of Shares Beneficially Owned by Each Reporting Person With:   5.   Sole Voting Power

 
 
 
 
 
 
1,049,355
       
        6.   Shared Voting Power

 
 
 
 
 
 
0
       
        7.   Sole Dispositive Power

 
 
 
 
 
 
1,049,355
       
        8.   Shared Dispositive Power

 
 
 
 
 
 
0
9.   Aggregate Amount Beneficially Owned by Each Reporting Person

 
 
1,049,355
 
 
 
 
10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)    ý

 
 
 
 
 
 
 
11.   Percent of Class Represented by Amount in Row (9)

 
 
8.9%
 
 
 
 
12.   Type of Reporting Person (See Instructions)

 
 
IN,OO, Trustee
 
 
 
 

Item 1.

(a)   Name of Issuer

 
 
GameTech International, Inc.
   
(b)   Address of Issuer's Principal Executive Offices

 
 
900 Sandhill Road
Reno, Nevada 89521
   

Item 2.

(a)   Name of Person Filing

 
 
Vern D. Blanchard, as the Trustee of the CJB Family Trust; Vern D. Blanchard as Individual.
   
(b)   Address of Principal Business Office or, if none, Residence

 
 
900 Sandhill Road
Reno, Nevada 89521
   
(c)   Citizenship

 
 
United States
   
(d)   Title of Class of Securities

 
 
Common Stock
   
(e)   CUSIP Number

 
 
36466D 10 2
   
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:

(a)
 
o
 
Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

(b)
 
o
 
Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

(c)
 
o
 
Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

(d)
 
o
 
Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8).

(e)
 
o
 
An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E).

(f)
 
o
 
An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F).

(g)
 
o
 
A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G).

(h)
 
o
 
A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813).

(i)
 
o
 
A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3).

(j)
 
o
 
Group, in accordance with §240.13d-1(b)(1)(ii)(J).

 
 
ý
 
Not Applicable

Item 4. Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)   Amount beneficially owned as of December 31, 2002:

 
 
See number 9 of cover page. Includes:

 
 
 
•
1,035,875 shares of Common Stock beneficially owned by the CJB Family Trust, Vern D. Blanchard as Trustee

 
 
 
•
5,480 shares of Common Stock beneficially owned by Vern D. Blanchard, as individual

 
 
 
•
8,000 shares of Common Stock issuable upon the exercise of stock options granted to Mr. Blanchard on December 19, 2001 and April 16, 2002 and currently exercisable
   
(b)   Percent of class:

 
 
 
 
 
    See number 11 of cover page.
   
(c)   Number of shares as to which the person has as of December 31, 2002:
         
    (i) Sole power to vote or to direct the vote

 
 
 
See number 5 of cover page. Includes:

 
 
 
•
1,035,875 shares of Common Stock beneficially owned by the CJB Family Trust, Vern D. Blanchard as Trustee

 
 
 
•
5,480 shares of Common Stock beneficially owned by Vern D. Blanchard, as individual

 
 
 
•
8,000 shares of Common Stock issuable upon the exercise of stock options granted to Mr. Blanchard on December 19, 2001 and April 16, 2002 and currently exercisable
   
    (ii) Shared power to vote or to direct the vote

 
 
 
See number 6 of cover page.
   
    (iii) Sole power to dispose or to direct the disposition of

 
 
 
See number 7 of cover page. Includes:

 
 
 
•
1,035,875 shares of Common Stock amount beneficially owned by the CJB Family Trust, Vern D. Blanchard as Trustee

 
 
 
•
5,480 shares of Common Stock beneficially owned by Vern D. Blanchard, as individual

 
 
 
•
8,000 shares of Common Stock issuable upon the exercise of stock options granted to Mr. Blanchard on December 19, 2001 and April 16, 2002 and currently exercisable
   
    (iv) Shared power to dispose or to direct the disposition of

 
 
 
See number 8 of cover page.
   

Item 5. Ownership of Five Percent or Less of a Class

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following.    o

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 or Control Person.

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

        The filing of this Amendment to Schedule 13G and the statements herein shall not be construed as an admission that I am, for the purposes of Section 13(d) oe 13(g) of the Exchange Act, or for any other purpose, the beneficial owner of any of the securities described herein.

        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 14, 2003
   
Date
     

 
 
/s/  VERN D. BLANCHARD      
   
Signature
     

 
 
Vern D. Blanchard
Trustee CJB Family Trust
   
Name/Title

 
 
 

 
 
/s/  VERN D. BLANCHARD      
   
Vern D. Blanchard
As Individual

The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative other than an executive officer of general parter of the filing person, evidence of the representative's authority to sign on behalf of such person shall be filed with the statement, provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.

NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 for other parties for whom copies are to be sent.

Attention:    Intentional misstatements or omissions of fact constitute Federal criminal violations
                      (See 18 U.S.C. 1001)



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