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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 01/05/2007 |
3. Issuer Name and Ticker or Trading Symbol
SHUMATE INDUSTRIES INC [ SHMT.OB ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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) |
Common Stock | 302,000(1) | I | Francis Jungers Trust |
Common Stock | 8,000(2) | I | Francis Jungers IRA |
Common Stock | 9,000(3) | I | Julie Jungers Trust |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrants(1) | 11/03/2006 | 11/03/2011 | Common Stock | 55,000 | $1.25 | I | Francis Jungers Trust |
Stock Options | 01/05/2007 | 01/05/2012 | Common Stock | 75,000 | $1.75 | D |
Explanation of Responses: |
1. Includes 110,000 shares of common stock and 55,000 warrants to purchase shares of common stock, each exercisable at $1.25 per share, held by the Francis Jungers Trust, purchased on November 3, 2006 for an aggregate purchase price of $110,000 in connection with the company's private placement offering. The Francis Jungers Trust, of which Mr. Jungers is the grantor and serves as the Trustee, participated in the private placement offering on terms identical to all other purchasers in such offering. |
2. These shares are held by the Francis Jungers IRA. |
3. These shares are held by the Julie Jungers Trust. Ms. Jungers is the spouse of Francis Jungers. |
/s/ Francis Jungers | 01/17/2007 | |
** 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. |