SEC Form 5
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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OMB Number: 3235-0362
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
  
Form 3 Holdings Reported.
  
Form 4 Transactions Reported.
1. Name and Address of Reporting Person*
NEWMAN CHARLES J

(Last) (First) (Middle)
P.O. BOX 25610

(Street)
SCOTTSDALE AZ 85255

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ISA INTERNATIONALE INC [ isat ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Statement for Issuer's Fiscal Year Ended (Month/Day/Year)
09/30/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned at end of Issuer's Fiscal Year (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Amount (A) or (D) Price
COMMON STOCK(1) 08/16/2004 J 0 A $0 1,232,143 I SEE FOOTNOTE 1
COMMON STOCK(2) 06/06/2006 J 0 A $0 18,840,481 I SEE FOOTNOTE 2
COMMON STOCK(3) 06/29/2006 J 0 A $0 158,464 D
COMMON STOCK(4) 02/17/2010 02/17/2010 P 15,909 A $0.07 15,909 I SEE FOOTNOTE 4
COMMON STOCK(5) 06/28/2012 06/28/2012 J 17,810,000 A $0.1 38,056,997 I SEE FOOTNOTE 5
COMMON STOCK(6) 06/28/2012 06/28/2012 J 7,065,300 A $0.0725 45,122,297 I SEE FOOTNOTE 6
COMMON STOCK(7) 03/31/2013 03/31/2013 J 931,986 A $0.0725 46,054,283 I SEE FOOTNOTE 7
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
(A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. COMMON STOCK RESTRICTED SHARES OWNED BY DOUBLETREE LIQUIDATION CORPORATION FOR INDEMNIFICATION AGREEMENT DATED JUNE 2004. REPORTING PERSON IS A 50% OWNER OF DOUBLETREE LIQUIDATION CORPORATION AND ALL INFORMATION REPRESENTS 100% OF DOUBLETREE'S INTEREST.
2. COMMON STOCK RESTRICTED SHARES ACQUIRED BY DOUBLETREE CAPITAL PARTNERS, INC. FOR CONVERTIBLE DEBT AND RELATED INTEREST DUE THERON. REPORTING PERSON IS A 50% OWNER IN DOUBLETREE CAPITAL PARTNERS, INC. AND ALL INFORMATION REPRESENTS 100% OF DOUBLETREE'S INTEREST.
3. COMMON STOCK RESTRICTED SHARES ACQUIRED FOR SERVICES RENDERED.
4. COMMON STOCK PURCHASED BY DOUBLETREE RANCH LP FOR INVESTMENT PURPOSES. REPORTING PERSON IS A 100% OWNER OF DOUBLETREE RANCH LP.
5. COMMON STOCK RESTRICTED SHARES ACQUIRED BY DOUBLETREE CAPITAL PARTNERS, INC. FOR PREFERRED SHARES CONVERTED ON JUNE 28, 2012. REPORTING PERSON IS A 50% OWNER IN DOUBLETREE CAPITAL PARTNERS, INC. AND ALL INFORMATION REPRESENTS 100% OF DOUBLETREE'S INTEREST.
6. COMMON STOCK RESTRICTED SHARES ACQUIRED BY ISA ACCEPTANCE CORPORATION ON JUNE 28, 2012 FOR REPAYMENT OF CAS ADVANCES. REPORTING PERSON IS A 50% OWNER OF DOUBLETREE LIQUIDATION CORPORATION AND ALL INFORMATION REPRESENTS 100% OF DOUBLETREE'S INTEREST.
7. COMMON STOCK SHARES ISSUABLE PURSUANT TO LENDING AGREEMENT BETWEEN ISAT AND DOUBLETREE CAPITAL PARTNERS, INC. DATED AS OF MARCH 31, 2013, AT THE RATE OF $.0725 PER SHARE. REPORTING PERSON IS A 50% OWNER OF DOUBLETREE CAPITAL PARTNERS, INC. AND ALL INFORMATION REPRESENTS 100% OF DOUBLETREE'S INTEREST.
CHARLES J NEWMAN 06/05/2013
** 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 4 (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.