SEC Form 3
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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
BURSTEIN LAWRENCE

(Last) (First) (Middle)
C/O UNITY VENTURE CAPITAL ASSOCIATES LTD
245 FIFTH AVENUE, SUITE 1500

(Street)
NEW YORK NY 10016

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/01/2006
3. Issuer Name and Ticker or Trading Symbol
American Telecom Services Inc [ TES ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. 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 Beneficially Owned
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 82,000 D
Common Stock 38,000 I By Unity Venture Capital Associates Ltd.
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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
6% Senior Secured Promissory Notes 06/20/2005 (1) Common Stock 12,939 $3 D
8% Senior Secured Promissory Notes 09/01/2005 (1) Common Stock 8,654 $3 D
Warrants (right to buy) 06/20/2005 06/19/2011(2) Common Stock 33,333 $5.05 D
Warrants (right to buy) 09/01/2005 08/31/2011(2) Common Stock 25,000 $5.05 D
Explanation of Responses:
1. The notes and the accrued interest thereon are convertible, at any time, at the option of the holder, and automatically upon consummation of the Issuer's initial public offering ("IPO"), into common stock.
2. Upon consummation of the IPO, the warrants will automatically convert into a like number of the warrants that are being issued in the IPO.
/s/ Lawrence Burstein 02/01/2006
** 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.