-----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, QKv+4oPsNDo1wvp7wVkykFpHh4K7n7UhSY0y2PuRfwTC56mtqd0J/jeoGQtpkghg 8YjehdwU04LRSsrA0G3cdQ== 0001144204-07-041836.txt : 20070810 0001144204-07-041836.hdr.sgml : 20070810 20070810101502 ACCESSION NUMBER: 0001144204-07-041836 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20070810 DATE AS OF CHANGE: 20070810 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SRKP 5 INC CENTRAL INDEX KEY: 0001335103 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-81113 FILM NUMBER: 071043293 BUSINESS ADDRESS: STREET 1: 210 SOUTH FEDERAL HIGHWAY STREET 2: SUITE 205 CITY: DEERFIELD BEACH STATE: FL ZIP: 33441 BUSINESS PHONE: 310 203 2902 MAIL ADDRESS: STREET 1: 210 SOUTH FEDERAL HIGHWAY STREET 2: SUITE 205 CITY: DEERFIELD BEACH STATE: FL ZIP: 33441 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: POLETTI THOMAS J CENTRAL INDEX KEY: 0001242131 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 10100 SANTA MONICA BLVD. CITY: LOS ANGELES STATE: CA ZIP: 90067 SC 13D/A 1 v083091_sc13da.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D/A (Amendment No. 1) Under the Securities Exchange Act of 1934 SRKP 5, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, par value $.0001 per share - -------------------------------------------------------------------------------- (Title of Class of Securities) None - -------------------------------------------------------------------------------- (CUSIP Number) Thomas J. Poletti c/o Kirkpatrick & Lockhart Preston Gates Ellis LLP 10100 Santa Monica Boulevard, 7th Floor Los Angeles, CA 90067 (310) 552-5045 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) August 3, 2007 - -------------------------------------------------------------------------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of ss.ss.240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. [ ] The information required on 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). CUSIP No. None - -------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Thomas J. Poletti - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) (b) - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Source of Funds (See Instructions) (See item 3) SC - -------------------------------------------------------------------------------- 5. Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e) - -------------------------------------------------------------------------------- 6. Citizenship or Place of Organization U.S.A. - -------------------------------------------------------------------------------- Number of 7. Sole Voting Power 0 Shares --------------------------------------------------------------- Beneficially 8. Shared Voting Power Owned by --------------------------------------------------------------- Each 9. Sole Dispositive Power 0 Reporting --------------------------------------------------------------- Person With 10. Shared Dispositive Power - -------------------------------------------------------------------------------- 11. Aggregate Amount Beneficially Owned by Each Reporting Person 0 - -------------------------------------------------------------------------------- 12. Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 13. Percent of Class Represented by Amount in Row (11) 0% - -------------------------------------------------------------------------------- 14. Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- Item 1. Security and Issuer. This Schedule 13D/A relates to the common stock, par value $.0001 per share (the "Common Stock") of SRKP 5, Inc., whose principal executive offices are located at 4737 North Ocean Drive, Suite 207, Lauderdale by the Sea, FL 33308 (the "Issuer"). Item 2. Identity and Background. (a) The name of the reporting person is Thomas J. Poletti (the "Reporting Person"). (b) The business address of the Reporting Person is c/o Kirkpatrick & Lockhart Preston Gates Ellis LLP, 10100 Santa Monica Boulevard, 7th Floor, Los Angeles, CA 90067. (c) The Reporting Person's present principal occupation or employment and the name, principal business and address of any corporation or other organization in which such employment is conducted is an attorney at Kirkpatrick & Lockhart Preston Gates Ellis LLP, 10100 Santa Monica Boulevard, 7th Floor, Los Angeles, CA 90067. (d) During the last five years the Reporting Person has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). (e) During the last five years the Reporting Person was not a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result was not or is not subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) The Reporting Person is a citizen of the U.S.A. Item 3. Source and Amount of Funds or Other Consideration. The Reporting Person sold 243,000 shares of Common Stock to the Issuer, and the Issuer redeemed such shares of Common Stock for an aggregate price of $2,250. Item 4. Purpose of Transaction. Not applicable. Item 5. Interest in Securities of the Issuer. (a) Not applicable. (b) Not applicable. (c) The 243,000 shares of Common Stock reported herein were redeemed by the Issuer effective August 3, 2007. (d) Not applicable. (e) On August 3, 2007, the Reporting Person ceased to be the beneficial owner of more than five percent of the Common Stock issued and outstanding. Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer. None. Item 7. Material to Be Filed as Exhibits. None. 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. August 10, 2007 /s/ Thomas J. Poletti -------------------------------------------- Thomas J. Poletti -----END PRIVACY-ENHANCED MESSAGE-----