-----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, FcJci0MF+Ku1Mk7D26TnBqkxZVBF9Jw2geCaGF9w4OsNP38JZvu4c5JxhpR2qrtj N4lO4QDXShNpYlfBkuZRwQ== 0000950147-00-000182.txt : 20000211 0000950147-00-000182.hdr.sgml : 20000211 ACCESSION NUMBER: 0000950147-00-000182 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000210 FILED AS OF DATE: 20000210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NATIONAL SCIENTIFIC CORP/AZ CENTRAL INDEX KEY: 0001022505 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 860837077 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-28745 FILM NUMBER: 531596 BUSINESS ADDRESS: STREET 1: 210 S. FOURTH AVE CITY: PHOENIX STATE: AZ ZIP: 85003 MAIL ADDRESS: STREET 1: 210 S. FOURTH AVE CITY: PHOENIX STATE: AZ ZIP: 85003 COMPANY DATA: COMPANY CONFORMED NAME: TRAYLOR VERNON M CENTRAL INDEX KEY: 0001105977 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 210 SOUTH FOURTH AVENUE CITY: PHOENIX STATE: AZ ZIP: 85003 MAIL ADDRESS: STREET 1: 210 SOUTH FOURTH AVENUE CITY: PHOENIX STATE: AZ ZIP: 85003 3 1 FORM 3 OF VERNON M. TRAYLOR ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response ....... 0.5 ------------------------------ ------ FORM 3 U.S. 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ================================================================================ 1. Name and Address of Reporting Person Traylor Vernon M. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 910 W. Claremont Street - -------------------------------------------------------------------------------- (Street) Phoenix Arizona 85013 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) February 10, 2000 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) N/A ================================================================================ 4. Issuer Name and Ticker or Trading Symbol National Scientific Corporation NSCT ================================================================================ 5. Relationship of Reporting Person to Issuer (Check all applicable) [ ] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Corporate Secretary -------------------------------------------------------------------- ================================================================================ 6. If Amendment, Date of Original (Month/Year) N/A ================================================================================ FORM 3 (continued) ================================================================================ Table I -- Non-Derivative Securities Beneficially Owned ================================================================================ 3. Ownership Form: 1. Title of 2. Amount of Securities Direct (D) or 4. Nature of Indirect Security Beneficially Owned Indirect (I) Beneficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr.5) - -------------------------------------------------------------------------------- Common Stock 1,500,000 shares D - -------------------------------------------------------------------------------- Common Stock 500,000 shares I By Spouse - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- ================================================================================ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
========================================================================================================= 3. Title and Amount 5. Owner- of Securities Underlying ship Derivative Security Form of 2. Date Exercisable (Instr. 4) Derivative and Expiration Date ------------------------- 4. Conver- Security: (Month/Day/Year) Amount sion or Direct 6. Nature of 1. Title of ---------------------- or Exercise (D) or Indirect Derivative Date Expira- Number Price of Indirect Beneficial Security Exer- tion of Derivative (I) Ownership (Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5) - - --------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------- =========================================================================================================
Explanation of Responses: /s/ Vernon M. Traylor February 10, 2000 - --------------------------------------------- ----------------------- **Signature of Reporting Person Date ** 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 provided is insufficient. See Instruction 6 for procedure. -----END PRIVACY-ENHANCED MESSAGE-----