4 1 f4ip.txt R. IPSON FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 1. Name and Address of Reporting Person: Robert K. Ipson, 2433 Los Patos Dr., Palm Springs, CA 92264 2. Issuer Name and Ticker or Trading Symbol: Powerball International, Inc. (PRBL) 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: 7/02 5. If Amendment, Date of Original (Month/Year): 6. Relationship of Reporting Person(s) to Issuer (Check all Applicable) (X) Director (X) Officer, give title below (X) 10% Owner ( ) Other Title: Chairman and C.E.O. 7. 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: Common Stock 2. Transaction Date (Month/Day/Year): 6/24/02 3. Transaction Code: (i) A 4. Securities Acquired (A) or Disposed of (D): (i) (A) 300,000 shares
1. Title 5. Amount of 6. Ownership Form: 7. Nature of of Securities Direct(D)or Indirect Beneficial Security Beneficially Owned Indirect(I) Ownership At End of Month -------- ------------------ --------------- ------------------- Common Stock 1,049,000 D N/A
TABLE II DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF OR BENEFICIALLY OWNED 1. Title of Derivative Security: 2. Conversion or Exercise Price of Derivative Security: 3. Transaction Date (Month/Day/Year): 4. Transaction Code: 5. Number of Derivative Securities Acquired (A) or Disposed of (D): 6. Date Exercisable and Expiration Date (Month/Day/Year): 7. Title and Amount of Underlying Securities: Common Stock, 8. Price of Derivative Security: n/a (see explanation below) 9. Number of Derivative Securities Beneficially Owned at End of Month: 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I): 11. Nature of Indirect Beneficial Ownership: Explanation of Responses: Signature of Reporting Person: /S/ Robert K. Ipson Date: 7/15/02