-----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, UmAX4g70opzET9vcfAj0NhQhFCo4OD9ENIE+2EhMDG6wAtGO6NYuf4RXlNPUXcYX l6UMZpHyCnnxpgQ1MaPIIQ== 0001072570-02-000015.txt : 20020416 0001072570-02-000015.hdr.sgml : 20020416 ACCESSION NUMBER: 0001072570-02-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020331 FILED AS OF DATE: 20020410 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PVAXX CORP CENTRAL INDEX KEY: 0001072570 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 050499528 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-25019 FILM NUMBER: 02606337 BUSINESS ADDRESS: STREET 1: 12730 NEW BRITTANY BLVD CITY: FT MEYERS STATE: FL ZIP: 33907 BUSINESS PHONE: 9412749355 MAIL ADDRESS: STREET 1: 1250 TURKS HEAD BUILDING CITY: PROVIDENCE STATE: RI ZIP: 02903 FORMER COMPANY: FORMER CONFORMED NAME: OAK BROOK CAPITAL IV DATE OF NAME CHANGE: 19981103 FORMER COMPANY: FORMER CONFORMED NAME: OAK BROOK CAPITAL IV INC DATE OF NAME CHANGE: 19981023 FORMER COMPANY: FORMER CONFORMED NAME: OAK BROOK CAPITAL IV INC// DATE OF NAME CHANGE: 20000417 COMPANY DATA: COMPANY CONFORMED NAME: PVAXX CORP CENTRAL INDEX KEY: 0001072570 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] OWNER IRS NUMBER: 050499528 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 12730 NEW BRITTANY BLVD CITY: FT MEYERS STATE: FL ZIP: 33907 BUSINESS PHONE: 9412749355 MAIL ADDRESS: STREET 1: 1250 TURKS HEAD BUILDING CITY: PROVIDENCE STATE: RI ZIP: 02903 FORMER COMPANY: FORMER CONFORMED NAME: OAK BROOK CAPITAL IV DATE OF NAME CHANGE: 19981103 FORMER COMPANY: FORMER CONFORMED NAME: OAK BROOK CAPITAL IV INC DATE OF NAME CHANGE: 19981023 FORMER COMPANY: FORMER CONFORMED NAME: OAK BROOK CAPITAL IV INC// DATE OF NAME CHANGE: 20000417 4 1 a4jumik-04092002.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP - ------ --------------------------------- FORM 4 OMB APPROVAL - ------ --------------------------------- OMB NUMBER 3235-0287 EXPIRES: DECEMBER 31, 2001 ESTIMATED AVERAGE BURDEN HOURS PER RESPONSE........... 0.5 U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] Check box if no longer subject to Filed pursuant to Section 16(a) of the Securities Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the or Form 5 obligations Public Utility Holding Company Act of 1935 may continue. See or Section 30(f) of the Investment Company Instruction 1(b). Act of 1940 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to JUMIK INVESTMENTS, INC. PVAXX CORPORATION Issuer (Check all applicable) - --------------------------------------------- ---------------------------------------------- Director x 10% Owner (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- --- Kemble Business Park Number of Reporting Month/Year Officer(give Other (Specify - --------------------------------------------- Person (Voluntary) MARCH, 2002 ---- title --- below) (Street) ------------------ below) Malmesbury, ENGLAND SN169SH 5. If Amendment, - --------------------------------------------- Date of Original -------------------------------- (City) (State) (Zip) (Month/Year) 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 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature (Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In- Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct (Instr. 8) End of Month Direct Benefi- (Month/ (Instr. 3 and 4) (D) or cial Day/ --------------------------------------- Indirect Owner- Year) Code V Amount (A) or Price (I) ship (D) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 03/18/02 G 5,368,312 (D) N/A 10,000,000 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) *If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). SEC 1474 (3-99)
2 FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price Security sion or action action Derivative cisable and of Underlying of (Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv- Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative Deriv- Day/ Disposed of (D) (Month/Day/ Secur- ative Year) (Instr. 3, 4, Year) ity Security and 5) (Instr. 5) ------------------------------------ Date Expira- Amount or -------------------------- Exer- tion Title Number of Code V (A) (D) cisable Date Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 9. Number of 10. Ownership 11. Nature of Security Derivative Form of Indirect (Instr. 3) Securities Derivative Beneficial Beneficially Security: Ownership Owned at End Direct (D) (Instr. 4) of Month or Indirect (I) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- Explanation of Responses: Not Applicable **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ JUMIK INVESTMENTS, INC. 04/09/02 See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- ------- **Signature of Reporting Person Date Note. File three copies of this form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form Page 2 are not required to respond unless the form displays a currently valid OMB Number. SEC 1474 (3-99)
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