0000950147-01-501803.txt : 20011112 0000950147-01-501803.hdr.sgml : 20011112 ACCESSION NUMBER: 0000950147-01-501803 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011105 FILED AS OF DATE: 20011105 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INTERTECH CORP CENTRAL INDEX KEY: 0001120961 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742] IRS NUMBER: 431889792 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 333-43998 FILM NUMBER: 1774704 BUSINESS ADDRESS: STREET 1: 759 CEDAR FIELD COURT CITY: TOWN & COUNTRY STATE: MO ZIP: 63017 COMPANY DATA: COMPANY CONFORMED NAME: MOSS HERSHEY CENTRAL INDEX KEY: 0001161849 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 759 CEDAR FIELD COURT CITY: TOWN & COUNTRY STATE: MO ZIP: 63017 BUSINESS PHONE: 8005742752 MAIL ADDRESS: STREET 1: 759 CEDAR FIELD COURT CITY: TOWN & COUNTRY STATE: MO ZIP: 63017 3 1 e-7668.txt FORM 3 OF HERSHEY MOSS ------------------------------ OMB APPROVAL ------------------------------ ------ OMB Number 3235-0104 FORM 3 Expires: December 31, 2001 ------ Estimated average burden hours per response ....... 0.5 ------------------------------ 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 Moss Hershey -------------------------------------------------------------------------------- (Last) (First) (Middle) 759 Cedar Field Court -------------------------------------------------------------------------------- (Street) Town and Country MO 63017 -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) 11/05/01 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Issuer Name and Ticker or Trading Symbol Intertech Corporation ================================================================================ 5. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [X] 10% Owner [X] Officer (give title below) [ ] Other (specify below) President -------------------------------------------------------------------- ================================================================================ 6. If Amendment, Date of Original (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 ================================================================================ 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 6,000,000 D -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ================================================================================ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) =============================================================================================================== 3. Title and Amount of Securities Underlying 5. Owner- Derivative Security ship 2. Date Exercisable (Instr. 4) Form of and Expiration Date ----------------------- 4. Conver- Derivative (Month/Day/Year) Amount sion or Security: 6. Nature of 1.Title of -------------------- or Exercise Direct Indirect Derivative Date Expira- Number Price of (D) or Beneficial Security Exer- tion of Derivative Indirect(I) Ownership (Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5) --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- ===============================================================================================================
Explanation of Responses: /s/ Hershey Moss 11/05/01 ------------------------------- ----------- **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).