-----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, IPp5121h7985XQjRAY2VjnX8TLhmWc+AAoghVb3I92NWDYaj924p60xf5uj2a3Iq /I/kOTafXZ7uP0mLymQhtw== 0001096906-00-000382.txt : 20001205 0001096906-00-000382.hdr.sgml : 20001205 ACCESSION NUMBER: 0001096906-00-000382 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001201 FILED AS OF DATE: 20001204 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SHAFT INC CENTRAL INDEX KEY: 0001126426 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 870660287 STATE OF INCORPORATION: NV FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-31783 FILM NUMBER: 782691 BUSINESS ADDRESS: STREET 1: 1981 E MURRAY HOLLADAY RD CITY: SALT LAKE CITY STATE: UT ZIP: 84117 BUSINESS PHONE: 8012729294 MAIL ADDRESS: STREET 1: 1981 E MURRAY HOLLADAY RD CITY: SALT LAKE CITY STATE: UT ZIP: 84117 COMPANY DATA: COMPANY CONFORMED NAME: HARRIS JENNIFER CENTRAL INDEX KEY: 0001129197 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 944 EAST OLYMPUS COVE CITY: SALT LAKE CITY STATE: UT ZIP: 84117 MAIL ADDRESS: STREET 1: 944 EAST OLYMPUS COVE CITY: SALT LAKE CITY STATE: UT ZIP: 84117 3 1 0001.txt FORM 3 UNITED STATES 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 Harris Jennifer ____________________________________________________ (Last) (First) (Middle) 944 E Olympus Cove ____________________________________________________ (Street) Salt Lake City Utah 84117 ____________________________________________________ (City) (State) (Zip) _______________________________________________________________________________ 2. Date of Event Requiring Statement 12/16/2000 ____________________________________________________ (Month/Day/Year) _______________________________________________________________________________ 3. I.R.S. Identification Number of Reporting Person, if and entity (voluntary) _______________________________________________________________________________ 4. Issuer Name and Ticker or Trading Symbol Shaft, Inc. NONE _______________________________________________________________________________ 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (specify title below) ____________________________________________________ _______________________________________________________________________________ 6. If Amendment, Date of Original ____________________________________________________ (Month/Day/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 I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED 1.Title of Security 2. Amount of 3. Ownership 4. Nature of Indirect (Instr. 4) Securities Form: Direct Beneficial Ownership Beneficially Owned (D) or Indirect (Instr.5) (Instr. 4) (I) (Instr. 5) COMMON 102,500 D
=============================================================================== TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) _______________________________________________________________________________ 1. Title of Derivative Security (Instr. 4) NONE _______________________________________________________________________________ 2. Date of Exercisable and Expiration Date (Month/Day/Year) _________________ ___________________ Date Exercisable Expiration Date _______________________________________________________________________________ 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) ____________________________________________________ Title Amount or Number of Shares _______________________________________________________________________________ 4. Conversion or Exercise Price of Derivative Security _______________________________________________________________________________ 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) _______________________________________________________________________________ 6. Nature of Indirect Beneficial Ownership (Instr. 5) _______________________________________________________________________________ EXPLANATION OF RESPONSES: /s/ Jennifer Harris 12/01/2000 ------------------------------------------- ---------- **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 is insufficient, SEE Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. -----END PRIVACY-ENHANCED MESSAGE-----