-----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, FmxxUqwG8gkYebNUGx5KoTlAk5GzyLWSiNF7aOOszatnzlQtogLS5WFerlV8XzQH 4F4q8p2Dnw7b9oYO2Yk9qw== 0001144204-04-016871.txt : 20041026 0001144204-04-016871.hdr.sgml : 20041026 20041026124729 ACCESSION NUMBER: 0001144204-04-016871 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041014 FILED AS OF DATE: 20041026 DATE AS OF CHANGE: 20041026 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: JOSIPOVICH MARK A CENTRAL INDEX KEY: 0001160665 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31008 FILM NUMBER: 041095958 BUSINESS ADDRESS: STREET 1: 25422 TRABUCO ROAD 105-Y CITY: LAKE FOREST STATE: CA ZIP: 92630 BUSINESS PHONE: 7147313389 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BLUEBOOK INTERNATIONAL HOLDING CO CENTRAL INDEX KEY: 0001126577 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 980125787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 21098 BAKE PARKWAY STREET 2: SUITE 100 CITY: LAKE FOREST STATE: CA ZIP: 92630 BUSINESS PHONE: 7147313389 MAIL ADDRESS: STREET 1: 21098 BAKE PARKWAY STREET 2: SUITE 100 CITY: LAKE FOREST STATE: CA ZIP: 92630 FORMER COMPANY: FORMER CONFORMED NAME: GAMA COMPUTER CORP DATE OF NAME CHANGE: 20001018 4 1 v07682_markex.xml X0202 4 2004-10-14 0 0001126577 BLUEBOOK INTERNATIONAL HOLDING CO BBIC 0001160665 JOSIPOVICH MARK A 21098 BAKE PARKWAY, SUITE 100 C/O THE BLUEBOOK INTL HOLDING COMPANY LAKE FOREST CA 92630 1 1 1 0 President and CEO Common Stock 2004-10-14 2004-10-14 4 J 0 7090103 A 12765103 D Common Stock 2004-10-14 2004-10-14 4 C 0 27060000 A 27060000 I See footnote Series B Convertible Preferred Stock 2004-10-14 2004-10-14 4 C 0 1014.75 D 2001-11-14 Common Stock 0 I See footnote Pursuant to a debt settlement agreement between the Company and Mark A. Josipovich, the Company has agreed to convert $265,878.88 of debt owed by it to Mark A. Josipovich into 7,090,103 shares of Common Stock. Mark A. Josipovich is the trustee of a trust holding membership units of The Freedom Family, LLC. THe LLC holds 2,050 shares of Series B Convertible Preferred Stock which it elected to convert into 54,666,667 shares of Common Stock based on a conversion price of $0.0375 per share as of 10/14/04.The number in column 5 represents the trust's proportionate interest in the Common Stock owned by the LLC. The managers of the LLC exercise sole discretion over the Common Stock owned by the LLC, including whether any distributions, if any, are made by the LLC to holders of the membership interests. Conversion price of $0.375 per share as of 10/14/04. 27,060,000 shares of Common Stock based on conversion price as of 10/14/04. These shares of Common Stock will be issued upon conversion of the Series B Preferred Stock held by the LLC, and upon conversion, will be owned by the LLC. Under SEC rules and regulations, these shares may be deemed to be beneficially owned by Mark A. Josipovich because the trust of which he is a trustee holds membership units of the LLC and may thus be deemed to have a direct or indirect pecuniary interest in such shares. The managers of the LLC, and not the trust of which Mark A. Josipovich is a trustee, exercise sole discretion over these shares, including whether to distribute the shares to the trust of which Mark A. Josipovich is a trustee. Mark A. Josipovich is the trustee of a trust to which membership units of The Freedom Family, LLC were transferred as a gift. The LLC owns the derivative securities and elected to convert them into shares of Common Stock as of 10/14/04. The number in column 7 represented the trust's proportionate interest in the derivative securities. None. /s/ Mark. A. Josipovich 2004-10-25 -----END PRIVACY-ENHANCED MESSAGE-----