-----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, I+oEjZDvtaFNglhQvIA/1j710h8daE1mpoExMFeI1tXZl1eyJ/UIbObiiG2VB3ix X3UDaIKUg8D0UIikIcJT4A== 0001010412-04-000161.txt : 20040427 0001010412-04-000161.hdr.sgml : 20040427 20040427182203 ACCESSION NUMBER: 0001010412-04-000161 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040414 FILED AS OF DATE: 20040427 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COOMBS JOHN MICHAEL CENTRAL INDEX KEY: 0001227841 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-33167 FILM NUMBER: 04758035 BUSINESS ADDRESS: STREET 1: 2435 SCENIC DRIVE CITY: SALT LAKE CITY STATE: UT ZIP: 84109 BUSINESS PHONE: 8014672021 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KIWA BIO-TECH PRODUCTS GROUP CORP CENTRAL INDEX KEY: 0001159275 STANDARD INDUSTRIAL CLASSIFICATION: GOLD & SILVER ORES [1040] IRS NUMBER: 870448400 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17700 CASTLETON STREET STREET 2: SUITE 589 CITY: CITY OF INDUSTRY STATE: CA ZIP: 91748 BUSINESS PHONE: (626) 964-3232 MAIL ADDRESS: STREET 1: 17700 CASTLETON STREET STREET 2: SUITE 589 CITY: CITY OF INDUSTRY STATE: CA ZIP: 91748 FORMER COMPANY: FORMER CONFORMED NAME: TINTIC GOLD MINING CO DATE OF NAME CHANGE: 20010918 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-04-14 1 0001159275 KIWA BIO-TECH PRODUCTS GROUP CORP KWBT 0001227841 COOMBS JOHN MICHAEL 3098 SOUTH HIGHLAND DRIVE #323 SALT LAKE CITY UT 84106 0 0 0 1 Former 10% shareholder Common Stock 2004-04-16 2004-04-16 4 S 0 1118662 0.0515 D 69882 D Common stock 2004-04-14 2004-04-14 4 S 0 7800 0.63 D 62082 D These shares represent a 4 for 1 forward split that was effective March 29, 2004. /s/J. Michael Coombs 2004-04-27 -----END PRIVACY-ENHANCED MESSAGE-----