4 1 cwpform4.htm CHICAGO WEST PULLMAN, LTD. FORM 4 DocXchange Conversion Stat

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP


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

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(Print or Type Responses)

1. Name and Address of Reporting Person*


Chicago West Pullman, Ltd.

2.  Issuer Name and Ticker or Trading Symbol


Colley Corporation (COLY)

6. Relationship of Reporting Person(s) to Issuer

(Check all applicable)

       

Director

       X

10% Owner

       

Officer (give title below)

       

Other (specify below)

   

(Last)

(First)

(Middle)

3.  I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)

4.  Statement for Month/Year


June 2002

   

425 Walnut Street, Suite 2300

   

(Street)

5.  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

Cincinnati

Ohio

45202

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security
(Instr. 3)

2  Transaction Date
(Month/
Day/Year)

3.  Transaction Code
(Instr. 8)

4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)

5.  Amount of Securities Beneficially Owned at End of Month
(Instr. 3 and 4)

6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)

7. Nature of Indirect Beneficial Ownership
(Instr. 4)

  

Code

V

Amount

(A) or (D)

Price

   

Common Stock, $.001 par value

6/25/02

P/K

 

4,265,878

A

(1)

3,290,878

D

 

Common Stock, $.001 par value

6/25/02

J(2)

 

   350,000

D

 

3,290,878

D

 

Common Stock, $.001 par value

6/28/02

J(2)

 

1,150,000

D

 

3,290,878

D

 
          
          
          

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

*If the form is filed by more than one reporting person, see Instruction 4(b)(v).

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 control number.


TABLE II - Derivative Securities Acquired, Disposed of, or Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security
(Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Transaction Date (Month/ Day/ Yr.)

4. Transaction Code
(Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)

6. Date Exercisable and Expiration Date (Month/
Day/Yr.)

7.  Title and Amount of Underlying Securities
(Instr. 3 and 4)

8. Price of Derivative Security (Instr. 5)

9. Number of Derivative Securities Beneficially Owned at End of Month
(Instr. 4)

10. Ownership Form of Derivative Security Direct (D) or Indirect (I)
(Instr. 4)

11. Nature of Indirect Beneficial Ownership (Instr. 4)

   

Code

V

(A)

(D)

Date Exer-cisable

Expir-ation Date

Title

Amount or Number of Shares

    
               
               
               
               
               
               
               
               

Explanation of Responses:


(1) Exchanged for equal number of shares in private company valued at $4.75 per share

(2) Distribution by limited liability company to trusts designated by its members


Chicago West Pullman, Ltd.


**Intentional misstatements or omissions of facts constitute Federal Criminal Violations

By:/s/Roger W. Ach, II

7/8/02

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 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.