5 1 form5da.txt FORM 5 FOR DENNIS ALEXANDER FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Pubic Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ___ Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ___ Form 3 Holdings Reported ___ Form 4 Transactions Reported 1. Name and Address of Reporting Person Dennis R. Alexander 5423 E. Piping Rock Road Scottsdale, AZ 85254 2. Issuer Name and Ticker or Trading Symbol Energy Producers, Inc. (EGPI) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year January, 2002 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person to Issuer (Check all applicable) X Director ____ 10% Owner ----- X Officer (give title below) ____ Other (specify below) ----- President --------- Table 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of Security Transaction Transaction Securities Acquired (A) or Amount of Ownership Nature of Date Code Disposed of (D) Securities Form: Indirect (Month/Day Beneficially Direct (d) Beneficial /Year) Owned at End or Indirect Ownership of Issuer's (I) Fiscal Year Amount (A) or (D) Price Common Stock 412,500 A D Common Stock 300,000 A I by Spouse, Deborah Alexander Common Stock 50,000 A I by Minor Child, Sara Alexander Common Stock 50,000 A I by Minor Child, Ashton Alexander Common Stock 50,000 A I by Spouse Son, Aaron Alexander Common Stock 50,000 A I by Spouse Daughter, Julie Schumacher
Notes: 25,000 shares are not included in column 2 above, since they are gifted to Melvena Alexander, Secretary of the Company. 62,500 shares are not included in column 2 above, since they are gifted to advisory board member of the Company Tom Richards. Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1.Title of Derivative 2.Convers 3.Transacti 4.Transa 5.Number of 6.Date, Exercisable 7.Title and Amount Security ion or on Date ction Derivative and Expiration of Underlying Exercise (Month/ Code Securities Date Securities Price of Day/Year) Acquired (A) Derivati or Disposed ve of (D) (A) (D) Date Expir- Title Amount Exercis ation or able Date Number of Shares Options A 11/30/ 11/30/ Common 600,000 00 07
8.Price 9.Number 10.Ownerhsip 11.Nature of Derivative of Derivative of Derivative of Indirect Securities Securities Security: Beneficial Beneficially Direct (D) Ownership or Indirect (I) .95 600,000 D N/A
Explanation of Responses: /s/ Dennis Alexander 1/31/02 --------------------------------------------- **Signature of Reporting Person Date