-----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, N1HbPKDLspsEjxce6+/9mxXchDtNnOHCQCC0DKOhD2Db5AT3DmsiORvTUwLEE1aj +kWti9aim2yBZY+OHCME+Q== 0001179110-04-024259.txt : 20041230 0001179110-04-024259.hdr.sgml : 20041230 20041230104433 ACCESSION NUMBER: 0001179110-04-024259 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041229 FILED AS OF DATE: 20041230 DATE AS OF CHANGE: 20041230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KIVES PHILIP CENTRAL INDEX KEY: 0001221295 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-07115 FILM NUMBER: 041232711 BUSINESS ADDRESS: BUSINESS PHONE: 2048895340 MAIL ADDRESS: STREET 1: 220 SAULTEAUX CRESCENT STREET 2: WINNIPEG CITY: MANITOBA STATE: A2 ZIP: 00000 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: K TEL INTERNATIONAL INC CENTRAL INDEX KEY: 0000054193 STANDARD INDUSTRIAL CLASSIFICATION: PHONOGRAPH RECORDS & PRERECORDED AUDIO TAPES & DISKS [3652] IRS NUMBER: 410946588 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 2605 FERNBROOK LN N CITY: MINNEAPOLIS STATE: MN ZIP: 55447-4736 BUSINESS PHONE: 6125596800 MAIL ADDRESS: STREET 1: 2605 FERNBROOK LANE N STREET 2: 15525 MEDINA ROAD CITY: MINNEAPOLIS STATE: MN ZIP: 55447 4 1 edgar.xml FORM 4 - X0202 4 2004-12-29 0 0000054193 K TEL INTERNATIONAL INC KTEL 0001221295 KIVES PHILIP 220 SAULTEAUX CRESCENT WINNIPEG A2 R3J3W3 MANITOBA, CANADA 1 1 1 0 President/CEO Common Stock 2004-12-29 4 P 0 1200 .10 A 7874078 I By wholly-owned corporation Reporting person also owns 325,336 shares of common stock through another wholly owned entity and options to purchase 1,702,939 shares of common stock. Shelley D. Colquhoun, by power of attorney 2004-12-30 -----END PRIVACY-ENHANCED MESSAGE-----