4 1 ppform4.htm U

FORM 4

U.S. SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

[ ] Check this box if no longer
subject to Section 16. Form 4 or Form 5 obligations may
continue. See Instructions 1(b)

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

1. Name and Address of Reporting Person*

2. Issuer Name and Ticker or Trading Symbol

6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

[X] Director
[ ] 10% Owner
[ ] Officer (give title below)
[ ] Other (specify below)

 

PREFONTAINE

PIERRE

G.

HEALTHTRAC, INC.- HTAC

(Last)

(First)

(Middle)

2937 Newmarket Drive

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

-

4. Statement for Month/Year

09/2002

7. Individual or Joint/Group Filing
(Check applicable line)

[X] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person

(Street)

6. If Amendment, Date of Original (Month/Day/Year)

-

North Vancouver, British Columbia
Canada V7R 2T6

(City, State, Zip)

* If the Form is filed by more than one Reporting Person, see Instructions 4(b)(v).

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

09/06/002

P

 

500,000

D

$0.035

1,250,000

D

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

(Print or Type Response)

 

FORM 4 (continued) 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/Year)

4. Transaction Code
(Instr. 8)

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

6. Date Exercisable and Expiration Date (Month, Day, Year)

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

Expira-
tion
Date

Title

Amount or Number of Shares


Stock Options


$0.15


11/05/2001

A

 

200,000

 

11/05/
2001

11/05/
2011

Common
Stock


200,000


$0.15

200,000

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Explanation of Responses:  

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

/s/ Pierre Prefontaine

 

October 23, 2002

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 provided is insufficient, See Instruction 6 for procedure.