-----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, G0C9wRddhKBUBjeOxgN0itfi+se6W+cauL/x76pRmlIyPerCvA6bJm7Sk38pxxv2 kZ1tfi5pgRitSAVJP+zPdw== 0001210499-04-000006.txt : 20041222 0001210499-04-000006.hdr.sgml : 20041222 20041222153932 ACCESSION NUMBER: 0001210499-04-000006 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041222 FILED AS OF DATE: 20041222 DATE AS OF CHANGE: 20041222 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: GULFWEST ENERGY INC CENTRAL INDEX KEY: 0000813779 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 870444770 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 480 N. SAM HOUSTON PARKWAY EAST STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77060 BUSINESS PHONE: 2818201919 MAIL ADDRESS: STREET 1: 480 N. SAM HOUSTON PARKWAY EAST STREET 2: SUITE 300 CITY: HOUSTON STATE: TX ZIP: 77060 FORMER COMPANY: FORMER CONFORMED NAME: GULFWEST OIL CO DATE OF NAME CHANGE: 19960515 FORMER COMPANY: FORMER CONFORMED NAME: GULFWEST ENERGY INC// DATE OF NAME CHANGE: 19920924 FORMER COMPANY: FORMER CONFORMED NAME: FIRST PREFERENCE FUND INC DATE OF NAME CHANGE: 19910730 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KAETZER THOMAS R CENTRAL INDEX KEY: 0001210499 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12108 FILM NUMBER: 041220795 MAIL ADDRESS: STREET 1: C/O GULFWEST ENERGY INC STREET 2: 480 N SAM HOUSTON PARKWAY E CITY: HOUSTON STATE: TX ZIP: 77060 4 1 aform4trk122204_ex.xml X0202 4 2004-12-22 0 0000813779 GULFWEST ENERGY INC GULF 0001210499 KAETZER THOMAS R C/O GULFWEST ENERGY INC 480 N SAM HOUSTON PARKWAY E HOUSTON TX 77060 1 1 0 0 President Common Stock 2004-12-22 2004-12-22 4 C 0 100000 1.00 A 298852 D Series F Conv Pref Stock 1.00 2004-12-22 2004-12-22 4 C 0 200 500 D 2004-09-20 2014-09-20 Common Stock 100000 0 D The Reporting Person converted 200 shares of Series F Convertible Preferred Stock with a face value of $500 and at a conversion price of $1 per share of common stock, resulting in 100,000 shares of common stock. Thomas R. Kaetzer 2004-12-22 -----END PRIVACY-ENHANCED MESSAGE-----