-----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, MUAF3L6nliOlg2rZRjusgJvRyua54JSVPeqCYLFDuFrTLUZ0zp1futjM67f1/Go4 N5Fd+0c8m2leh61lbTdqfw== 0000829323-05-000063.txt : 20050510 0000829323-05-000063.hdr.sgml : 20050510 20050510141215 ACCESSION NUMBER: 0000829323-05-000063 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050506 FILED AS OF DATE: 20050510 DATE AS OF CHANGE: 20050510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROBERTI JACOBS FAMILY TRUST CENTRAL INDEX KEY: 0001264800 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32442 FILM NUMBER: 05815572 MAIL ADDRESS: STREET 1: 31 N SUFFOLK LANE CITY: LAKE FOREST STATE: IL ZIP: 60045 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CGI HOLDING CORP CENTRAL INDEX KEY: 0000829323 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 870450450 STATE OF INCORPORATION: NV FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 300 N MANNHEIM CITY: HILLSIDE STATE: IL ZIP: 60162 BUSINESS PHONE: 7083570900 MAIL ADDRESS: STREET 1: 300 N MANNHEIM CITY: HILLSIDE STATE: IL ZIP: 60162 FORMER COMPANY: FORMER CONFORMED NAME: GEMSTAR ENTERPRISES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: NORTH STAR PETROLEUM INC DATE OF NAME CHANGE: 19900530 4 1 form4050605_ex.xml X0202 4 2005-05-06 0 0000829323 CGI HOLDING CORP THK 0001264800 ROBERTI JACOBS FAMILY TRUST 31 N SUFFOLK LANE LAKE FOREST IL 60045 0 0 1 0 Common Stock, $.001 par value 2005-05-06 4 S 0 27400.00 3.35 D 3272326 D stock warrant .1 2002-12-23 2012-12-23 common stock, $.001 par value 1000000 1000000 D stock warrant .1 2003-08-12 2013-08-12 common stock, $.001 par value 680000 680000 D stock warrant .13 2003-07-31 2013-07-31 common stock, $.001 par value 1000000 1000000 D stock warrant .5 2004-01-20 2014-01-20 common stock, $.001 par value 40000 40000 D Joan B Roberti Trustee 2005-05-10 -----END PRIVACY-ENHANCED MESSAGE-----