-----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, UDkThiJyxf4RFMgyyOFvGAqcZ4JB2IVUpSm94C553p2CsaVwh/3uzQpQm4Qy0Lql CzYSF8elA2gPN3wLuf/0zw== 0000926274-02-000360.txt : 20020905 0000926274-02-000360.hdr.sgml : 20020905 20020904174627 ACCESSION NUMBER: 0000926274-02-000360 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020805 FILED AS OF DATE: 20020905 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FORTUNE DIVERSIFIED INDUSTRIES INC CENTRAL INDEX KEY: 0000851249 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ALLIED TO MOTION PICTURE PRODUCTION [7819] IRS NUMBER: 742504501 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19049 FILM NUMBER: 02756892 BUSINESS ADDRESS: STREET 1: 111 MONUMENT CIRCLE STREET 2: SUITE 4600 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 3172368020 MAIL ADDRESS: STREET 1: P.O. BOX 44924 STREET 2: 111 MONUMENT CIRCLE, SUITE 4600 CITY: INDIANAPOLIS STATE: IN ZIP: 46244 FORMER COMPANY: FORMER CONFORMED NAME: GAMMA INTERNATIONAL LTD DATE OF NAME CHANGE: 19940819 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN GAMING & ENTERTAINMENT LTD /DE DATE OF NAME CHANGE: 19941229 FORMER COMPANY: FORMER CONFORMED NAME: WOW ENTERTAINMENT INC DATE OF NAME CHANGE: 20001116 COMPANY DATA: COMPANY CONFORMED NAME: KINGSTON ROBERT J CENTRAL INDEX KEY: 0001179900 OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 6809 CORPORATE DR CITY: INDIANAPOLIS STATE: IN ZIP: 46278 BUSINESS PHONE: 3175321374 4 1 kingston-4.txt ------------------------------ OMB APPROVAL [ ] Check this box if no longer ------------------------------ subject to Section 16. Form 4 or OMB Number 3235-0287 Form 5 obligations may continue. Expires: January 31, 2002 See Instruction 1(b). Estimated average burden hours per response ....... 0.5 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 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(h) of the Investment Company Act of 1940 - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Kingston Robert J. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 6809 Corporate Drive - -------------------------------------------------------------------------------- (Street) Indianapolis Indiana 46278 - -------------------------------------------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Fortune Diversified Industries, Inc. (FDVI) - -------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) - -------------------------------------------------------------------------------- 4. Statement for Month/Day/Year 08/05/2002 - -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Day/Year) ================================================================================ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [X] 10% Owner [X] Officer (give title below) [ ] Other (specify below) President of Kingston Sales Corp., a wholly owned subsidiary of the issuer - -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (Check applicable line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person - -------------------------------------------------------------------------------- ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================
6. 2A. 4. 5. Owner- 2. Deemed 3. Securities Acquired (A) or Amount of ship 7. Trans- Execution Trans- Disposed of (D) Securities Form: Nature of action Date, if action (Instr. 3, 4 and 5) Beneficially Direct Indirect Date any Code ----------------------------- Following (D) or Beneficial 1. (Month/ (Month/ (Instr. 8) (A) Reported Indirect Owner- Title of Security Day/ Day/ ----------- Amount or Price Transaction(s) (I) ship (Instr. 3) Year) Year) Code V (D) (Instr. 3 and 4) (Instr.4) (Instr. 4) - --------------------------------------------------------------------------------------------------------------------------- S(2) 5,000 Common Stock 08/05/02 .25 61,335,131 I See Note 1 08/06/02 V D - --------------------------------------------------------------------------------------------------------------------------- ===========================================================================================================================
Explanation of Responses: Note (1): As a member of a control group, the Reporting Person may be deemed to be an indirect beneficial owner of the shares owned by the other members of the control group, Carter M. Fortune (42,483,108 shares)and John F. Fisbeck (18,852,023 shares). Neither the fact of this filing nor anything contained herein shall be deemed to be an admission that the Reporting Person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any equity securities covered by this statement. Note (2) The transaction was pursuant to a written plan satisfying conditions of Exchange Act Rule 10b5-1(c). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). Table II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities)
================================================================================================================================= 10. 9. Owner- Number ship of Deriv- Form ative of 5. 7. Secur- Deriv- 11. Number of Title and Amount ities ative Nature Derivative 6. of Underlying 8. Bene- Secur- of 2. 3a. 4. Securities Date Exer- Securities Price ficially ity: In- Conver- 3. Deemed Trans- Acquired (A) cisable and (Instr. 3 and 4) of Owned Direct direct sion or Trans- Execution action or Disposed Expiration Date ---------------- Deriv- Following (D) or Bene- 1. Exercise action Date, if Code of(D) (Month/Day/Year) Amount ative reported In- ficial Title of Price of Date any (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner- Derivative Deri- (Month/ (Month/ 8) 4 and 5) Date Expira- Number ity action(s) (I) ship Security vative Day/ Day/ ------- ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) Security Year) Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - --------------------------------------------------------------------------------------------------------------------------------- N/A - --------------------------------------------------------------------------------------------------------------------------------- =================================================================================================================================
Explanation of Responses: /s/ Robert J. Kingston September 03, 2002 - --------------------------------------------- ------------------ **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. -----END PRIVACY-ENHANCED MESSAGE-----