FORM 3
OMB APPROVAL
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OMB Number 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response.......... 0.5
U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
Petrillo, Peter
243 Peachtree Drive
East Norwich, NY 11732
2. Date of Event Requiring Statement (Month/Day/Year)
October 30, 1997
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Issuer Name and Ticker or Trading Symbol
Compost America Holding Company, Inc. -- CAHC
5. Relationship of Reporting Person to Issuer
(Check all applicable)
X Director 10% Owner
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Officer (give title below) Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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Form filed by More than one Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
<TABLE>
<CAPTION>
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership
(Instr.4) Beneficially Owned Form: Direct (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
<S> <C> <C> <C>
Common Stock 0
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly. (Print or Type Responses)
* If the form is filed by more than one reporting person, see Instruction
5(b)(v).
** See attached for additional information.
<PAGE>
TABLE II--Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
1. Title of 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
Derivative Security Exercisable Securities Underlying sion or ship Beneficial Ownership
(Instr. 4) and Expira- Derivative Security Exercise Form of (Instr. 5)
tion Date (Instr. 4) Price of Deriva-
(Month/Day/ Deri- tive
Year) vative Security:
Security Direct
(D) or
Date Expira- Title Amount Indirect
Exer- tion or (I)
cisable Date Number (Instr. 5)
of
Shares
<S> <C> <C> <C> <C> <C> <C> <C>
</TABLE>
Explanation of Responses:
** 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.
/s/ Peter Petrillo 12/9/97
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**Signature of Reporting Person Date
Peter Petrillo
