SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13D-1(b) AND (c)
AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13D-2(b)
(Amendment No. ______________)*
OUTSOURCE INTERNATIONAL, INC.
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(Name of Issuer)
COMMON STOCK, PAR VALUE $.001
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(Title of Class of Securities)
690131 10 7
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(CUSIP Number)
* The remainder of this cover page shall be filled out for a reporting
person's initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information which would
alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not
be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 ("Act") or otherwise subject to the liabilities of that section of
the Act, but shall be subject to all other provisions of the Act (however, SEE
the Notes).
<PAGE>
CUSIP NO. 690131 10 7 13G PAGE 2 OF 10 PAGES
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1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons
(Entities Only)
PAUL M. BURRELL
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2 Check the Appropriate Box if a Member of a Group (a) |_|
(SEE Instructions) (b) |_|
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3 SEC Use Only
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4 Citizenship or Place of Organization
USA
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5 Sole Voting Power
NUMBER OF 89,156
SHARES ------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY 401,812
EACH ------------------------------------------------
REPORTING 7 Sole Dispositive Power
PERSON 89,156
WITH ------------------------------------------------
8 Shared Dispositive Power
401,812
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9 Aggregate Amount Beneficially Owned by Each Reporting Person
490,968
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10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares |_|
(SEE Instructions)
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11 Percent of Class Represented by Amount in Row (9)
5.8%
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12 Type of Reporting Person (SEE Instructions)
IN
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<PAGE>
CUSIP NO. 690131 10 7 13G PAGE 3 OF 10 PAGES
- --------------------------------------------------------------------------------
1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons
(Entities Only)
SUSAN BURRELL
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2 Check the Appropriate Box if a Member of a Group (a) |_|
(SEE Instructions) (b) |_|
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3 SEC Use Only
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4 Citizenship or Place of Organization
USA
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5 Sole Voting Power
NUMBER OF 45,500
SHARES ------------------------------------------------
BENEFICIALLY 6 Shared Voting Power
OWNED BY 401,812
EACH ------------------------------------------------
REPORTING 7 Sole Dispositive Power
PERSON 45,500
WITH ------------------------------------------------
8 Shared Dispositive Power
401,812
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9 Aggregate Amount Beneficially Owned by Each Reporting Person
447,312
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10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares |_|
(SEE Instructions)
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11 Percent of Class Represented by Amount in Row (9)
5.3%
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12 Type of Reporting Person (SEE Instructions)
IN
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<PAGE>
Item 1.
(a) Name of Issuer:
OutSource International, Inc.
(b) Address of Issuer's Principal Executive Offices:
1144 East Newport Center Drive
Deerfield Beach, FL 33442
Item 2.
(a) Name of Persons Filing:
Paul M. Burrell and Susan Burrell
(b) Address of Principal Business Office or if None, Residence:
1144 East Newport Center Drive
Deerfield Beach, FL 33442
(c) Citizenship:
USA
(d) Title of Class of Securities:
Common Stock, par value $.001
(e) Cusip Number:
690131 10 7
Item 3.
N/A
Item 4. Ownership
A.(a) Amount Beneficially Owned by Paul M. Burrell: 490,968
Includes 50,500 shares held of record by Mr. Burrell, 401,812
held of record as joint tenants by the entireties with Susan Burrell,
options to purchase 17,727 shares and warrants to purchase 20,929
shares.
(b) Percent of Class: 5.8%
Page 4 of 10 Pages
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(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
89,156
(ii) Shared power to vote or to direct the vote:
401,812
(iii) Sole power to dispose or to direct the
disposition of: 89,156
(iv) Shared power to dispose or to direct the
disposition of: 401,812
B.(a) Amount Beneficially Owned by Susan Burrell: 447,312
Includes 45,500 shares held of record and 401,812 held of
record as joint tenants by the entireties with Paul M. Burrell.
(b) Percent of Class: 5.3%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
45,500
(ii) Shared power to vote or to direct the vote:
401,812
(iii) Sole power to dispose or to direct the
disposition of: 45,500
(iv) Shared power to dispose or to direct the
disposition of: 401,812
Item 5. Ownership of Five Percent or Less of a Class
N/A
Item 6. Ownership of More than Five Percent on Behalf
of Another Person
N/A
Item 7. Identification and Classification of the Subsidiary
Which Acquired the Security Being Reported on by the
Parent Holding Company
N/A
Page 5 of 10 Pages
<PAGE>
Item 8. Identification and Classification of Members of the Group
Paul M. Burrell
Susan Burrell
Item 9. Notice of Dissolution of Group
N/A
Item. 10. Certification
N/A
REMAINDER OF PAGE LEFT BLANK
Page 6 of 10 Pages
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SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief,
each of the undersigned certifies that the information set forth in this
statement is true, complete and correct.
Dated: February 11th, 1998
/s/ PAUL M. BURRELL
--------------------------------------
Paul M. Burrell
/s/ SUSAN BURRELL
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Susan Burrell
Page 7 of 10 Pages
<PAGE>
EXHIBITS
Exhibit A Joint Filing Statement
Exhibit B Power of Attorney
Page 8 of 10 Pages
<PAGE>
EXHIBIT A
JOINT FILING AGREEMENT
In accordance with Rule 13d-1(f) under the Securities Exchange Act of
1934, as amended, the persons named below agree to the joint filing on behalf of
each of them of a Schedule 13G. This Joint Filing Agreement shall be included as
an exhibit to such joint filing. In evidence thereof, each of the undersigned,
being duly authorized, hereby execute this Agreement this 11th day of February,
1998.
/s/ PAUL M. BURRELL
-----------------------------------------
Paul M. Burrell
/s/ SUSAN BURRELL
-----------------------------------------
Susan Burrell
<PAGE>
Exhibit B
STATE OF FLORIDA )
COUNTY OF BROWARD )
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS that the undersigned has made,
constituted and appointed, and by these presents does make, constitute and
appoint Paul M. Burrell, my true and lawful attorney-in-fact, for me and in my
name, place and stead to sign my name in my capacity to any and all Schedule
13Gs and any and all amendments thereto which I am required to file, to file
such instruments with the Securities and Exchange Commission and any other
appropriate regulatory agency and to deliver such instruments to OutSource
International, Inc., the Nasdaq Stock Market, Inc. and any other appropriate
regulatory agency.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my seal,
this 11th day of February, 1998.
/s/ SUSAN BURRELL
-------------------------------------
Susan Burrell
Signed, Sealed and delivered in
the presence of:
/s/ PHYLLIS J. HART
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Notary Public
(Apply Notary Seal Below)
