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FORM 4 OMB APPROVAL
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[ ] CHECK THIS BOX IF NO OMB Number: 3235-0287
LONGER SUBJECT TO Expires: December 31, 2001
SECTION 16. FORM 4 Estimated average burden
OR FORM 5 OBLIGATIONS hours per response.... 0.5
MAY CONTINUE. SEE --------------------------
INSTRUCTION 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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(f) of the Investment Company Act of 1940
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<S> <C> <C> <C> <C> <C> <C>
(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
Mead, Robert E. Silverleaf Resorts, Inc. - SVR to Issuer (Check all applicable)
- --------------------------------------------- ---------------------------------------------- X Director X 10% Owner
(Last) (First) (Middle) 3. IRS Identification 4. Statement for ---- ---
Number of Reporting Month/Year X Officer (give Other (Specify
1221 River Bend Drive, Ste. 120 Person, if an entity 11-99 ---- title --- below)
- --------------------------------------------- (voluntary) ------------------- below)
(Street) 5. If Amendment,
Dallas TX 75247 Date of Original CEO
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(City) (State) (Zip) 7. Individual or Joint/Group Filing
------------- (Check Applicable Line)
Form filed by One Reporting
--- Person
Form filed by More than One
--- Reporting Person
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ ------------------------------------ Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr. 4)
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Common Stock, $.01 par 11-01-99 Z 7,250,100 NA NA 7,250,100 I By self,
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as Trustee
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of Voting
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Trust
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (3-99)
POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTIONS OF INFORMATION
CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS
A CURRENTLY VALID OMB CONTROL NUMBER.
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<TABLE>
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C> <C> <C>
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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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<CAPTION>
<C> <C> <C>
9. Number of 10. Ownership 11. Nature of
Derivative Form of Indirect
Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) (Instr. 4)
of Month or Indirect (I)
(Instr. 4) (Instr. 4)
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Explanation of Responses:
Deposit of Shares Into Voting Trust
The sole purpose of this report is to reflect the change in the form of
ownership of the 7,250,100 shares, representing the total number of shares of
Silverleaf Resorts, Inc. held by Robert E. Mead, from a "direct" beneficial
ownership interest to an "indirect" beneficial ownership interest. Mr. Mead
deposited 7,250,100 shares previously registered in his name on the books of
the Issuer into a Voting Trust established under that certain Voting Trust
Agreement dated November 1, 1999 by and between Mr. Mead and Judith F. Mead,
husband and wife. While Mr. Mead has always held the sole power to vote and
dispose of these shares, the shares are the community property of Mr. Mead and
his wife, Judith F. Mead. Mr. Mead is the Voting Trustee designated under the
Voting Trust Agreement and, as such Voting Trustee, he continues to have the
sole power to vote and dispose of the shares. Under the Voting Trust, all shares
presently held in the name of "Robert E. Mead" are to be reissued in the name of
"Robert E. Mead, Trustee."
/s/ ROBERT E. MEAD 11-12-99
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Robert E. Mead Date
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