UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
1. Name and Address of Reporting Person
JOLLEY, DAVID
1749 CONESSION 3, RR#1
GOODWOOD, ONTARIO, CANADA L0C 1A0
2. Date of Event Requiring Statement (Month/Day/Year)
06/01
3. IRS or Social Security Number of Reporting Person (Voluntary)
608-119-335
4. Issuer Name and Ticker or Trading Symbol
EAUTOCLAIMS.COM, INC.
5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
(X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other
(specify below)
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
( ) Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Beneficially Owned |
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1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect |
| Securities | Form: | Beneficial Ownership |
| Beneficially | Direct(D) or | |
| Owned | Indirect(I) | |
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<S> <C> <C> <C>
COMMON STOCK 5,000 (D)
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</TABLE>
<TABLE>
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Table II -- Derivative Securitites Beneficially Owned |
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1.Title of Derivative |2.Date Exer- |3.Title and Amount | |4. Conver-|5. Owner- |6. Nature of Indirect |
Security | cisable and | of Underlying | |sion or |ship | Beneficial Ownership |
| Expiration | Securities | |exercise |Form of | |
| Date(Month/ |-----------------------|---------|price of |Deriv- | |
| Day/Year) | |Amount |deri- |ative | |
| Date | Expira- | |or |vative |Security: | |
| Exer- | tion | Title |Number of|Security |Direct(D) or | |
| cisable | Date | |Shares | |Indirect(I) | |
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<S> <C> <C> <C> <C> <C> <C> <C>
Option to acquire
Common Stock 5/01 5/09 2,000 $2.00 D
Option to acquire
Common Stock 6/01 6/09 20,000 $4.75 D
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</TABLE>
Explanation of Responses:
Above Options are issued in consideration of serving as a director, subject to a
one year vesting based upon services as a director for one year.
/s/ David Jolley 7/19/00
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Signature of Reporting Person Date