EAUTOCLAIMS COM INC
3, 2000-10-30
PREPACKAGED SOFTWARE
Previous: EAUTOCLAIMS COM INC, NT 10-K, 2000-10-30
Next: EAUTOCLAIMS COM INC, 3, 2000-10-30





                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
   TRBOVICH, JR. NICHOLAS D.
   28 TANGLEWOOD DRIVE WEST
   ORCHARD PARK, NY 14219

2. Date of Event Requiring Statement (Month/Day/Year)
   06/01

3. IRS or Social Security Number of Reporting Person (Voluntary)


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

<PAGE>

<TABLE>
<CAPTION>

___________________________________________________________________________________________________________________________________
 Table I -- Non-Derivative Securities Beneficially Owned                                                                           |
___________________________________________________________________________________________________________________________________|
1. Title of Security                       |2. Amount of          |3. Ownership    |4. Nature of Indirect                          |
                                           |   Securities         |   Form:        |   Beneficial Ownership                        |
                                           |   Beneficially       |   Direct(D) or |                                               |
                                           |   Owned              |   Indirect(I)  |                                               |
___________________________________________________________________________________________________________________________________|

<S>                                                          <C>                       <C>                        <C>
COMMON STOCK
___________________________________________________________________________________________________________________________________|
</TABLE>

<TABLE>
<CAPTION>

___________________________________________________________________________________________________________________________________
 Table II -- Derivative Securitites Beneficially Owned                                                                             |
___________________________________________________________________________________________________________________________________|
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)  |                           |
___________________________________________________________________________________________________________________________________|
<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



___________________________________________________________________________________________________________________________________|
</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/ Nicholas D. Trbovich, Jr.                               8/24/00
-------------------                                         -------
Signature of Reporting Person                                Date



© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission