U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL 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
[_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations
may continue. See Instruction 1(b).
[X] Form 3 Holdings Reported
[_] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
West Perry Douglas
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(Last) (First) (Middle)
215 South Riverside Drive, Suite 12
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(Street)
Cocoa Florida 32922
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Cambridge Energy Corporation (CNGG)
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
March 2000
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [X] 10% Owner
[X] Officer (give title below) [_] Other (specify below)
Chief Executive Officer
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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 Acquired, Disposed of,
or Beneficially Owned
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5. 6.
4. Amount of Owner-
Securities Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 3/29/96 J3(a) 600,000 A
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Common Stock 6/6/97 J3(a) 2,592,393 A 3,192,393 D
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(a) Original issue of shares at time Company was established.
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FORM 5 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Option Common
(Right to Buy) $0.50 6/9/97 F3(b) 1,000,000 (A) 6/9/97 6/9/02 Stock 1,000,000
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Option Common
(Right to Buy) $1.00 6/9/97 F3(b) 1,000,000 (A) 6/9/97 6/9/02 Stock 1,000,000
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Option Common
(Right to Buy) $1.00 6/9/97 F3(b) 1,000,000 (A) 6/9/97 6/9/02 Stock 1,000,000
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Option Common
(Right to Buy) $1.50 6/9/97 F3(b) 1,000,000 (A) 6/9/97 6/9/02 Stock 1,000,000
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Option Common
(Right to Buy) $0.50 10/15/98 F3(c) 500,000 (A) 10/15/98 10/15/03 Stock 500,000
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Option Common
(Right to Buy) $0.75 10/15/98 F3(c) 500,000 (A) 10/15/98 10/15/03 Stock 500,000
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Option Common
(Right to Buy) $1.00 10/15/98 F3(c) 500,000 (A) 10/15/98 10/15/03 Stock 500,000
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Option Common
(Right to Buy) $1.50 10/15/98 F3(c) 500,000 (A) 10/15/98 10/15/03 Stock 500,000
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Explanation of Responses:
(b) Options granted per employment agreement.
(c) Per share purchase agreement dated October 15, 1998 between Mr.Lee Payne,
a former officer and director of the Company and Mr. West.
/S/ Perry Douglas West 5/15/00
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**Signature of Reporting Person Date
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