UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 6-K
REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13a-16 OR 15d-16 OF
THE SECURITIES EXCHANGE ACT OF 1934
BELMONT RESOURCES INC.
(Translation of Registrant's Name Into English)
SEC File Number: 000-29616
#1180 - 666 Burrard Street, Vancouver, B.C. Canada V6C 2X8
(Address of Principal Executive Offices)
(Indicate by check mark whether the registrant files or will file annual
reports under cover of Form 20-F or Form 40-F.)
Form 20-F X Form 40-F
---- ----
(Indicate by check mark whether the registrant by furnishing the information
contained in this form is also thereby furnishing the information to the
Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of
1934.)
Yes X No
--- ---
[If "Yes" is marked, indicate below the file number assigned to the registrant
in connection with Rule 12g3-2(b): 82-686.
FORM 27
SECURITIES ACT
MATERIAL CHANGE REPORT UNDER SECTION 67(1) OF THE ACT
ITEM 1. REPORTING ISSUER
Belmont Resources Inc. (the "Company")
1180 - 666 Burrard Street
Vancouver, BC
V6C 2X8
ITEM 2. DATE OF MATERIAL CHANGE
September 17, 1999
ITEM 3. PRESS RELEASE
Issued September 17, 1999 and distributed through the facilities of
Vancouver Stockwatch.
ITEM 4. SUMMARY OF MATERIAL CHANGE
Director stock options have been granted as to 850,000 shares at
$0.32 for a period of 2 years. In addition the Company has
renegotiated as to price only 889,000 options at $0.32.
ITEM 5. FULL DESCRIPTION OF MATERIAL CHANGE
Subject to regulatory approvals, Director stock options have been
granted as to 850,000 shares at $0.32 for a period of 2 years.
In addition the Company has renegotiated as to price only 889,000
options at $0.32.
The options granted and renegotiated cannot be exercised until
the approval of the Vancouver Stock Exchange has been obtained.
ITEM 6. RELIANCE ON SECTION 67(2) OF THE ACT
This report is not being filed on a confidential basis.
ITEM 7. OMITTED INFORMATION
There are no significant facts required to be disclosed herein which
have been omitted.
ITEM 8. DIRECTOR/SENIOR OFFICER
Contact: Gary Musil, Secretary
Telephone: (604) 683-6648
ITEM 9. STATEMENT OF SENIOR OFFICER/DIRECTOR
The foregoing accurately discloses the material change referred to
herein.
By /s/Gary Musil
---------------------
Gary Musil, Secretary
DATED this 17th day of September, 1999.
<PAGE>
[LETTERHEAD]
BELMONT RESOURCES INC.
#1180 - 666 Burrard Street
Vancouver, B.C. V6C 2X8
Ph: (604) 683-6648
Fax: (604) 683-1350
E-Mail: [email protected]
Website: www.belmont-resources.com
September 17, 1999
VSE - "BEO"
OTC B-B "BEOVF"
"NEWS RELEASE"
Subject to regulatory approvals, Director stock options have been granted as
to 850,000 shares at $0.32 for a period of 2 years. In addition the Company
has renegotiated as to price only 889,000 options at $0.32.
The options granted and renegotiated cannot be exercised until the approval
of the Vancouver Stock Exchange has been obtained.
ON BEHALF OF THE BOARD
/s/Gary Musil
Gary Musil,
Secretary/Director
THE VANCOUVER STOCK EXCHANGE HAS NOT REVIEWED AND DOES NOT ACCEPT RESPONSIBILITY
FOR THE ADEQUACY OR ACCURACY OF THIS NEWS RELEASE.
<PAGE>
This is the form required under section 139 of the Securities Rules and, if
applicable, by an order issued under section 76 of the Securities Act.
FORM 20
Securities Act
Report of Exempt Distribution
Report of a distribution under Section 74(2)(1) to (5), (8) to (10), 11(i),
(14), (16)(i), (18), 19 or (23) to (26) of the Securities Act, R.S.B.C. 1996,
c. 418 (the "Act"), or section 128(a), (b), (c) or (e) to (h) of the Securities
Rules, R.B.C. Reg 194/97 (the "Rules"), or, if applicable, by an order issued
under section 76 of the Act.
1. Name, address and telephone number of the issuer of the security
distributed
(the "Issuer"):
Belmont Resources Inc.
1180 - 666 Burrard Street
Vancouver, BC
V6C 2X8
Telephone: (604) 683-6648
2. State whether the Issuer is or is not an exchange issuer (i.e. listed on
the Vancouver Stock Exchange but not listed or quoted on any other stock
exchange or trading or quotation system in Canada).
The Issuer is an exchange issuer.
3. Describe the type of security and the aggregate number distributed:
Incentive stock options to purchase a total of 850,000 common shares in
the capital of the Issuer. The options are exercisable on or before
September 17, 2001 at the price of $0.32 per share.
4. Date of the distribution(s) of the Security: September 30, 1999
5. Specify the section(s) of the Act or Rules and, if applicable, the date
of the discretionary order or the blanket order number under which the
distribution(s) of the security was made:
Section 74(2)(9) of the Act
6. If the distribution(s) of the security was made to 50 purchasers or less,
circle and complete clause (a) of this section. If the distribution(s) of
the security was made to more than 50 purchasers, circle clause (b) of
this item.
(a)
Full name and Residential Number of
Address of Purchasers Securities Optioned Purchase Price
- ------------------------- -------------------- --------------
Vojtech Agyagos 75,000 Nil
1365 Dempsey Road
North Vancouver, BC
V7K 1S7
Nicolo Bellanca 425,000 Nil
Drachenweg 9
9330 Althofen
Austria
Kenneth B. Liebscher 100,000 Nil
1854 Western Drive
Port Coquitlam, BC
V3C 2X7
Gary Musil 150,000 Nil
3577 Marshall Street
Vancouver, BC
V5N 4S2
Peter E. Serck 100,000 Nil
35 Thorncliffe Park
Toronto, ON
M4H 1J3
(b) The Issuer has prepared and certified a list of purchasers comprising the
same information required by clause (a) of this section and a certified
true copy of the list will be provided to the Commission upon request.
7. State the total dollar value (Canadian $) of the securities distributed
by the Issuer to purchasers resident in British Columbia in respect of
which this report is filed.
No proceeds have been derived in British Columbia by the Issuer from the
distribution.
8. State the name and address of any person acting as agent in connection
with the distribution(s) of the security, the compensation paid or to be
paid to the agent, and the name(s) of the purchaser(s) in respect of
which the compensation was paid or is to be paid.
No person is acting as agent in connection with the distribution. No
compensation has been or will be paid to an agent in connection with the
distribution.
9. If the distribution of the security was made under section 128(a) of the
Rules, state the number of different purchasers who acquired any securities
of the Issuer under that section during the 12 month period preceding the
distribution of this security.
Not applicable
10. If the distribution of the security was under section 128(h) of the Rules,
state:
a) the number of different purchasers who acquired securities of
the Issuer under that exemption during the 12 month period preceding
the distribution; and
Not applicable
b) the total dollar value (Canadian $) of all securities of the Issuer
distributed under that section (including the distribution of this
security), during the 12 month period preceding the distribution of this
security.
Not applicable
The undersigned hereby certifies that the statements made in this report are
true and correct.
DATED at Vancouver, B.C. this 4th day of October 1999.
BELMONT RESOURCES INC.
(Name of Issuer)
/s/Gary Musil
per:
Signature
Secretary/Director
Official Capacity - Please Print
(Please print here name of individual whose signature appears above, if
different from issuer or agent printed above.)
IT IS AN OFFENCE FOR A PERSON TO MAKE A STATEMENT IN A RECORD REQUIRED TO BE
FILED OR PROVIDED UNDER THE SECURITIES ACT OR SECURITIES RULES THAT, AT THE
TIME AND IN THE LIGHT OF CIRCUMSTANCES UNDER WHICH IT IS MADE, IS A
MISREPRESENTATION.
<PAGE>
This is the form required under section 139 of the Securities Rules and, if
applicable, by an order issued under section 76 of the Securities Act.
AMENDED FORM 20
Securities Act
Report of Exempt Distribution
Report of a distribution under Section 74(2)(1) to (5), (8) to (10), 11(i),
(14), (16)(i), (18), 19 or (23) to (26) of the Securities Act, R.S.B.C. 1996,
c. 418 (the "Act"), or section 128(a), (b), (c) or (e) to (h) of the Securities
Rules, R.B.C. Reg 194/97 (the "Rules"), or, if applicable, by an order issued
under section 76 of the Act.
3. Name, address and telephone number of the issuer of the security
distributed (the "Issuer"):
Belmont Resources Inc.
1180 - 666 Burrard Street
Vancouver, BC
V6C 2X8
Telephone: (604) 683-6648
4. State whether the Issuer is or is not an exchange issuer (i.e. listed on
the Vancouver Stock Exchange but not listed or quoted on any other stock
exchange or trading or quotation system in Canada).
The Issuer is an exchange issuer.
3. Describe the type of security and the aggregate number distributed:
Incentive stock options to purchase a total of 889,000 common shares in
the capital of the Issuer. The options are exercisable on or before
February 24, 2000 at the price of $0.32 per share.
4. Date of the distribution(s) of the Security: September 30, 1999
5. Specify the section(s) of the Act or Rules and, if applicable, the date
of the discretionary order or the blanket order number under which the
distribution(s) of the security was made:
Section 74(2)(9) of the Act
6. If the distribution(s) of the security was made to 50 purchasers or less,
circle and complete clause (a) of this section. If the distribution(s) of
the security was made to more than 50 purchasers, circle clause (b) of
this item.
(a)
Full name and Residential Number of
Address of Purchasers Securities Optioned Purchase Price
- ------------------------- -------------------- --------------
Vojtech Agyagos 144,000 Nil
1365 Dempsey Road
North Vancouver, BC
V7K 1S7
Nicolo Bellanca 200,000 Nil
Drachenweg 9
9330 Althofen
Austria
Peter John 500,000 Nil
Rath, Baltimore
County Cork
Republic of Ireland
Gary Musil 25,000 Nil
3577 Marshall Street
Vancouver, BC
V5N 4S2
Kenneth B. Liebscher 20,000 Nil
1854 Western Drive
Port Coquitlam, BC
V3C 2X7
(b) The Issuer has prepared and certified a list of purchasers comprising the
same information required by clause (a) of this section and a certified
true copy of the list will be provided to the Commission upon request.
7. State the total dollar value (Canadian $) of the securities distributed
by the Issuer to purchasers resident in British Columbia in respect of
which this report is filed.
No proceeds have been derived in British Columbia by the Issuer from the
distribution.
8. State the name and address of any person acting as agent in connection
with the distribution(s) of the security, the compensation paid or to be
paid to the agent, and the name(s) of the purchaser(s) in respect of
which the compensation was paid or is to be paid.
No person is acting as agent in connection with the distribution. No
compensation has been or will be paid to an agent in connection with the
distribution.
9. If the distribution of the security was made under section 128(a) of the
Rules, state the number of different purchasers who acquired any securities
of the Issuer under that section during the 12 month period preceding the
distribution of this security.
Not applicable
10. If the distribution of the security was under section 128(h) of the Rules,
state:
(c) the number of different purchasers who acquired securities of
the Issuer under that exemption during the 12 month period preceding
the distribution; and
Not applicable
(d) the total dollar value (Canadian $) of all securities of the Issuer
distributed under that section (including the distribution of this
security), during the 12 month period preceding the distribution of this
security.
Not applicable
The undersigned hereby certifies that the statements made in this report are
true and correct.
DATED at Vancouver, B.C. this 4th day of October 1999.
BELMONT RESOURCES INC.
(Name of Issuer)
/s/Gary Musil
per:
Signature
Secretary/Director
Official Capacity - Please Print
(Please print here name of individual whose signature appears above, if
different from issuer or agent printed above.)
IT IS AN OFFENCE FOR A PERSON TO MAKE A STATEMENT IN A RECORD REQUIRED TO BE
FILED OR PROVIDED UNDER THE SECURITIES ACT OR SECURITIES RULES THAT, AT THE
TIME AND IN THE LIGHT OF CIRCUMSTANCES UNDER WHICH IT IS MADE, IS A
MISREPRESENTATION.
<PAGE>
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf
by the undersigned, thereunto duly authorized.
Belmont Resources Inc.
-------------------------------
(Registrant)
Date October 20, 1999 By /s/ Gary Musil
---------------------- ----------------------------
Secretary/Director
