FORM 4
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
1. Name and Address of Reporting Person*
Peter Jacobsen
8700 SW Nimbus Avenue #B
Beaverton, OR 97008
2. Issuer Name and Ticker or Trading Symbol
NBG Radio Network, Inc. "NSBD"
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
N/A
4. Statement for Month/Year
9/99
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
/X/ Director
/ / Officer (give title below)
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/ / 10% Owner
/ / Other (specify below)
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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 Report Person
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction
4(b)(v).
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FORM 4 (continued)
Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)
Common Stock
2. Transaction Date(s) (Month/Day/Year)
3. Transaction Code (Instr. 8)
Code:
V:
4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
Amount
(A) or (D)
Price
5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4)
87,000
6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
D
7. Nature of Indirect Beneficial Ownership (Instr. 4)
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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)
1. Title of Derivative Security (Instr. 3)
(i) Common Stock Options (Right to buy Common Stock)
(ii) Common Stock Options (Right to buy Common Stock)
2. Conversion or Exercise Price of Derivative Security
(i) $2.00
(ii) $.5417
3. Transaction Date (Month/Day/Year)
(i) 9/1/99
(ii)
4. Transaction Code (Instr. 8)
(i) Code: A
V: V
(ii) Code:
V:
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3,
4 and 5)
(i) 20,000 (A)
(ii)
6. Date Exercisable and Expiration Date (Month/Day/Year)
(i) Date Exercisable: 9/1/99
Expiration Date: 9/1/02
(ii) Date Exercisable: 6/12/98
Expiration Date: 6/12/01
7. Title and Amount of Underlying Securities (Instr. 3 and 4)
(i) Title: Common Stock
Amount of Shares: 20,000
(ii) Title: Common Stock
Amount of Shares: 60,000
8. Price of Derivative Security (Instr. 5)
9. Number of Derivative Securities Beneficially Owned at End of Month
(Instr. 4)
(i) 80,000
(ii) 80,000
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FORM 4 (continued)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
(i) D
(ii) D
11. Nature of Indirect Beneficial Ownership (Instr. 4)
Explanation of Responses:
/s/ Peter Jacobsen 12/10/99
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** Signature of Reporting Person Date
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient, see Instruction 6 for procedure.
Potential person(s) who are to respond to the collection of information
contained in this form are not required to respond unless the form displays a
currently valid OMB number.
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