FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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. Date of Event Requiring Statement (Month/Day/Year)
6/15/98
3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary)
N/A
4. Issuer Name and Ticker or Trading Symbol
NBG Radio Network, Inc. "NSBD"
5. Relationship of Reporting Person(s) to Issuer (Check All Applicable)
/X/ Director
/ / Officer (give title below)
Vice President, Programming
/ / 10% Owner
/ / Other (specify below)
6. If Amendment, Date of Original (Month/Day/Year)
11/18/98
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).
<PAGE>
Form 3 (Continued)
<TABLE>
<CAPTION>
Table 1 -- Non-Derivative Securities Beneficially Owned
- ---------------------------------- -------------------------------- ------------------------------- ---------------------------
1. Title of Security (Instr. 4) 2. Amount of Securities 3. Ownership Form: Direct 4. Nature of Indirect
Beneficially Owned (Instr. (D) or Indirect (I) Beneficial Ownership
4) (Instr. 5) (Instr. 5)
- ---------------------------------- -------------------------------- ------------------------------- ---------------------------
<S> <C> <C>
Common Stock 29,000 D
- ---------------------------------- -------------------------------- ------------------------------- ---------------------------
</TABLE>
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
5(b)(v).
<TABLE>
<CAPTION>
Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls,
warrants, options, convertible securities)
- ------------------------------ ------------------------ ------------------------- -------------- ---------------- --------------
1.Title of Derivative 2. Date Exercisable 3. Title and Amount 4. Conversion 5. Ownership 6. Nature of
Security (Instr. 4) and Expiration Date of Securities or Form of Indirect
(Month/Day/Year) Underlying Exercise Derivative Beneficial
Derivative Security Price of Security: Ownership
(Instr. 4) Derivative Direct (D) (Instr. 5)
Security or Indirect
(I)(Instr. 5)
------------ ----------- -------------- --------- ------------- ---------------- -------------
Date Expiration Title Amount or
Exercisable Date Number of
Shares
- ------------------------------ ------------ ----------- -------------- --------- --------------- ---------------- --------------
<S> <C> <C> <C> <C> <C> <C>
Common Stock Options (Right 6-12-98 6-12-01 Common Stock 20,000 1-5/8 D
to buy)
- ------------------------------ ------------ ----------- -------------- --------- --------------- ---------------- -------------
</TABLE>
Explanation of Reponses:
/s/ Peter Jacobsen 12/16/99
-------------------------------- ----------
* Signature of Reporting Person Date