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OMB APPROVAL
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OMB Number: 3235-0104
Expires: December 31, 2001
Estimated average burden
hours per response ....... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
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
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1. Name and Address of Reporting Person*
Sartori Bruno
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(Last) (First) (Middle)
231 Marine Court Apt 2
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(Street)
Lauderdale by the Sea Florida 33308
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(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
January 4, 2000
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Health Express USA, Inc. (HEXS)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[ ] Director [ ] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
Chief Financial Officer
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6. If Amendment, Date of Original (Month/Year)
N/A
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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 Beneficially Owned
<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr.5)
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<S> <C> <C> <C>
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Common Stock 40,000 D
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Common Stock 60,000 I *
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</TABLE>
* By self as trustee for a trust "Daniel Sartori Trust" for the exclusive
benefit of trust beneficiary Daniel Sartori, a brother, for his medical
care. Trustee has voting and dispositive power over the shares held by the
trust.
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
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<PAGE>
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
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Stock Option 1/4/00 1/4/02 Common Stock 100,000
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</TABLE>
Explanation of Responses:
An option for 100,000 shares at an exercise price of $1.31 was granted pursuant
to an employment agreement dated January 4, 2000. The option expires the earlier
of (i) exercise of all options, (ii) no longer employed by Issuer, or (iii)
January 4, 2002.
By: /s/ Bruno Sartori 1/4/2000
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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 persons 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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