FORM 3 U.S. 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 2. Date of Event Requiring 4. Issuer Name and Ticker
of Reporting Person* Statement for or Trading Symbol
(Month/Day/Year)
TSOUKAS GEORGE M. OCTOBER 19, 1999 GLOBALNETCARE, INC.
- ------------------------ ---------------------- ------------------------
(Last) (First) (Middle)
26 Sunnyside Avenue 3. IRS or Social 5. Relationship 6. If Amendment,
- ------------------------ Security Number of of Reporting Date of
(Street) Reporting Person Person to Original
(Voluntary) Issuer (Month/Day/
Year)
Westmount, Quebec, Canada H3Y 1C2 [X]Director -
- ------------------------ ----------------- [X]Officer
(City) (State) (Zip) (give title below)
[X] 10% Owner
Chairman and
Chief Executive Officer
* If the Form is filed -----------------------
by more than one Reporting 7. Individual or Joint/Group Filing
Person, see Instructions (Check applicable line)
5(b)(v) [ ] Form filed by One Reporting
-------------------------- Person
[X] Form filed by More than One
Reporting Person
---------------------------------
. TABLE I - NON-DERIVATIVE SERVICES BENEFICIALLY OWNED
---------------------------------------------------------
<TABLE>
<CAPTION>
1. Title of Security 2. Amount of Securities 3. Ownership From: 4. Nature of Indirect Beneficial Ownership
(Instr. 4) Beneficially Owned Direct (D) or (Instr. 5)
(Instr. 4) Indirect (I)
(Instr. 5)
- ------------------------- ------------------- ------------ --------------------------------------------
<S> <C> <C> <C>
George M. Tsoukas, Director,
Chairman & CEO
Common Shares 5,000,000 Direct -
Nick Pedafronimos, Director
2000 McGill College, #950
Montreal, Quebec H3A 3H3
Common Shares 951,500 Direct -
Common Shares 37,500 Indirect Spouse
Chris Kokkalis, Director
5120 Samson Blvd., Chomedey
Laval, Quebec H1N 2J1
Common Shares 274,875 Direct -
Patrick Power, President
and Director
2004, 1323 Homer Street
Vancouver, BC V6B 5T1
Common Shares 173,000 Direct -
David Mulder, Director
76 Sunnyside Avenue,
Westmount, Quebec H3Y 1C2
Common Shares 0 - -
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly. (Over)
(Print or Type Response)
<PAGE>
FORM 3 (continued)
TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
1. Title of 2. Date Exercisable 3. Title and Amount 4. Conversion 5. Ownership 6. Nature of
Derivative and Expiration of Securities or Exercise Form of Indirect
Security Date (Month/Day Underlying Price of Derivative Beneficial
(Instr. 4) Year) Derivative Derivative Security: Ownership
Security Security Direct (D) (Instr. 5)
(Instr. 4) or Indirect (I)
Date Expiration Title Amount or
Exercis- Date Number of
able Shares
- ------------- ---------------------- -------------------- ------------- -------------- ---------------
<S> <C> <C> <C> <C> <C> <C> <C>
Chris Kokkalis March 24, March 24, Common 200,000 $2.00 Direct -
Common Stock 1999 2004 Shares
Options
</TABLE>
Explanation of Responses:
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
/s/ George Tsoukas November 1, 1999
/s/ Nick Pedafronimos November 1, 1999
/s/ Chris Kokkalis November 23, 1999
/s/ Patrick Power November 1, 1999
/s/ David Mulder November 29, 1999
------------------- ----------------
. **Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient,
See Instruction 6 for procedure.
