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OMB APPROVAL
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OMB Number 3235-0104
Expires: 12-31-2001
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*
Pollei David C.
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(Last) (First) (Middle)
12626 High Bluff Drive
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(Street)
San Diego CA 92130
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
10/19/99
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Issuer Name AND Ticker or Trading Symbol
Ubrandit.com, Inc. / UBI
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
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Table I -- Non-Derivative Securities Beneficially Owned
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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. 4)
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<S> <C> <C> <C>
Common Stock, ($.001 par value) -0-
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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).
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 CONTROL NUMBER.
(Over)
SEC 1473 (3-99)
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FORM 3 (continued)
TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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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>
1999 Stock Option and
Incentive Plan 8/5/2000(1) 8/5/2004 Common Stock 7,500 * $4.69 D
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1999 Stock Option and
Incentive Plan 2/19/2000(2) 2/19/05 Common Stock 15,000 $4.00 D
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1999 Stock Option and
Incentive Plan 6/19/2000(2) 6/19/05 Common Stock 15,000 $4.00 D
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1999 Stock Option and
Incentive Plan 10/19/2000(2) 10/19/05 Common Stock 20,000 $4.00 D
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1999 Stock Option and
Incentive Plan 3/11/2001(3) 3/11/2005 Common Stock 100,000 $3.75 D
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Explanation of Responses:
1 An option to purchase 7,500 shares of common stock was granted on
8/5/99 and will be fully vested on 8/5/2000.
2 The total option granted on 10/19/99 was 50,000 shares. 15,000 of the
Shares are fully vested as of 2/19/00, another 15,000 shares vest on
6/19/00 and the remaining 20,000 shares vest on 10/19/00. Each vesting
tranche expires 5 years after the vesting date.
3 An option to purchase 100,000 shares of common stock was granted on
3/11/2000 and will be fully vested on 3/11/2001.
/S/ David C. Pollei June 16, 2000
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**Signature of Reporting Person Date
DAVID C. POLLEI
** 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 control number.
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