UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 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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<S> <C> <C> <C>
1. Name and Address of Reporting Person 2. Date of Event Requiring 3. I.R.S. Identification 4. Issuer Name and Ticker
Statement Number of Reporting or Trading Symbol
Person, if an entity
Khanna, Sudhir November 20, 1999 (voluntary) Annex Business Resouces,
(Last) (First) (Middle) Inc., No Ticker or Trading
808-73 Widdicombe Hill Blvd. Not Applicable Symbol as company is not
(Street) quoted yet
Erobicoke, ON M9R 4B3
(City) (State) (Zip)
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5. Relationship of Reporting Person(s) 6. If Amendment, 7. Individual or
to Issuer (Check all applicable) Date of Original Joint/Group Filing
(Check Applicable Line)
[X] Director [_] 10% Owner Not Applicable [X] Form filed by One
Reporting Person
[X] Officer [_] Other [ ] Form filed by more
(give title below) (specify below) than One Reporting Person
Vice-Pesident,
Information Technology
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TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct(D) or Inderect(I) Beneficial Ownership
(Instr. 4) (Instr. 5) (Instr. 5)
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Common Shares 525,000 D N/A
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TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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<S> <C> <C> <C> <C> <C> <C> <C>
1. Title of 2. Date Exercisable and 3. Title and Amount of 4. Conversion 5. Ownership 6. Nature of
Derivative Expiration Date Securities Underlying or Exercise Form of Indirect
Security Derivative Security (Instr.4) Price of Derivative Beneficial
(Instr.4) Derivative Securities Ownership
Date Expiration Title Amount or Security Direct(D) or (Instr.5)
Exercisable Date Number of Indirect(1)
Shares (Instr. 5)
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N/A
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Explanation of Responses:
/s/ Sudhir Khanna January 18, 2000
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Sudhir Khanna Date
**Signature of Reporting Person
** 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 is insufficient, See Instruction 6 for procedure.
