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
Bunka, Christopher November 20, 1999 Person, if any
(Last) (First) (Middle)
5774 Deadpine Drive (voluntary) Annex Business
(Street) Resources, Inc.,
Kelowna, B.C. V1P 1A3 Not Applicable No Ticker or Trading
(City) (State) (Zip) Symbol as company is not
quoted yet
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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 [X] 10% Owner Not Applicable [X] Form filed by One
[X] Officer [_] Other Reporting Person
(give title below) (specify below)
President/C.E.O. [_] Form filed by more than
One Reporting Person
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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 Indirect(I) Beneficial Ownership
(Instr. 4) (Instr. 5) (Instr. 5)
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Common Shares 2,975,000 D N/A
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<TABLE>
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TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
- ----------------- ------------------------------- ------------------------------- ---------------- ----------------- ---------------
<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 Excercise Form of Indirect
Security -------------------------- Derivative Security(Instr.4) Price of Derivative Beneficial
---------------------------- Derivative Securities: Ownership
(Instr. 4) Date Expiration Title Amount or Security Direct(D) or (Instr.5)
Excercisable Date Number of Inderect(I)
Shares (Instr. 5)
- ----------------- --------------- --------------- --------------- --------------- ---------------- ----------------- ---------------
N/A
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Explanation of Responses:
/s/ Christopher Bunka January 18, 2000
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Christopher Bunka 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.
