FORM 3
OMB Approval
OMB Number 3235-0104
Expires: February 1, 1994
FORM 3
OMB Approval
OMB Number 3235-0104
Expires: February 1, 1994
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
___ Check if no longer subject to Section 16, Form 4 or Form 5, Obligation may
continue. See Instructions
_X_ Form 3 Holdings Reported
___ Form 4 Transaction
<TABLE>
<S> <C>
1. Name and Address of Reporting Person: Cooke, Ronald Terry
181 Whitehall Drive
Markham, Ontario, Canada L3R 9T1
2. Date of Event Requiring Statement: 02/23/2000
3. IRS or SSN of Reporting Person :
4. Issuer Name and Ticker or Trading Symbol: Power Kiosks, Inc.
5. Relation of Reporting Person to Issuer X Director
X 10% owner
X Officer (Title): Chairman and President
_ Other (Specify)
6. If Amendment, Date of Original:
7. X Filed by One Reporting Person.
_ Filed by more than One Reporting Person.
</TABLE>
TABLE I - NON-DERIVATIVE SECURITIES
BENEFICIALLY OWNED
<TABLE>
<S> <C> <C> <C>
1. Title of Security: Common Stock Common Stock Common Stock
2. Amount of Securities
Beneficially Owned: 541,700 1,103,146 60,000
3. Ownership Form;
Direct (D) or Indirect (I): D I I
4. Nature of Indirect Beneficial beneficial owner of beneficial owner of Team
Ownership: N/A Cooke Enterprises, Inc. Power Enterprises, Inc.
</TABLE>
*If the form is filed by more than one Reporting Person, see instruction 5(b)(v)
Reminder: Report on a separate Line for each class of securities beneficially
owned directly or indirectly.
<PAGE>
TABLE II - DERIVATIVE SECURITIES
BENEFICIALLY OWNED
<TABLE>
<S> <C> <C> <C> <C> <C>
1. Title of Derivative Security: Option Option Option Option Option
2. Date Exercisable and Expiration Date: 7/1/01, 7/1/06 7/1/02, 7/1/07 7/1/03, 7/1/08 7/1/04, 7/1/09 7/1/05, 7/1/10
3. Title and Amount of Underlying 100,000 shares 100,000 shares 100,000 shares 100,000 shares 100,000 shares
Securities: Common Stock Common Stock Common Stock Common Stock Common Stock
4. Conversion or Exercise Price of
Derivative Securities: $1.00 $1.00 $1.00 $1.00 $1.00
5. Ownership of Derivative Securities;
Direct (D) or Indirect (I): D D D D D
6. Nature of Indirect Beneficial
Ownership: N/A N/A N/A N/A N/A
</TABLE>
EXPLANATION OF RESPONSES:
/s/ Ronald Terry Cooke Date: December 6, 2000
---------------------------------
Ronald Terry Cooke
** Signature of Reporting Person
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See Sections 18 U.S.C. 1001, 15 U.S.C. 78ff(a).
