FORM 5
/ / Check box if no longer OMB APPROVAL
subject to Section 16. OMB NUMBER: 3235-0362
Form 4 or Form 5 EXPIRES: OCTOBER 31, 2001
obligations may continue. ESTIMATED AVERAGE BURDEN
See Instruction 1(b) HOURS PER RESPONSE 1.0
/X/ Form 3 Holdings Reported
/ / Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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 of Reporting Person*
Tay William
(Last) (First) (Middle)
1422 Chestnut Street, Suite 410, 4th floor
(Street)
Philadelphia Pennsylvania 19102-2510
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
1STOPSALE.COM HOLDINGS INC.
(Common Stock: No Trading Symbol)
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Statement for Month/Year
12/00
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
( X ) Director ( X ) 10% Owner
( X ) Officer (give title below) ( ) Other (specify below)
William Tay is the Chairman of the Board of Directors, President, Chief
Executive Officer, Secretary and Treasurer.
7. Individual or Joint/Group Filing (Check applicable line)
( X ) Form filed by One Reporting Person
( ) Form filed by More than One Reporting Person
* If Form is filed by more than one Reporting Person, see Instruction 4(b)(v).
(Print or Type Responses) Page 1
<PAGE>
<TABLE>
<CAPTION>
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security 2. Transaction Date
(Instr. 3) (Month/Day/Year)
_______________________________________ _______________________
<S> <C>
a. Common Stock, par value $.001
_______________________________________ _______________________
b.
_______________________________________ _______________________
c.
_______________________________________ _______________________
d.
_______________________________________ _______________________
e.
_______________________________________ _______________________
f.
_______________________________________ _______________________
3. Transaction 4. Securities Acquired (A) or
Code Disposed of (D)
(Instr. 8) (Instr. 3, 4 and 5)
___________________________________________
Amount (A) or (D) Price
___________________ _____________ _____________ _____________
<S> <C> <C> <C>
a.
___________________ _____________ _____________ _____________
b.
___________________ _____________ _____________ _____________
c.
___________________ _____________ _____________ _____________
d.
___________________ _____________ _____________ _____________
e.
___________________ _____________ _____________ _____________
f.
___________________ _____________ _____________ _____________
<CAPTION>
5. Amount of Securities 6. Ownership Form: 7. Nature of Indirect
Beneficially Owned Direct (D) or Beneficial Ownership
at End of Issuer's Fiscal Indirect (I) (Instr. 4)
Year (Instr. 4)
(Instr. 3 and 4)
_______________________________ __________________ _______________________
<S> <C> <C>
a. 11,500,000 D
_______________________________ __________________ _______________________
b.
_______________________________ __________________ _______________________
c.
_______________________________ __________________ _______________________
d.
_______________________________ __________________ _______________________
e.
_______________________________ __________________ _______________________
f.
_______________________________ __________________ _______________________
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
</TABLE>
(Print or Type Responses) Page 2
<PAGE>
<TABLE>
<CAPTION>
Table II - Derivative Securities Acquired, Disposed of, or
Beneficially Owned
(e.g, puts, calls, warrants, options, convertible securities)
1. Title of 2. Conver- 3. Transac- 4. Transac- 5. Number of
Derative sion or sion sion Derivative
Security Exercise Date Code Securities
(Instr. 3) Price (Month/ Acquired (A) or
of Day/ (Instr. 8) Disposed of (D)
Derivative Year) (Instr. 3, 4 and 5)
Security ____________________
(A) (D)
______________ ______________ __________ _____________ _________ __________
<S> <C> <C> <C> <C> <C>
a.
______________ ______________ __________ _____________ _________ __________
b.
______________ ______________ __________ _____________ _________ __________
c.
______________ ______________ __________ _____________ _________ __________
d.
______________ ______________ __________ _____________ _________ __________
e.
______________ ______________ __________ _____________ _________ __________
f.
______________ ______________ __________ _____________ _________ __________
<CAPTION>
6. Date Exercisable 7. Title and Amount of Underlying 8. Price of
and Expiration Securities Derivative
Date (Instr. 3 and 4) Security
(Month/Day/Year) (Instr. 5)
_____________________________ _________________________________
Date Expiration Title Amount or
Exercisable Date Number of
Shares
_________________ ___________ _________________ ______________ _____________
<S> <C> <C> <C> <C>
a.
_________________ ___________ _________________ ______________ _____________
b.
_________________ ___________ _________________ ______________ _____________
c.
_________________ ___________ _________________ ______________ _____________
d.
_________________ ___________ _________________ ______________ _____________
e.
_________________ ___________ _________________ ______________ _____________
f.
_________________ ___________ _________________ ______________ _____________
9. Number of 10. Ownership 11. Nature of
Derivative of Deriva- Indirect
Securities tive Beneficial
Beneficially Security: Ownership
Owned at Direct (D) (Instr. 4)
End of Year or Indirect
(Instr. 4) (I) (Instr. 4)
___________________ ____________________ _________________
<S> <C> <C>
a.
___________________ ____________________ _________________
b.
___________________ ____________________ _________________
c.
___________________ ____________________ _________________
d.
___________________ ____________________ _________________
e.
___________________ ____________________ _________________
f.
___________________ ____________________ _________________
</TABLE>
Explanation of Responses: None.
/s/ William Tay January 17, 2001
________________________________ ________________
** Signature of Reporting Person Date
** 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.
(Print or Type Responses) Page 3
