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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
1. Name and Address of Reporting Person*
Flaherty Stephen C.
(Last) (First) (Middle)
3645 North Little Rock Drive
(Street)
Provo Utah 84604
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/20/00
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
4. Issuer Name and Ticker or Trading Symbol
QCOMM International, Inc. (QCCM)
5. Relationship of Reporting Person to Issuer (Check all applicable)
/ / Director / / 10% Owner
/X/ Officer (give title below) / / Other (specify below)
President
--------------------------
6. If Amendment, Date of Original (Month/Day/Year)
7. Individual or Joint/Group Reporting (Check applicable line)
/X/ Form filed by One Reporting Person
/ / Form filed by More than One Reporting Person
* If the Form is filed by more than one Reporting Person, see instruction
5(b)(v).
<PAGE>
<TABLE>
<CAPTION>
Table I -- Non-Derivative Securities Beneficially Owned
2. Amount 3. Ownership
of Secu- Form:
rities Direct 4. Nature of
Bene- (D) or Indirect
ficially Indirect Beneficial
Owned (I) Ownership
1. Title of Security (Instr. 4) (Instr. 5) (Instr. 5)
- -------------------------------- ------------- ------------- ----------------
<S> <C> <C> <C>
</TABLE>
<TABLE>
<CAPTION>
Table II--Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
2. Date Exercisable
and Expiration Date 3. Title and Amount of Securities Underlying Derivative
(Month/Day/Year) Security (Instr. 4)
---------------------- -----------------------------------------------------------
Date Amount or
1. Title of Derivative Exercis- Expiration Title Number of
Security (Instr. 4) able Date Shares
- ---------------------------------------------- ---------- ---------- ---------------------------------------------- -----------
<S> <C> <C> <C> <C>
Stock Options 3/1/99 4/30/04 Common Stock 25,000
Stock Options 11/3/99 4/30/04 Common Stock 25,000
Stock Options 3/1/00 4/30/04 Common Stock 25,000
Stock Options 11/3/00 4/30/04 Common Stock 25,000
Stock Options 3/3/01 4/30/04 Common Stock 135,000
Stock Options 3/29/00 4/30/04 Common Stock 125,000
Stock Options on term- 4/30/04 Common Stock 120,000
ination
Stock Options 1/1/00 4/30/04 Common Stock 40,000
<CAPTION>
5. Ownership
Form of
Derivative
4. Conver- Security:
sion or Direct 6. Nature of
Exercise (D) or Indirect
Price of Indirect Beneficial
1. Title of Derivative Derivative (I) Ownership
Security (Instr. 4) Security (Instr. 5) (Instr. 5)
- ---------------------------------------------- ------------- ------------- --------------
<S> <C> <C> <C>
Stock Options 1.50 D
Stock Options 1.50 D
Stock Options 1.50 D
Stock Options 1.50 D
Stock Options 1.50 D
Stock Options 1.50 D
Stock Options 1.50 D
Stock Options 1.50 D
</TABLE>
Explanation of Responses:
/s/ Stephen Flaherty 3/29/00
- --------------------------------------- --------------------------
**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).