UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549 OMB APPROVAL
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF
SECURITIES
OMB Number: 3235-0104
Form 3 Expires: October 31, 2001
Filed pursuant to Section 16(a) of the Securities
Exchange Act of 1934, Section 17(a) of the Public
Estimated average burden Utility Holding Company Act of
1935 or Section 30(f) hours per response...0.5
of the Investment Company Act of 1940
<TABLE>
<S> <C> <C> <C> <C>
(Print or Type
Responses)
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1. 2. Date of Event 4. Issuer Name and Tickler
Name and Address of Requiring Statement or Trading Symbol
Reporting Person* (Month/Day/Year)
North American Resort
Coughlin, William June 5, 2000 & Golf, Inc. NRGF
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(Last) (First)
33163 - 2nd Avenue
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(Street) 3. 5. 6. 7.
I.R.S. Identification Relationship of Reporting If Amendment, Date of Individual or
Number of Reporting Person(s) to Issuer Original Joint/Group
Mission, British Columbia Person, if an entity (Check all applicable) (Month/Day/Year) Filing
Canada V2V 6T8 (voluntary)
X
X
Director Form filed by One
==================================================== Reporting person
(City) (State) (Zip) X
10% Owner
X Form filed by More
Officer (give title below) than One Reporting
person
--
Other (specify below)
==========================
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Table I -- Non-Derivative Securities Beneficially Owned
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<S> <C> <C> <C>
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1. 2. 3. 4.
Title of Security Amount of Securities Ownership Form: Direct (D) or Nature of Indirect
(Instr. 4) Beneficially Owned Indirect (I) Beneficial Ownership
(Instr. 4) (Instr. 5) (Instr. 5)
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Common Stock -- --
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Table II-- Derivative Securities Beneficially Owned (e.g., puts, calls,
warrants, options, convertiblesecurities)
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<TABLE>
<S> <C> <C> <C> <C> <C> <C> <C>
1. 2. 3. 4. 5. 6.
Title of Date Exer- Title and Conver- Owner- Nature of Indirect
Derivative cisable and Amount of sion or ship Beneficial Ownership
Security Expiration Securities Exercise Form of (Instr. 5)
(Instr. 4) Date Underlying Price of Deriv-
(Month/Day/Yea Derivative Deri- ative
Security vative Securities:
(Instr. 4) Security Direct
(D) or
Indirect
(I)
(Instr. 5)
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Date Expira- Title Amount
Exer- tion or
cisable Date Number
of
Shares
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Series A
preferred 4-28-00 None common 2,250,000 $ -0 - D
stock stock
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Series A I Shares of Series A preferred stock are
preferred 4-28-00 None common 2,250,000 $ -0- owned by Carole Coughlin, who is the
stock stock wife of William Coughlin
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</TABLE>
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
Explanation of Responses:
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**Signature of Reporting Person Date
* If the form is filed by more than one reporting person, see Instruction
5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
File three copies of this Form, one of which must be manually signed.
Note: If space is insufficient,
See Instruction 6 for procedure.
