|
UNITED STATES SECURITIES AND EXCHANGE |
||
COMMISSION |
||
Washington, D.C. 20549 |
||
Form 5 |
ANNUAL STATEMENT OF CHANGES BENIFICIAL OWNERSHIP |
|
__ Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1 (b). | 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 |
|
X Form 3 Holdings Reported | ||
__ Form 4 Transactions Reported | ||
1. Name and Address of Reporting Person* | 2. Issuer Name and Ticker or Trading Symbol | 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) | |
X Director 40% Owner | |||
X Officer ___ Other | |||
(give title below) (specify below) | |||
Thomas J. Craft Jr. |
Fifth Avenue Acquisition I Corp. |
  ; President |
|
301 Clematis Street, Suite 3000 |
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) ###-##-#### | 4. Statement for Month/Year 12/2000 |
7. Individual or Joint/Group Filing |
(Check Applicable) | |||
West Palm Beach, FL 33401 |
6. If Amendment, Date of Original (Month/Day/Year) N/A | X Form filed by One | |
__Form filed by More than One Reporting person |
1. Title of Security |
2. Transaction Date |
3. Transaction Code |
4. Securities Acquired (A) or Disposed of (D) |
5. Amount of Securities Beneficially Owned at the end of Issuer's Fiscal Year |
6. Ownership Form: Direct (D) or Indirect (I) |
7. Nature of Indirect Beneficial Ownership |
||
Amount |
(A) or (D) |
Price |
||||||
Common Stock |
08/20/2000 |
P |
400,000 |
A |
$.001 |
400,000 |
D |
N/A |
1. Title of Derivative Security |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date | 4. Transaction Code | 5. Number of Derivative Securities Acquired (A) or Disposed (D) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Security | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned at End of Year | 10. Ownership of Derivative Security: Direct (D) or Indirect | 11. Nature of Indirect Beneficial Ownership | |||
(A) |
(D) |
Date Exercisable | Expiration | Title | Amount or Number of Shares | ||||||||
Explanation of Responses |
By /s/ Thomas Craft Jr., January 18, 2001 |
Signature of reporting Person Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
* If the form is filed by more than one reporting person, see Instruction 4(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). |
|