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FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL
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OMB Number 3235-0362
|X| Check this box if ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Expires: September 30, 1998
no longer subject Estimated average burden
to Section 16. Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, hours per response........1.0
Form 4 or Form 5 Section 17(a) of the Public Utility Holding Company Act of 1935 -------------------------------
obligations may or Section 30(f) of the Investment Company Act of 1940
continue. See
Instruction 1(b)
|_| Form 3 Holdings Reported
|_| Form 4 Transactions Reported
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1.Name and Address of Reporting Person* 2.Issuer Name AND Ticker or Trading Symbol 6.Relationship of Reporting Person to Issuer
(Check all applicable)
Sayed Consulting, Inc. Colorado Wyoming Reserve Company (CWYR) Director X 10% Owner
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(Last) (First) (Middle) 3.IRS or Social Security 4.Statement for Officer (give Other (Specify
Number of Reporting Month/Year --- title --- below)
Person (Voluntary) below)
11800 Cental Avenue, Suite 100 June 30, 1999
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(Street) 5.If Amendment, 7.Individual or Joint/Group Filing
Date of Original (Check applicable line)
(Month/Year) X Form filed by One Reporting Person
Chino CA 91710-7202 ---
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(City) (State) (Zip) --- Reporting Person
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TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1.Title of Security 2.Trans- 3.Transaction 4.Securities Acquired (A) 5.Amount of 6.Ownership 7.Nature of
(Instr. 3) action Code or Disposed of (D) Securities Form: Indirect
Date (Instr. 8) (Instr. 3, 4 and 5) Beneficially Direct (D) or Beneficial
------------------------------- Owned at End Indirect (I) Ownership
(Month/ of Issuer's (Instr. 4) (Instr. 4)
Day/ Amount (A) or Price Fiscal Year
Year) (D) (Instr. 3 and 4)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
* If the form is filed by more than one Reporting Person, see Instruction 4(b)(v). SEC 2270 (7-96)
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FORM 5 (continued) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Expiration Securities Deriv-
Price of (Month/ (Instr. 8) Acquired (A) Date (Instr. 3 and 4) ative
Deriv- Day/ or (Month/Day/ Secur-
ative Year) Disposed of (D) Year) ity
Security (Instr. 3, 4, (Instr. 5)
and 5)
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Date Expira- Amount or
(A) (D) Exer- tion Title Number of
cisable Date Shares
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Stock Option $0.25 5/17/99 A (1) 200,000 04/30/98 01/30/08 Common 200,000
(right to buy) Stock
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Stock Option $1.00 5/17/99 D (2) 200,000 04/30/98 01/30/08 Common 200,000
(right to buy) Stock
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1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative Form of Indirect
(Instr. 3) Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) or (Instr. 4)
of Year Indirect (I)
(Instr. 4) (Instr. 4)
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Stock Option 200,000 D
(right to buy)
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Stock Option D
(right to buy)
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Explanation of Responses:
(1) The reported transaction involved the repricing of an existing option which was originally granted on January 30, 1998 and
repriced on December 4, 1998.
(2) Cancellation of option in connection with grant of replacement option.
SAYED CONSULTING, INC.
** Intentional misstatements or omissions of facts By: /s/ WASEEM A. SAYED July 23, 1999
constitute Federal Criminal Violations. ---------------------------------- -------------
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). *Signature of Reporting Person Date
Waseem A. Sayed
Note: File three copies of this Form, one of which must be manually signed. Page 2
If space provided is insufficient, see Instruction 6 for procedure. SEC 2270 (7-96)
Potential persons who are to respond to the collection of information contained in this
form are not required to respond unless the form displays a currently valid OMB number.
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