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:
William D. Hanna
2051 Springdale Road
Cherry Hill, New Jersey 08003
2. Date of Event Requiring Statement - (Month/Day/Year) November 10, 1999
3. IRS or Social Security Number of Reporting Person (Voluntary):
4. Issuer Name and Ticker or Trading Symbol: Nugget Exploration, Inc.
OTC-Bulletin Board Symbol = NUGT
5. Relationship of Reporting Person to Issuer (Check all applicable):
___X__ Director ____X____10% Owner
_____ Officer(give title below) ____Other (specify below)
6. If Amendment, Date of Original(Month/Year):
<TABLE>
<CAPTION>
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership
(Instr. 4) Beneficially Owned Form: Direct (Instr. 5)
(Instr. 4) (D) or Indirect (I)
(Instr. 5)
<S> <C> <C> <C>
Common stock 500,000 D
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly. (Over)
(Print or Type Responses) SEC 1473 (8-92)
<PAGE>
FORM 3 (continued)
<TABLE>
<CAPTION>
Table II--Derivative Securities Beneficially Owned (e.g.,puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4.Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) cisable and Underlying Derivative Security sion or ship Form Beneficial Ownership
Expiration (Instr. 4) Exercise of Deriv- (Instr. 5)
Date Price of ative
(Month/Day/Year) Deri- Security:
vative Direct
Security (D) or
Indirect
(I)
Instr. 5)
Date Expira- Amount or
Exer- tion Title Number of
cisable Date Shares
<S> <C> <C> <C> <C> <C> <C> <C>
</TABLE>
Explanation of Responses:
** Intentional misstatements or omission of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ William D. Hanna December 20, 1999
----------------------------- ---------------
**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient, See Instruction 6 for procedure.
Page 2
SEC 1473 (8-92)
