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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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
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FORM 5
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[ ] Check box if no longer
subject to Section 16.
Form 4 or Form 5
obligations may
continue. See
Instruction 1(b).
[ ] Form 3 Holdings Reported
[X] Form 4 Transaction Reported
<S> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Persons
Heesch Gary V. to Issuer
- ------------------------------------------ Wasatch Pharmaceutical, Inc. (WASP) (Check all applicable)
(Last) (First) (Middle) _ Director _ 10% Owner
714 East 7200 South X Officer (give title _ Other
- ------------------------------------------ below) (specify
(Street) below)
Midvale, UT 84047 President and CEO
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(City) (State) (Zip) 3. IRS Identification 4. Statement for Month/Year 7. Individual or Joint/Group Reporting
Number of Reporting December 1999 (check applicable line)
Person, if an Entity --------------------------- X Form Filed by One Reporting Person
(Voluntary) 5. If Amendment, Date of _ Form Filed by More than One
Original (Month/Year) 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.Trans- 4.Securities Acquired (A) 5.Amount of 6.Owner- 7.Nature of
(Instr.3) action action or Disposed of (D) Securities ship Indirect
Date Code (Instr. 3, 4 and 5) Beneficially Form: Beneficial
(Month/ (Instr. ------------------------- Owned at Direct Ownership
Day/Year) 8) A End of (D) or (Instr. 4)
Amount or Price Issuer's Indirect
D Fiscal Year (I)
(Instr. 3 & 4) (Instr. 4)
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Common Stock 03/16/99 S/4 200,000 (D) Exchange
Explanation of Stock
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Common Stock 03/30/99 S/4 144,000 (D) Exchange
Explanation of Stock
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Common Stock 04/12/99 P/4 330,000 (A) Exchange (D)
Explanation of Stock
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Common Stock 05/17/99 P/4 244,000 (A) Exchange (D)
Explanation of Stock
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Common Stock 06/16/99 S/4 70,000 (D) Exchange (I) By Spouse
Explanation of Stock Community
Property
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Common Stock 06/16/99 P/4 84,000 (A) Exchange (I) By Spouse
Explanation of Stock Community
Property
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Common Stock 08/05/99 G/4 221,000 (D)
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Common Stock 09/21/99 S/4 20,000 (D)
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Common Stock 09/21/99 G/4 50,000 (D)
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Common Stock 10/06/99 S/4 200,000 (D) Exchange
Explanation of Stock
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Common Stock 10/12/99 G/4 20,000 (D)
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Common Stock 10/06/99 S/4 10,000 (D)
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Common Stock 10/19/99 P/4 220,000 (A) Exchange (D)
Explanation of Stock
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Common Stock 10/26/99 S/4 5,000 (D)
Explanation
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Common Stock 10/26/99 S/4 5,000 (D)
Explanation
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Common Stock 11/05/99 J/4 50,000 (D)
Explanation
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Common Stock 12/01/99 S/4 100,000 (D)
Explanation
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Common Stock 12/09/99 S/4 20,000 (D)
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Common Stock 12/31/99 5 88,696 D
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Common Stock 12/31/99 5 117,670 I By Spouse
Community
Property
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* If the Form is filed by more than one reporting person, see instruction 4(b)(v). (Over)
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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 2.Conver- 3.Trans- 4.Trans- 5.Number of 6.Date Exer- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature
Derivative sion or action action Derivative cisable and Amount of of of Deri- ship of of In-
Security Exercise Date Code Securities Expiration Underlying Deri- vative Deriva- direct
(Instr. 3) Price of (Month/ (Instr. Acquired Date (Month/ Securities vative Secur- tive Bene-
Deri- Day/ 8) (A) or Day/Year) (Instr. 3 Secu- ities Security: ficial
vative Year) Disposed and 4) rity Benefi- Direct Owner-
Security of (D) ----------------------------- (Instr. cially (D) or ship
(Instr.3, Date Expir- Amount or 5) Owned Indirect (Instr.
4, and 5) Exer- ation Title Number of at End (I) 4)
----------- cisable Date Shares of Year (Instr.4)
(A) (D) (Instr.4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Options $.001 03/04/99 P/4 2,000,000 immed. none common 2,000,000 services none (D)
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Options $.001 12/31/99 5 825,000 immed. none common 825,000 services none (D)
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Explanation of Responses:
1. Issued to third-party in exchange for new shares issued by Corporation.
2. Issued to third-party in exchange for new shares issued by Corporation.
3. Shares issued by Corporation in exchange for shares transferred to third-party.
4. Shares issued by Corporation in exchange for shares transferred to third-party.
5. Issued to third-party in exchange for new shares issued by Corporation.
6. Shares issued by Corporation in exchange for shares transferred to third-party.
7. Issued to third-party in exchange for new shares issued by Corporation.
8. Shares issued by Corporation in exchange for shares transferred to third-party.
9. Shares issued to third-party to repay corporate debt.
10. Shares issued to third-party to repay corporate debt.
11. Issued to third-party in exchange for new shares to be issued by Corporation.
** Intentional misstatements or omissions of facts constitute /s/ Gary V. Heesch 04/05/00
Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -------------------------------- --------
** 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.
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