<TABLE>
<CAPTION>
FORM 4
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[ ] CHECK THIS BOX IF NO LONGER OMB APPROVAL
SUBJECT TO SECTION 16. FORM 4 OR --------------------------------
FORM 5 OBLIGATIONS MAY CONTINUE. OMB NUMBER: 3235-0287
SEE INSTRUCTION 1(b). EXPIRES: SEPTEMBER 30, 1998
(PRINT OR TYPE RESPONSES) ESTIMATED AVERAGE BURDEN
HOURS PER RESPONSE..........0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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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<S> <C> <C>
1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting
Person to Issuer
FCMI Financial Corp. Gold Standard, Inc. (GSTD) (Check all applicable)
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(Last) (First) (Middle) 3. IRS or Social 4. Statement for Month/Year [ ] Director [X] 10% Owner
Security Number [ ]Officer [ ]Other
of Reporting September 1999 (give title (specify title
181 Bay Street Person below) below)
- --------------------------------------- (Voluntary) ----------------------------
(Street)
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Toronto Ontario, Canada M5J 2T3 5. If Amendment, 7. Individual or Joint/Group Filing
- --------------------------------------- Date of Original (Check Applicable Line)
(City) (State) (Zip) (Month/Year) [ ] Form filed by One Reporting Person
[X] Form filed by More than One 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. Ownership Form: 7. Nature of
(Instr.3) action action Code or Disposed of (D) Securities Direct (D) or Indirect
Date (Instr. 8) (Instr. 3,4 and 5) Beneficially Indirect (I) Beneficial
Owned at End of (Instr. 4) Ownership
(Month/ Month (Instr. 4)
Day/Year)
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Code V Amount (A) or (D) Price (Instr. 3 and 4)
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Common Stock, par value
$0.001 per share 9/28/99 S 10,000 D $3.250
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Common Stock, par value
$0.001 per share 9/28/99 S 1,000 D $3.125
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Common Stock, par value
$0.001 per share 9/29/99 S 5,000 D $3.250 105,218 (1) D (2)
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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 1474 (7/96)
1
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<PAGE>
FORM 4 (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. Conversion 3. Transaction 4. Transaction 5. Number of
Derivative or Exercise Date Code Derivative
Security Price of (Month/Day/Year) (Instr. 8) Securities
(Instr. 3) Derivative Acquired (A)
Security or Disposed
of (D)
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Code V (A) (D)
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Warrants to
Purchase
Common Stock $12.00(1)
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<TABLE>
<CAPTION>
FORM 4 (continued)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(E.G., puts, calls, warrants, options, convertible securities)
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<S> <C> <C> <C> <C> <C>
6. Date 7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of
Exercisable of Underlying Derivative Derivative Form of Indirect
and Expiration Securities Security Securities Derivative Beneficial
Date (Instr. 3 and 4) Beneficially Security: Ownership
(Month/Day/Year) Owned at Direct (D) or (Instr. 4)
End of Indirect (I)
Month (Instr. 4)
(Instr. 4)
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Amount
Date Expir- or
Exer- ation Number
cisable Date Title of Shares
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Immed. 3/31/03 Common Stock 46,875(1) N.A. 46,875 D (2)
(1)(3)
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</TABLE>
Explanation of Responses:
1. All share amounts in Table I and all share amounts and exercise prices in
Table II reflect a one-for-four reverse split effective April 1, 1998 and a
second one-for-four reverse split effective November 8, 1998.
2. All shares and warrants reported in this Form 4 are owned directly by FCMI
Financial Corp. ("FCMI"). Mr. Albert D. Friedberg is the President of FCMI,
which is controlled by Mr. Friedberg and owned by Mr. Friedberg and members of
his immediate family.
3. Amounts in this column reflect the expiration (i) on July 18, 1999 of
warrants to purchase 46,875 shares at $36.00 per share and (ii) on May 10, 1999
of warrants to purchase 37,500 shares at $24.00 per share (in each case, giving
effect to both reverse splits described in Note 1 above.).
<TABLE>
<CAPTION>
<S> <C> <C>
FCMI Financial Corp. October 5, 1999
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
By: /s/ ENRIQUE FENIG
Note: File three copies of this Form, one of which must be manually signed. ------------------------
Enrique Fenig
Executive Vice President
If space is insufficient, SEE Instruction 6 for procedure.
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 /s/ ALBERT D. FRIEDBERG. October 5, 1999
valid OMB Number. ------------------------
Albert D. Friedberg
</TABLE>
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<PAGE>
FORM 4 - ADDITIONAL REPORTING PERSON INFORMATION
1. Name and Address of Additional Reporting Person:
Albert D. Friedberg
181 Bay Street
Toronto, Ontario, Canada M5J 2T3
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