FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington D.C. 2054 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 G. Richard Chamberlin 11490
S. Highway 441; Summerfield, Florida 34491
2. Issuer Name and Ticker or Trading Symbol Equity Growth Systems, inc.
3. IRS or Social Security Number or Reporting Person (Voluntary)
###-##-####
4. Statement for Month/Year January, 1999
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (check all
applicable)
X Director __10% Owner
X Officer __ Other (Specify Below)
- ---------------------------------
7. Individual or Joint/Group Reporting (Check applicable line)
X Form filed by One Reporting Person
__ Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instruction 4) Common Stock
2. Amount of Securities Beneficially Owned (Instruction 4) 125,000 shares
3. Ownership Form: Direct (D) or Indirect (I) (Instruction 5) Direct
4. Nature of Indirect Beneficial Ownership (Instruction 5) Not
Applicable
<PAGE>
Table II - Derivative Securities Beneficially Owned
1. Title of Derivative Security (Instruction 4)
2. Date Exercisable and Expiration Date
Exercisable Expiration
Date Date
3. Title and Amount of Securities Underlying Derivative Security (Instruction
Title Amount or Number of Shares
4. Conversion of Exercise Price of Derivative Security
5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instruction 5)
6. Nature of Indirect Beneficial Ownership (Instruction 5)
Explanation of Responses:
/s/ G. Richard Chamberlin February 10, 1999
- ----------------------------------------------------
/s/ G. Richard Chamberlin
Date
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
Note: File three copies of this Form, one of which must be manually signed.
If space provided 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
valid OMB number.
