U. S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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 20(f) of the Investment Company Act of 1940
FORM 3
1. Name and Address of Reporting Person:
James Osborn
110 Veterans Blvd., Suite 222
Metairie, Louisiana 70005
2. Date of Event Requiring Statement (Month/Day/Year):
November 5, 1999
3. IRS or Social Security Number of Reporting Person
(Voluntary):
SS# ###-##-####
4. Issuer Name and Ticker or Trading Symbol:
Cucos Inc. - CUCO
5. Relationship of Reporting Person to Issuer:
President, Chief Executive Officer, and Director
6. If Amendment, Date of Original (Month/Day/Year):
Not applicable.
Table I - Non-Derivative Securities Beneficially Owned.
1. Title of Security (Instr. 4):
Common Stock
2. Amount of Securities Beneficially Owned (Instr. 4):
100 shares
3. Ownership Form:
Direct
4. Nature of Indirect Beneficial Ownership (Instr. 5):
N/A
Table II - Derivative Securities Beneficially Owned(e.g., puts,
calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4): None
2. Date Exercisable and Expiration Date:
Date Exercisable:
Expiration Date:
3. Title and Amount of Securities Underlying Derivative
Security (Instr. 4):
Title:
Amount or Number of Shares:
4. Conversion or Exercise Price of Derivative Security:
5. Ownership Form of Derivative Security: Direct (D) or
Indirect (I) (Instr. 5):
6. Nature of Indirect Beneficial Ownership (Instr. 5):
Explanation of Responses:
/s/ James Osborn
(Signature of Reporting Person)
Date: November 15, 1999
