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Previous: AQUILA CASCADIA EQUITY FUND, NSAR-A, 1999-11-23 |
Next: ELECTRONIC SYSTEMS TECHNOLOGY INC, 3, 1999-11-23 |
FORM 3
UNITED STATES 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 30(f) of the Investment Company Act of 1940
Kirchner Tom L |
2. Date of Event Requiring Statement (Month/Day/Year) 10/25/99 |
4. Issuer Name and Ticket or Trading Symbol Electronic Systems Technology, Inc. (ELST) |
6. If Amendment, Date of Original (Month/Day/Year) |
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(Last) (First) (MI)
354 W. Adair Dr. |
3. IRS or SSN of Reporting Person (Voluntary) |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ X ] Director [ ] 10% Owner [ X ] Officer (give title below) [ ] Other (specify below) President/CEO
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7. Individual or Joint/Group Filing (Check applicable line) [ X ] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person |
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(Street)
Richland WA 99352 |
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(City) (State) (Zip) |
Table I : Non-Derivative Securities Owned |
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1. Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Inst. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Inst. 5) |
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Common Stock |
403,488 |
D |
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Reminder: Report of a separate line for each class securities owned directly or indirectly.
Form 3 (continued)
Table II : Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Inst. 4)
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2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
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 |
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
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OPTIONS |
2/7/1997 |
2/7/2000 |
Common Stock |
25,000 |
$0.28 |
D |
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OPTIONS |
2/6/1998 |
2/5/2001 |
Common Stock |
25,000 |
$0.41 |
D |
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OPTIONS |
2/12/1999 |
2/11/2002 |
Common Stock |
25,000 |
$0.44 |
D |
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Explanation of Responses:
/s/ T.L. KIRCHNER November 18, 1999
_________________________________ ____________
**Signature of Reporting Person Date
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
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