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FORM 3 OMB APPROVAL
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OMB Number:................
Expires: ..................
Estimated average burden ..
Hours per response ........
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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
(Print or Type Response)
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<S> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date
Wolas Annette Statement Trading Symbol of Original
---------------------------------------- (Month/Day/Year) Camera Platforms International (Month/Day/Year)
(Last) (First) (Middle) July 10, 2000 Inc. (CPFR)
11437 Dona Pegita Drive ---------------------------- ---------------------------------- -----------------------
---------------------------------------- 3. IRS or Social Security 5. Relationship of Reporting 7. Individual or Joint/
(Street) Number of Reporting Person to Issuer Group Filing (Check
Los Angeles California 91604 Person (Voluntary) (Check all applicable) Applicable Line)
-------------------------------------- Director X 10% Owner X Form filed by
(City) (State) (Zip) ---------------------------- ----- ----- ----- One Reporting
Officer Other Person
----- (give ----- (specify Form filed by
title below) below) ----- More than One
Reporting Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct (D) or Beneficial
(Instr. 4) Indirect (I) Ownership (Instr. 5)
(Instr. 5)
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Common Stock 2,484,512 I Limited Partner of Owner
of 2,484,512 shares of
of Common Stock
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Reminder: Report on a separate line for each class of securities beneficially owned indirectly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
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 control number.
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership
Expiration Date Derivative Security Exercise Form of (Instr. 5)
(Month/Day/ (Instr. 4) Price of Deriv-
Year) Deriv- ative
ative Security:
Security Direct
------------------------------------------------- (D) or
Date Expira- Amount or Indirect (I)
Exercis- tion Title Number (Instr. 5)
able Date of Shares
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Explanation of Responses:
** Intentional misstatements or omissions of facts constitute By: /s/ Annette Wolas 07/19/00
Federal Criminal Violations. ----------------------------------- --------------
**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.
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.
10410656v1
SEC 1473 (7-96) Page 2
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