U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
o Check this box if no longer
subject to Section 16.
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
Form 4 or Form 5
obligations may continue.
See Instruction 1(b).
1. Name and Address of Reporting Person:
CyberAmerica Corporation
268 West 400 South - Suite 300
Salt Lake City, Utah 84101
2. Issuer Name and Ticker or Trading Symbol:
Kelly's Coffee Group, Inc.
OTC-Bulletin Board Symbol = KLYS
3. IRS or Social Security Number of Reporting Person (Voluntary):
4. Statement for Month/Year:
September 2000
5. If Amendment, Date of Original(Month/Year):
6. Relationship of Reporting Person to Issuer (Check all applicable):
_____ Director _______10% Owner
_____ Officer(give title below) __X___Other (specify below)
CyberAmerica has a beneficial ownership of 14.6% of the outstanding Kelly's
shares. 1.1% of these shares are directly held by CyberAmerica while 13.5% are
indirectly held through its subsidiaries (Hudson Consulting Group, Inc. and
Oasis International Hotel and Casino, Inc.).
<TABLE>
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
<CAPTION>
1. Title of Security 2. Transaction 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature
(Instr. 3) Date Code or Disposed of (D) Securities Form: of Indirect
(Month/Day/Year) (Instr. 8) (Instr. 3, 4 and 5) Beneficially Direct (D) or Beneficial
Owned at End Indirect (I) Ownership
of Month (Instr. 4) (Instr. 4)
(Instr. 3 and 4)
(A) or
Code V Amount (D) Price
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock September 27, 2000 S 20,000 D $0.0761 7,623,340 D
</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly. (Over)
(Print or Type Responses) SEC 1474 (8-92)
<PAGE>
<TABLE>
FORM 4(continued) Table II -- Derivative
Securities Acquired, Disposed of, or
Beneficially Owned (e.g., puts, calls,
warrants, options, convertible
securities)
<CAPTION>
1. Title of 2. Conversion or 3. Transaction 4. Trans- 5. Number of 6. Date 7. Title and 8. Price
Derivative Exercise Price of Date (Month/ action Derivative Exercisable and Amount of of
Security Derivative Day/Year) Code Securities Expiration Date Underlying Deriv-
(Instr. 3) Security (Instr. 8) Acquired (A) or (Month/ Securities ative
Disposed of (D) Day/Year) (Instr. 3 and 4) Security
(Instr. 3, 4,& 5) (Instr.5)
Date Expir- Amt.. or
Code V (A) (D) Exer- ation Title No.of
cisable Date Shares
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
</TABLE>
Table II (continued)
9. Number 10.Owner- 11. Nature
of ship Form of
Derivative of Indirect
Securities Derivative Beneficial
Beneficially Security: Owner-
Owned at Direct (D) ship
End of or Indirect (Instr. 4)
Month (I)
(Instr. 4) (Instr. 4
Explanation of Responses:
CyberAmerica Corporation has held 605,000 shares Kelly's Coffee Group, Inc.
since August 25, 1997. This is the first transaction directly involving its
beneficial ownership of Kelly's Coffee Group, Inc. shares since that time. For a
more complete picture of CyberAmerica's indirect beneficial ownership of Kelly's
Coffee, please see the Form 4 filings of its subsidiaries Canton Financial
Services, Inc., Hudson Consulting Group, Inc., and Oasis International Resorts
and Casino, Inc.
** Intention misstatements or omission of facts constitute
Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/Richard D. Surber October 10, 2000
------------------------- -------------
**Signature of Richard D. Surber, President, Date
CyberAmerica Corporation
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient, See Instruction 6 for procedure.
Page 2
SEC 1474 (8-92)
