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:
Richard D. Surber
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:
June 2000
5. If Amendment, Date of Original(Month/Year):
6. Relationship of Reporting Person to Issuer (Check all applicable):
_____ Director __X_____10% Owner
_____ Officer(give title below) __X___Other (specify below)
Surber owns 15.4% and has beneficial ownership of an additional 14.78% (as
President of companies owning said shares) for a total of 30.2%.
<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 June 5, 2000 S 10,000 D $0.0695 15,643,340 I Oasis Int'l
Hotel & Casino,Inc.
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)
</TABLE>
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<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:
Pursuant to Section 16(a) of the Securities Exhchange Act of 1934, this filing
shall not be deemed an admission that Richard D. Surber is, for purposes of
Section 16 of the Act or otherwise, the beneficial owner of any equity
securities covered by this statement.
** Intentional 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 July 10, 2000
------------------------- -------------
**Signature of Richard D. Surber, individually 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.
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SEC 1474 (8-92)