U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
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
1. Name and Address of Reporting Person
Brunson Robert W.
(Last) (First) (Middle)
2250 North 1500 West
(Street)
Ogden, Utah 84404
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/ 16/ 00
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Issuer Name and Ticker or Trading Symbol
ISO BLOCK PRODUCTS USA, INC. (ISOB)
5. Relationship of Reporting Person to Issuer
(Check all applicable)
[ X] Director [X] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
Chairman, Board of Directors
President/Chief Executive Officer
6. If Amendment, Date of Original (Month/Year)
7. Individual or Joint/Group Filing (Check applicable line)
[ X ] Form Filed by One Reporting Person
[ ] Form Filed by More than One Reporting Person
<PAGE>
<TABLE>
<CAPTION>
Table I -- Non-Derivative Securities Beneficially Owned
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr.5)
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<S> <C> <C> <C>
Common Stock 40, 900,000 (D)
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Common Stock 2,000,000 (I) SPOUSE/ Community Property
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
Page 1 of 4
<PAGE>
FORM 3 (continued)
<TABLE>
<CAPTION>
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr.5) (Instr. 5)
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<S> <C> <C> <C> <C> <C> <C> <C>
Convertible Notes See Ex- See Ex- Common Stock, par 1,785,714 See Expla- D
planation planation value $0.0001 per nation of
of of Responses share Responses
Responses
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</TABLE>
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<PAGE>
Explanation of Responses:
On December 10, 1999, Cryocon, Inc. (the "Company"), a Utah corporation
entered into a Purchase Agreement with Robert Brunson to purchase assets from
Messr. Brunson, that are necessary for the operation of the Cryocon's business.
As partial consideration of the purchase, Cryocon issued, to Messr. Brunson,
Convertible Debentures in the principal amount of $50,000. The Convertible
Debentures bears 10% interest and are due January 3, 2003 in the principal
amount of $50,000.
Subject to and upon compliance with the provisions of the Debentures,
at the option of the Holder, the Debentures or any portion thereof and any
accrued and unpaid interest thereon may be converted into fully paid and
nonassessable shares (calculated as to the nearest number of whole shares) of
Cryocon's Common Stock at the Conversion Price of $0.028 per share. The total
number of shares of Common Stock into which Debenture may be converted will be
determined by dividing the unpaid principal amount, plus accrued and unpaid
interest thereon by the Conversion Price. No fractional shares will be issued
upon conversion. The Conversion right expires when all of the Debentures have
been paid in full, including accrued interest and costs of collection.
On August 16, 2000, Iso-Block Products (USA), Inc., a Colorado
corporation, Cryocon Inc., and shareholders of Cryocon closed an Agreement and
Plan of Reorganization, wherein, the Cryocon's shareholders sold all of their
11,000,000 Cryocon Shares. Pursuant to the Agreement and Plan of Reorganization,
Iso Block agreed that the Convertible Notes shall be convertible into shares of
Iso Block's common stock, and as soon as practicable following the Closing, the
Company shall file a registration statement on an appropriate form for the
purpose of registering under the Act all of the shares issuable upon conversion
of principal and interest owed under the Convertible Notes.
Messr. Brunson agreed not to convert the Notes until after Iso-Block
completes a 1:4 reverse stock split planned for September 2000. If the reverse
stock split becomes effective, the number of shares issued to Messr. Brunson
will be reduced by the same ratio.
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<PAGE>
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, See Instruction 6 for procedure.
/s/ Robert W. Brunson August 25, 2000
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Robert W. Brunson
**Signature of Reporting Person Date
Name: Robert Brunson
Title: Chairman, Director, President
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