CREATIVE GAMING INC
3, 1997-12-11
MISCELLANEOUS AMUSEMENT & RECREATION
Previous: MILLER DIVERSIFIED CORP, 10KSB, 1997-12-11
Next: ANNTAYLOR INC, SC 13G/A, 1997-12-11



<PAGE>
 
 
                    U.S. SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C. 20549

FORM 3                                                      OMB APPROVAL
                                                   -----------------------------
                                                   OMB NUMBER:  3235-0104
                                                   Expires:  April 30, 1997
                                                   Estimated average burden
                                                   hours per response ...... 0.5
                                                   -----------------------------


            INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES



    Filed pursuant to Section16(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

   Brannan                            David                             F.
- --------------------------------------------------------------------------------
  (Last)                             (First)                         (Middle)

   2268 Shadow Spring Place
- --------------------------------------------------------------------------------
                                    (Street)

   Westlake Village                     CA                            91361
- --------------------------------------------------------------------------------
  (City)                             (State)                          (Zip)


- --------------------------------------------------------------------------------
2. Date of Event Requiring Statement (Month/Day/Year)

   11/11/97
- --------------------------------------------------------------------------------
3. IRS Number of Reporting Person (Voluntary)

   --
- --------------------------------------------------------------------------------
4. Issuer Name and Ticker or Trading Symbol
   Creative Gaming, Inc.  CLPID
- --------------------------------------------------------------------------------
5. Relationship of Reporting Person to Issuer:
       (Check all applicable)


             X    Director                         10% Owner
           -----                           ------ 

             X    Officer (give                    Other (Specify
           -----           title below)    ------         below)

                                Vice President 
                      ----------------------------------

- --------------------------------------------------------------------------------
6. If Amendment, Date of Original   (Month/Day/Year)


- --------------------------------------------------------------------------------
7. Individual or Joint/Group Fiing (Check applicable line)

    X  Form filed by One Reporting Person
   ___
       Form Filed by More than One Reporting Person
   ---

- --------------------------------------------------------------------------------

<TABLE> 
<CAPTION> 
                                      Table 1 -- Non-Derivative Securities Beneficially Owned

1. Title of Security          2. Amount of Securities         3. Ownership Form:        4. Nature of Indirect Beneficial Ownership
   (Instr. 4)                    Beneficially Owned              Direct (D) or             (Instr. 5)
                                 (Instr. 4)                      Indirect (I)
                                                                 (Instr. 5)
- --------------------------    ---------------------------      -----------------        ------------------------------------------
<S>                           <C>                              <C>                      <C> 

        None
- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------

- --------------------------    ---------------------------      -----------------        ------------------------------------------
</TABLE> 
* If the Form is filed by more than one Reporting Person, see Instruction 
  5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially 
          owned directly or indirectly.

                  (Print or Type Responses)                      
                                                                 

                                                                         (Over)
                                                                SEC 1473 (8-92)

<PAGE>
 

FORM 3 (continued)   

<TABLE> 
<CAPTION> 

        Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security   2. Date Exer-   3. Title and Amount of Securities  4. Conversion   5. Ownership    6. Nature of 
   (Instr. 4)                        cisable and     Underlying Derivative Security     or Exercise     Form of         Indirect
                                     Expiration     (Instr. 4)                          Price of        Derivative      Beneficial
                                     Date                                               Derivative      Security:       Ownership
                                    (Month Day                                          Security        Direct (D)     (Instr. 5)
                                     Year)                                                              or
                                  ------- ------- ---------------------------------                     Indirect (I)
                                  Date    Expira-                            Amount                    (Instr. 5)
                                  Exer-   tion                               or
                                  cisable Date             Title             Number
                                                                             of
                                                                             Shares
- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 
<S>                               <C>     <C>     <C>                        <C>    <C>             <C>             <C> 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 

- -------------------------------   ------- -------  ------------------------  ------ --------------- --------------- ------------- 
</TABLE> 
Explanation of Responses:



                                /s/ David F. Brannan                12/9/97
                              _______________________________    ______________
                              **Signature of Reporting Person         Date


**Intentional misstatements or omissions of facts constitute Federal Criminal 
  Violations.
  
  See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If 
      space provided is insufficient, 
      See Instruction 6 for procedure.






© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission