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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
AMENDMENT NO. 1 TO FORM 3
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
Malone, Jr. Arthur L.
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(Last) (First) (Middle)
P.O. BOX 386 / 638 Lindero Canyon Road
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(Street)
Agoura Hills CA 91301
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
9/29/97
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3. IRS Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Creative Gaming, Inc. CLPID
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5. Relationship of Reporting Person to Issuer:
(Check all applicable)
Director X 10% Owner
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Officer (give Other (Specify
----- title below) ------ below)
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6. If Amendment, Date of Original (Month/Day/Year)
10/8/97
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7. Individual or Joint/Group Filing
(Check applicable line)
X Form filed by One Reporting Person
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----- Form filed by More than One Reporting Person
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<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
Beneficially Owned Direct (D) or (Instr. 5)
(Instr. 4) Indirect (I)
(Instr. 5)
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<S> <C> <C> <C>
12% Convertible Redeemable 67,200 D N/A
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Preferred Stock, Series C
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</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)
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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
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Date Expira- Amount (Instr. 5)
Exer- tion or
cisable Date Title Number
of
Shares
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<S> <C> <C> <C> <C> <C> <C> <C>
Warrant to purchase 9/29/97 9/29/99 Common Stock 875,000 $0.10 D N/A
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Common Stock
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</TABLE>
Explanation of Responses: The 67,200 shares of the 12% Convertible
Redeemable Preferred Stock, Series C is
convertible into 3,124,800 shares of
common stock of Creative Gaming, Inc.
/s/ ARTHUR L. MALONE, JR. 12/9/97
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**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.