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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. 5 )*
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United States Exploration, Inc.
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(Name of Issuer)
Common Shares, $.0001 par value per share
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(Title of Class of Securities)
91182F 10 5
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(CUSIP Number)
Terry L. Carroll, President, United States Exploration, Inc.
1901 New Street, Independence, Kansas 67301 (316) 331-8102
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(Name, Address and Telephone Number of Person Authorized to Receive Notices and
Communications)
August 5, 1996
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(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-l(b)(3) or (4), check the following box [ ].
Check the following box if a fee is being paid with the statement [ ]. (A fee is
not required only if the reporting person: (1) has a previous statement on file
reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)
Note: Six copies of this statement, including all exhibits, should be filed with
the Commission. See Rule 13a-l(a) for other parties to whom copies are to be
sent.
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter
disclosures provided in a prior cover page.
The information required on the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the Notes)
SEC 1746 (12-91)
<PAGE>
SCHEDULE 13D
CUSIP No. 91182F 10 5 PAGE 2 OF 4 PAGES
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1 NAME OF REPORTING PERSON
S.S. OR l.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Terry L. Carroll ###-##-####
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [ ]
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3 SEC USE ONLY
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4 SOURCE OF FUNDS*
PF
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5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO [ ]
ITEMS 2(d) or 2(e)
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6 CITIZENSHIP OR PLACE OF ORGANIZATION
Citizen of the United States of America
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7 SOLE VOTING POWER
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NUMBER OF | | SOLE VOTING POWER
SHARES | | 830,360
BENEFICIALLY |-----------------------------------------------------------------
OWNED BY | | SHARED VOTING POWER
EACH | |
REPORTING |-----------------------------------------------------------------
WITH | | SOLE DISPOSITIVE POWER
| | 830,360
|-----------------------------------------------------------------
| | SHARED DIPOSITIVE POWER
| |
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11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
830,360
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12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES* [ ]
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13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
12.48%
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14 TYPE OF REPORTING PERSON*
Individual
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
(INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.
<PAGE>
SCHEDULE 13D
CUSIP No. 91182F 10 5 PAGE 3 OF 4 PAGES
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Item 1: SECURITY AND ISSUER
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This Statement relates to the acquisition, disposition and beneficial
ownership of Common Shares, $.0001 par value per share, of United States
Exploration, Inc. (hereinafter referred to as the "Company" or "USEX"), with
principal offices located at 1901 New Street, Independence, Kansas 67301.
Item 2: IDENTITY AND BACKGROUND
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a. Terry L. Carroll
b. 1901 New Street, Independence, Kansas 67301
c. President of United States Exploration, Inc., located at 1901 New
Street, Independence, Kansas 67301
d. During the past five years, Mr. Carroll has not been convicted in any
criminal proceedings.
e. During the past five years, Mr. Carroll has not been a party to a civil
proceeding of a judicial or administrative body of competent
jurisdiction.
f. Mr. Carroll is a citizen of the United States of America.
Item 3: SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
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N/A
Item 4: PURPOSE OF TRANSACTION
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The disposition of Common Shares were effected by Mr. Carroll in
connection with a private transaction for his own account.
Item 5: INTEREST IN SECURITIES OF THE ISSUER
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a. As of the date of the filing of this Schedule 13-D, Mr. Carroll held of
record 830,360 shares of USEX, which shareholding represents 12.48% of
the Common Shares then outstanding.
b. Mr. Carroll has the sole power to vote 830,360 of the shares held by
him.
c. On August 5, 1996, Mr. Carroll exercised options and subsequently
disposed of the underlying shares in a private transaction.
d. N/A
<PAGE>
SCHEDULE 13D
CUSIP No. 91182F 10 5 PAGE 3 OF 4 PAGES
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e. N/A
Item 6: CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT
TO SECURITIES OF THE ISSUER
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N/A
Item 7: MATERIAL TO BE FILED AS EXHIBITS
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N/A
SIGNATURE
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After reasonable inquiry and to the best of my knowledge and believe, I
certify that the information set forth in this Statement on Schedule 13D, is
true, complete and correct.
Date: 9-9-96
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/S/ TERRY L. CARROLL
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Terry L. Carroll
