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UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL
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- -------- Washington, D.C. 20549 OMB Number 3235-0287
FORM 4 Expires: December 31, 2001
- -------- STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden
hours per response. . . .0.5
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[ ] Check this box if no Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the
longer subject to Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
Section 16. Form 4 or
Form 5 obligations
may continue.
See Instruction 1(b).
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1. Name and Address of Reporting | 2. Issuer Name and Ticker or Trading Symbol | 6. Relationship of Reporting Person(s) to Issuer
Person* | | (Check all applicable)
| |
| | [ ] Director [X] 10% Owner
Orbit II Partners, L.P. |MicroTel International, Inc. OTC.BB: "MCTL.OB"| [ ] Officer (give [ ] Other (specify
- ------------------------------------------------------------------------------| title below) below)
(Last) (First) (Middle) | 3. IRS or Social Security| 4. Statement for |
| Number of Reporting | Month/Year |
| Person (Voluntary) | |
| | 9/00 | ----------------------------------------
2 Rector Street, 16th Floor | |-----------------------------------------------------------------------
- -------------------------------| | 5.If Amendment, | 7. Individual or Joint/Group Filing
(Street) | | Date of Original| (Check Applicable Line)
| | (Month/Year) | [X] Form filed by One Reporting Person
New York New York 10006 | | | [ ] Filed by More than One Reporting Person
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(City) (State) Zip) | Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security | 2. Trans-| 3. Trans- | 4. Securities Acquired | 5. Amount of | 6. Owner- |7. Nature
(Instr. 3) | action| action | (A) or Disposed of (D) | Securities | ship | of In-
| Date | Code | (Instr.3, 4 and 5) | Beneficially| Form: | direct
| (Month/| (Instr. 8)| | Owned at | Direct | Beneficial
| Day/ |----------------------------------------- | End of Month| (D) or | Owner-
| Year) | | | | (A) or | | | Indirect | ship
| | Code | V | Amount | (D) | Price | (Instr.3 | (I) |
| | | | | | | and 4) | (Instr.4)| (Instr.4)
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Common Stock | 09/06/00 | P | | 40,000 | (A) |$0.60 | | (D) |
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| 09/11/00 | P | | 10,000 | (A) |$0.61 | | |
Common Stock | | | | | | | | (D) |
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Common Stock | 09/15/00 | P | | 19,000 | (A) |$0.61 | | (D) |
| | | | | | | | |
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Common Stock | 09/18/00 | P | | 10,000 | (A) |$0.61 | | (D) |
| | | | | | | | |
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| | | | | | | 2,795,685 | (D) |
Common Stock | | | | | | | | |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Over)
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FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1.Title of |2.Conver- |3.Transac-|4.Transac-|5.Number |6. Date Exer-|7.Title and |8.Price |9.Number |10.Owner- |11.Nature
Derivative | sion or | tion | tion | of Der- | cisable | Amount of | of | of Deriv-| ship | of
Security | Exercise| Date | Code | ivative | and Exp- | Underlying | Deriv-| ative | Form of | Indirect
(Instr. 3) | Price of| | (Instr.8)| Securi- | iration | Securities | ative | Secur- | Deriv- | Benefi-
| Deriv- | (Month/ | | ities | Date | (Instr.3 | Secur-| ities | ative | cial
| ative | Day/ | | Acquired | (Month/ | and 4) | ity | Bene- | Security:| Owner-
| Security| Year) | | (A) or | Day/Year) | | (Instr.| ficially | Direct | ship
| | | | Disposed | | | 5) | Owned | (D) or | (Instr.4)
| | | | of(D) |-----------------------------| | at End | Indirect |
| | | | (Instr.3,|Date |Expir|Title|Amount or| | of | (I) |
| | | | 4 and 5):|Exer- |ation| |Number of| | Month | (Instr.4)|
| | |----------------------|cisable|Date | |Shares | | (Instr.4) | |
| | | Code | V | (A) | (D) | | | | | | | |
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| | | | | | | | |Common| | | | |
Warrants | $1.00 |06/20/00 |J(1) | | (1) | |06/20/ |11/25/|Stock | 43,125 | | 43,125 | (D) |
| | | | | | | 00 | 01 | | | | | |
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/s/ Alan S. MacKenzie, Jr. 10/04/00
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Alan S. MacKenzie, Jr. Date
` As General Partner
**Signature of Reporting Person
Explanation of Responses:
**Intentional misstatements or omissions of facts constitute
Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) Orbit II Partners, L.P. ("Orbit II") acquired from the Issuer warrants to purchase 43,125 shares of Common Stock as
consideration for Orbit II's agreement to exercise certain warrants owned by Orbit II.
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained in this form are not required to respond
unless the form displays a currently valid OMB Number.
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