U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
FORM 4 OMB APPROVAL
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[ ] CHECK THIS BOX IF NO LONGER OMB NUMBER 3235-0287
SUBJECT TO SECTION 16. EXPIRES: FEBRUARY 1, 1994
FORM 4 OR FORM 5 OBLIGATIONS EXTIMATED AVERAGE BURDEN
MAY CONTINUE. SEE INSTRUCTION HOURS PER RESPONSE......0.5
1(b).
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
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1. Name and Address of Reporting Person
Todd Sanders
19100 Von Karman Avenue, Suite 450
Irvine, California 92612
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2. Issuer Name and Ticker or Trading Symbol
Latin American Casinos, Inc. (LACI)
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3. IRS or Social Security Number or Reporting Person (Voluntary)
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4. Statement for Month/Year
December, 2000
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer (Check all applicable)
[X] Director [X] 10% Owner
[X] Officer (give title below) [ ] Other (specify below)
Chief Executive Officer
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<PAGE>
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TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF,
OR BENEFICIALLY OWNED
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<TABLE>
<CAPTION>
1. Title 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of
of Security action action or Disposed of (D) Securities Ship Form: Indirect Bene-
(Instr. 3) Date Code (Instr. 3, 4 and 5) Beneficially Direct (D) ficial Owner-
(Month/ Instr.8) Owned at or Indirect ship
Day/Year) -------------------------------------- End of Month (I) (Instr. 4)
Code V Amount (A) or Price (Instr. 3 and 4) (Instr. 4)
(D)
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<S> <C> <C> <C> <C> <C> <C> <C>
Common Stock 12/12/00 J (See Below) 100,000(A) $1.75 1,475,117 I Devenshire
Management
Corporation
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly. (Print or Type Responses)
(Over)
SEC 1474 (3/91)
<PAGE>
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TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1.Title 2.Conver- 3.Trans- 4.Transac- 5.Number 6.Date 7.Title and 8.Price 9.Number of 10.Owner- 11.Nature
of Deriv- sion or action tion Code of Deriv- Exercise Amount of of Deriva- Derivative ship Form of Indir-
ative Exercise Date (Instr. 8) ative Se- and Expir- Underlying tive Secur- Securities of Deriv- ect Bene-
Security Price of (Month/ curities ation Date Securities ity (Instr. Beneficially ative Se- ficial
(Instr. 3) Derivative Day/Year) Acquired (Month/Day/ (Instr. 5) Owned at End curity: Ownership
Security (A) or Year) 3 & 4) of Month Direct (Instr. 4)
Disposed --------------------------- (Instr. 4) (D) or
of (D) Date Expir- Amt. or Indirect
(Instr. Exer- ation Title Num. of (I) (Instr.
3, 4 & 5) cisable Date Shares 4)
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Code V (A) (D)
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Debenture $1.75 12/14/00 P $150,000 12/14/00 6/13/00 200,000 $150,000 $150,000 I Devenshire
Management
Corporation
Warrant $1.75 12/12/00 J (See 750,000 12/12/00 12/11/05 750,000 See below 750,000 I Devenshire
below) Management
Corporation
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</TABLE>
Explanation of Responses:
Common Stock and Warrants (20,000 of which are in the name of The Zachary Todd
Sanders Trust, Zachary Todd Sanders is the son of Todd Sanders) acquired
pursuant to an employment arrangement.
** 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.
/s/ TODD SANDERS January 10, 2001
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Todd Sanders Date
