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FORM 3 OMB APPROVAL
- ------- OMB Number: 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response.....0.5
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Date of Event Requiring
Statement
BKR, Inc.
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(Last) (First) (Middle) (Month/Day/Year)
03/04/97
7944 East Becklane, #210
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(Street) 3. IRS or Social Security
Number of Reporting
Person (Voluntary)
Scottsdale, Arizona 85260 88-0371100
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(City) (State) (Zip)
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4. Issuer Name and Ticker or Trading Symbol
RESPONSE USA, INC. (RUOK)
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5. Relationship to Reporting Person(s) 6. If Amendment, Date of
to Issuer Original (Month/Day/Year)
(Check all applicable)
[ ] Director [X] 10% Owner
[ ] Owner
[ ] Officer [ ] Other ---------------------------------------
(give title (specify 7. Individual or Joint/Group
below) below) Filing (Check Applicable Line)
[ ] Form filed by One Reporting Person
[X] Form filed by More than One
Reporting Person
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TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED,
DISPOSED OF, OR BENEFICIALLY OWNED
<TABLE>
<CAPTION>
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct Ownership
(Instr. 4) (D) or Indirect (Instr. 5)
(I)(Instr. 5)
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<S> <C> <C> <C>
Common Stock 1,094,164 (D)
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction
5(b)(v).
(Over)
SEC 1473 (7-96)
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FORM 3 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS,
WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<TABLE>
<CAPTION>
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1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of
Security (Instr. 4) cisable and Underlying Derivative Security sion or ship Indirect
Expiration (Instr. 4) Exercise Form of Beneficial
Date Price of Deriv- Ownership
Deri- ative (Instr. 5)
(Month/Day/Year) vative Security:
------------------- ---------------------------------- Security Direct
Amount (D) or
of Indirect (I)
Date Expira- Number (Instr. 5)
Exer- tion Title of
cisable Date Shares
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<S> <C> <C> <C> <C> <C> <C>
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</TABLE>
BKR, INC., a Nevada corporation
/s/ Bert Bedrosian, President May 12, 1997
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**Signature of Reporting Person Date
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).
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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SEC 1473 (7-96)
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JOINT FILER INFORMATION
Name: Robin Bedrosian
Address: 7944 East Becklane, #210
Scottsdale, Arizona 85260
Designated Filer: BKR, Inc.
Issuer & Ticker Symbol: Response USA, Inc. (RUOK)
Date of Event
Requiring Statement: March 4, 1997
Signature: /s/ Robin Bedrosian, Secretary
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JOINT FILER INFORMATION
Name: Bert Bedrosian
Address: 7944 East Becklane, #210
Scottsdale, Arizona 85260
Designated Filer: BKR, Inc.
Issuer & Ticker Symbol: Response USA, Inc. (RUOK)
Date of Event
Requiring Statement: March 4, 1997
Signature: /s/ Bert Bedrosian, President
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