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+--------+ UNITED STATES
| FORM 5 | SECURITIES AND EXCHANGE COMMISSION
+--------+ Washington, D.C. 20549
[_] Check box if
no longer subject ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
to Section 16.
Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities
obligations may Exchange Act of 1934, Section 17(a) of the
continue. See Public Utility Holding Company Act of 1935 or
Instruction 1(b). Section 30(f) of the Investment Company Act of 1940
[X] Form 3 Holdings Reported
[_] Form 4 Transactions Reported
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1. Name and Address of Reporting Person*
Canales la Rosa Jose A.
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(Last) (First) (Middle)
Oostrikkerdijk 21 A
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(Street)
5595 XC Leende, The Netherlands
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(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol Advanced Lumitech, Inc.
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3. I.R.S. or Identification Number of Reporting Person, if an entity
(Voluntary)
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4. Statement for Month/Year December 31, 1998
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
[X] Director [ ] Officer [ ] 10% Owner [ ] Other
(give title below) (specify below)
7. Individual or Joint/Group Filing (Check applicable line)
[X] Form filed by one Reporting Person
[ ] Form filed by more than one Reporting Person
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TABLE I--NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSAL OF, OR BENEFICIALLY OWNED
<TABLE>
<CAPTION>
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1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action or Disposed of (D) Securities ship of In-
Date Code (Instr. 3, 4 and 5) Beneficially Form: direct
(Month/ (Instr. 8) Owned at Direct Bene-
Day/ end of (D) or ficial
Year) Issuer's Indirect Owner-
(A) or Fiscal Year (I) ship
Amount (D) Price (Instr. 3 and 4) (Instr. 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 8/13/98 3 2,040,000 A 2,040,000 I By Holding
Canales B.V.
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</TABLE>
*If this form is filed by more than one person, see instruction 4(b)(v).
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FORM 5 (continued)
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSAL OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
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1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv-
Security (Instr. 3) sion or action tion Code ative Securities
Exercise Date (Instr. 8) Acquired (A) or
Price of (Month/ Disposed of (D)
Deriv- Day/ (Instr. 3, 4, and 5)
ative Year)
Security
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(A) (D)
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<S> <C> <C> <C> <C> <C>
None
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</TABLE>
TABLE II--DERIVATIVE SECURITIES ACQUIRED, DISPOSAL OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)--CONTINUED
<TABLE>
<CAPTION>
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1. Title of Derivative 6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na-
Security (Instr. 3) cisable and Underlying Securities of of Deriv- ship ture
Expiration (Instr. 3 and 4) Deriv- ative of De- of In-
Date ative Secur- rivative direct
(Month/Day/ Secur- ities Secu- Bene-
Year) ity Bene- rity: ficial
(Instr. ficially Direct Owner-
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Date Expira- Amount or at End Indi- (Instr.
Exer- tion Title Number of of Year rect (1) 4)
cisable Date Shares (Instr. 4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
None
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</TABLE>
Explanation of Responses: Holding Canales B.V., whose stock is 51% owned by the
reporting person, acquired 4,000,000 shares of common stock on August 13, 1998,
and the reporting person was elected as a Director of the Issuer on such 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.
/s/ Jose A. Canales la Rosa April 1, 1999
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**Signature of Reporting Person Date
