U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
[ ] Form 3 Holdings Reported
[ X ] Form 4 Transactions Reported
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1. Name and Address of Reporting Person
Kreitzberg Richard A.
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(Last) (First) (Middle)
3332 El Dorado Loop, S.
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(Street)
Salem Oregon 97302
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
OMNI Rail Products, Inc. (formerly Creative Medical Development, Inc.); ORXR
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
June 1997, April 1998, August 1998, January - May 1999, and November 1999
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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)
[ ] Director [ X ] 10% Owner
[ ] Officer (give title below) [ ] Other (specify below)
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7. Individual or Joint/Group Filing
(Chech applicable line)
[ X ] Form filed by One Reporting Person
[ ] Form filed by More than one Reporting Person
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<PAGE>
<TABLE>
<CAPTION>
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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5. 6.
4. Amount of Owner-
Security Acquired (A) or Securities ship
Disposed of (D) Beneficially Form: 7.
(Instr. 3, 4 and 5) Owned at End Direct Nature of
2. 3. ----------------------------- of Issuer's (D) or Indirect
1. Transaction Transaction (A) Fiscal Year Indirect Beneficial
Title of Security Date Code Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) (Instr. 8) (D) & 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C>
Common Stock 06/04/97 J4(1) 23,744 D $1.20 779,962 D
(as of 4/30/98)
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Common Stock 07/03/98 J4(2) 69,479 D 0(2) 243,990 D
(as of 4/30/99)
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Common Stock 07/03/98 J4(2) 8,517 D 0(2) 243,990 I By Spouse
(as of 4/30/99)
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Common Stock 02/23/99 J4(3) 416,872 D 0(3) 243,990 D
(as of 4/30/99)
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Common Stock 02/23/99 J4(3) 59,621 D 0(3) 243,990 I By Spouse
(as of 4/30/99)
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Common Stock 03/18/99 P4 5,000 A .50 243,990 D
(as of 4/30/99)
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Common Stock 04/20/99 P4 5,000 A .50 243,990 D
(as of 4/30/99)
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Common Stock 05/15/99 P4 10,000 A .50 258,990 D
(as of the date
hereof)
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Common Stock 11/05/99 P4 2,500 A .94 258,990 D
(as of the date
hereof)
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Common Stock 11/05/99 P4 2,500 A 1.00 258,990 D
(as of the date
hereof)
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly
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<TABLE>
<CAPTION>
FORM 5 (continued)
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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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9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- Securities Date Securities Price Bene- ity: In-
cise 3. Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- 4. or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Trans- of (D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date action (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ Code 4 and 5) Date Expira- Number ity Year (I) ship
Security Secur- Day/ (Instr. ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) 8) (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Series B (5) Common
Preferred Stock 0 06/04/97 J4(1) 2,429 04/30/98 04/30/99 Stock 2,429 0 2,429 D
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Common Stock Common
Options .72 04/21/98 J4(4) 30,907 04/30/98 02/02/05 Stock 30,907 .72 30,907 D
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Series B
Series B Preferred Preferred
Stock Options 0(5) 04/21/98 J4(4) 3,158 04/30/98 02/02/05 Stock 3,158 0 3,158 D
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Series B Common
Preferred Stock 0 07/03/98 J4(2) 7,098 04/30/98 04/30/99 Stock 7,098 0 7,098 D
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Series B Common
Preferred Stock 0 07/03/98 J4(2) 870 04/30/98 04/30/99 Stock 870 0 870 I By Spouse
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Common
Convertible Note 122,581 01/22/99 J4 1,903,416 01/22/99 01/22/04 Stock 1,903,416 122,581 1,903,416 D
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Series B
Preferred
Convertible Note 122,581 01/22/99 J4 198,146 01/22/99 01/22/04 Stock 189,146 122,581 198,146 D
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Common
Convertible Note 122,581 02/23/99 J4(3) 1,268,944 01/22/99 01/22/04 Stock 1,268,944 122,581 1,368,944 D
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Series B
Preferred
Convertible Note 122,581 02/23/99 J4(3) 132,097 01/22/99 01/22/04 Stock 132,097 122,581 132,097 D
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Series B Common
Preferred Stock 0 02/23/99 J4(3) 42,588 04/30/98 04/30/99 Stock 42,588 0 42,588 D
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Series B Common
Preferred Stock 0 02/23/99 J4(3) 5,220 04/30/98 04/30/99 Stock 5,220 0 5,220 I By Spouse
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Series B
Preferred
Convertible Note 122,581 09/07/99 J4(6) 66,049 01/22/99 01/22/04 Stock 66,049 0 66,049 D
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Series B Common
Preferred Stock 0 09/07/99 J4(6) 21,294 04/30/98 04/30/99 Stock 21,294 0 21,294 D
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Series B Common
Preferred Stock 0 09/07/99 J4(6) 2,611 04/30/98 04/30/99 Stock 2,611 0 2,611 I By Spouse
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Common Stock Common
Options 3.00 11/29/99 J4(7) 33,334 04/30/97 04/30/02 Stock 33,334 3.00 33,334 D
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Common Stock Common
Options 3.00 11/29/99 J4(8) 16,667 04/30/97 04/30/02 Stock 16,667 3.00 16,667 D
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</TABLE>
Explanation of Responses: See additional sheet for explanation of responses.
/S/ Richard A. Kreitzberg 02/03/00
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**Signature of Reporting Person 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.
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EXPLANATION OF RESPONSES FOR
FORM 5 OF RICHARD A. KREITZBERG
1. On June 4, 1997, the reporting person exercised his ______ option to
sell to the issuer 23,744 shares of common stock and 2,429 shares of Series B
Preferred Stock. The issuer paid $1.20 per share for the shares of common stock
and no additional consideration for the shares of Series B Preferred Stock (the
terms of the option required that the reporting person sell both the shares of
common stock and Series B Preferred Stock if he exercised such option).
2. Pursuant to a Merger Agreement and Plan of Reorganization dated April
17, 1997 (the "Merger Agreement"), among OMNI International Rail Products, Inc.,
OMNI Acquisition, Inc., and the issuer (formerly known as Creative Medical
Development, Inc.), the issuer deposited in escrow ten percent of the shares
that the issuer issuable to the shareholders of OMNI International Rail
Products, Inc. in exchange for their shares. The Merger Agreement provided that
on July 31, 1998, or as soon thereafter as practicable, the parties determine
the "Final Ownership Ratio" (as that term was defined in the Merger Agreement).
Depending on the amount of ratio, the escrow agent was required to release all,
a part, or none of the escrowed shares at that time to these shareholders. The
parties, on the basis of the Final Ownership Ratio, cancelled these shares as of
July 3, 1998.
3. On February 23, 1999, the issuer's shareholders approved a three-to-one
reverse stock split for both the common and Series B Preferred Stock.
4. The reporting person resigned as a director of the issuer January 21,
1998. The options to purchase both common stock and Series B Preferred Stock
that the issuer had previously granted to the reporting person terminated on
April 21, 1998, 90 days after the reporting person's resignation as a director.
5. The issuer's Amended and Restated Certificate of Incorporation provides
that Series B Preferred Stock be automatically converted into the issuer's
common stock if the issuer reported gross annual revenues of $20,000,000 or
annual pre-tax earnings of $1,500,000 during either the fiscal year ending in
1998 or 1999. It further provides that, if the issuer did not meet these
conditions by the fiscal year ending in 1999, the Series B Preferred Stock was
deemed cancelled and of no further force and effect. The issuer did not meet
these conditions for either of such fiscal years. Accordingly, the issuer
reported that it did not meet these conditions on September 7, 1999, and the
Series B Preferred Stock was deemed cancelled and was of no further force and
effect as of that date.
6. The reporting person acquired these options from another shareholder on
November 29, 1999. The issuer had previously granted those options to such other
shareholder on or about January 7, 1995.
7. On November 29, 1999, the reporting person transferred one-half of the
options referred to in footnote 6 to another shareholder of the issuer.
