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OMB APPROVAL
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- -------- OMB Number: 3235-0104
FORM 3 Expires: September 30, 1998
- -------- Estimated average burden
hours per response .... 0.5
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U.S. 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
<TABLE>
<S> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date
ProFutures Special Equities Fund, L.P. Statement Trading Symbol of Original
- ---------------------------------------- (Month/Day/Year) Creative Host Services, Inc. (CHST) (Month/Day/Year)
(Last) (First) (Middle) 09/18/98 ------------------------------------
1310 Highway 620 South - Suite 200 ---------------------------- 5. Relationship of Reporting ------------------
- ---------------------------------------- 3. IRS or Social Security Person to Issuer 7. Individual or
(Street) Number of Reporting (Check all applicable) Joint/Group Filing
Person (Voluntary) (check applicable
Director X 10% Owner box)
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Austin, Texas 78734 Officer Other (specify [ ] Form filed by
- -------------------------------------- ----- (give ----- below) One Reporting
(City) (State) (Zip) title below) Person
[X] Form filed by
------------------------------------ More than One
Reporting
Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct (D) or Beneficial
(Instr. 4) Indirect (I) Ownership (Instr. 5)
(Instr. 5)
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*If the form is filed by more than one reporting person see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Responses) SEC 1473 (7/96)
Page 1 of 2 pages
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<TABLE>
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of Derivative 2. Date Exerci- 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
Security (Instr. 4) sable and Securities Underlying sion or ship Beneficial Ownership
Expiration Date Derivative Security Exercise Form of (Instr. 5)
(Month/Day/ Instr. 4) Price of Deriv-
Year) Deri- ative
vative Security:
Security Direct
--------------------------------------------- (D) or
Date Expira- Amount or Indirect (I)
Exercis- tion Title Number (Instr. 5)
able Date of Shares
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12% Convertible Note 9/18/98 9/18/00 Common Stock VAR* VAR* D See attachment sheet
- item 6
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Warrants 6/17/98 6/17/01 Common Stock 65,000 $2.0625 D See attachment sheet
- item 6
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Explanation of Responses: ProFutures Special Equities Fund, L.P.
By: ProFutures Fund Management, Inc.,
* See attachment sheet - items 3 and 4 a General Partner
By: /s/ Gary D. Halbert September 22, 1998
**Intentional misstatements or omissions of facts constitute Federal ------------------------------- -------------------
Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
GARY D. HALBERT, PRESIDENT
Note. File three copies of this Form, one of which must be manually signed. Page 2
If space provided is insufficient, See Instruction 6 for procedure. SEC 1473 (7/96)
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.
Page 2 of 2 pages
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Attachment Sheet to
Initial Statement of Beneficial Ownership of Securities
on Form 3
Table I
Item
1.
Addition
Additional Reporting Persons:
ProFutures Fund Management, Inc.
1310 Highway 620 South -- Suite 200
Austin, Texas 78734
Gary D. Halbert
1310 Highway 620 South -- Suite 200
Austin, Texas 78734
Golden Eye Asset Management, Inc.
1310 Highway 620 South -- Suite 200
Austin, Texas 78734
Marte W. Anderson
1310 Highway 620 South -- Suite 200 Austin, Texas 78734
Table II
Item
3 and 4.
Addition
On June 17, 1998, PSEF purchased directly from the Company in a private
transaction a 12% Convertible Bridge Note (the "Note"), convertible into shares
of Common Stock, and warrants for the purchase of 65,000 shares of Common Stock,
of the Company, for an aggregate purchase price of $500,000 (including any
brokerage commissions). The Note may be converted into the Common Stock at any
time at a price equal to a percentage of the average of the closing bid prices
on NASDAQ for the five trading days preceding the date of conversion. The
percentage ownership set forth herein is based on an assumed conversion price
of $1.59375 per share and 3,098,492 shares of common stock reported to be
outstanding as of August 8, 1998.
Item
5 and 6.
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Addition
The securities listed are beneficially owned by ProFutures Special Equities
Fund, L.P. The General Partners of ProFutures Special Equities Fund, L.P. are
ProFutures Fund Management, Inc. and Golden Eye Asset Management, Inc. The
controlling shareholder of ProFutures Fund Management, Inc. is Gary D. Halbert.
The controlling shareholder of Golden Eye Asset Management, Inc. is Marte W.
Anderson. By virtue of these facts, each of the entities and persons may be
deemed to have indirect beneficial ownership of the securities. Each of these
entities and persons disclaims such beneficial ownership.
Additional Signature Page to Form 3 and
Joint Filing Agreement
The undersigned hereby agree that this Form 3 is filed on behalf of each
of them.
Dated: September 22, 1998
PROFUTURES SPECIAL EQUITIES FUND, L.P.
By: ProFutures Fund Management, Inc., a General Partner
By: /s/ Gary D. Halbert
Gary D. Halbert, President
PROFUTURES FUND MANAGEMENT, INC.
By: /s/ Gary D. Halbert
Gary D. Halbert, President
/s/ Gary D. Halbert
Gary D. Halbert
GOLDEN EYE ASSET MANAGEMENT, INC.
By: /s/ Marte W. Anderson
Marte W. Anderson, President
/s/ Marte W. Anderson
Marte W. Anderson
