4 1 0001.txt FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Check this box if no longer OMB APPROVAL subject to Section 16. Form OMB Number: 4 or Form 5 obligations may Expires: continue. See Instruction Estimated average burden 1(b) hours per response...0.5 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
------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Klever Marketing (KLMK) 6. Relationship of Reporting Person(s) to Issuer Reporting Person* The Olson Foundation (Check all applicable) (Last) (First) (Middle) ___ Director __x___10% Owner ___ Officer (give _____Other title below) (specify below) Interim CFO ------------------------------------------------------------------------------------------------------------------------------------ 3. IRS or Social Security 4. Statement for Individual or Joint / Group Filing Number of Reporting Month/Year (Check Applicable Line) 601 S. Milliken Ave. Ste K-100 Person (Voluntary) x Form Filed by One Reporting Person (Street) March 2001 _____ Form Filed by More than One Reporting Person 5. If Amendment, Date of Ontario, CA 91761 5 Original (Month/Year) 02/14/01 ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned --------------------------------------------------------------- -------------------------------------------------------------------- 2. Trans- 3. Transac- 4.Securities Acquired (A) or 5. Amount of 6. Ownership 7. Nature of 1. Title of Security action tion Disposed of (D) Securities Form: Indirect (Instr. 3) Date Code (Instr. 3, 4 and 5) Beneficially Direct Beneficial (Instr. 8) Owned at End (D) or Ownership (Month/ of Month Indirect (Instr. 4) Day/ (Instr. 3 and (I) Year) 4) (Instr. 4) ------- ------- ------------------------- -------------- Code V Amount (A)or(D) Price ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ Common Stock, par value $0.01 per share 759,765 I Directly owned by Olson Farms, Inc. ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ Common Stock, par value $0.01 per share 150,000 D ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) *If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474
FORM 4 (continued)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ------------------------------------------------------------------------------------------------------------------------------------ 1.Title of 2. 3. 4. 5.Number of 6.Date 7.Title and 8.Price of 9.Number 10. 11.Nature Derivative Conversion Trans- Trans- Derivative Exercisable Amount of Derivative of Ownership of Security or action action Securities and Underlying Security Derivative Form of Indirect (Instr. 3) Exercise Date Code Acquired Expiration Securities (Instr. Securities Derivative Beneficial Price (Month/ (Instr. (A) or Date (Instr. 3 5) Beneficially Security: Ownership of Day/ 8) Disposed of (Month/ and 4) Owned Direct (Instr. Derivative Year) (D) (Instr. Day/Year) at End (D) or 4) Security 3, 4, and 5) of Indirect Month (I) (Instr. (Instr. 4) 4) --------- ----- ----- ----------- ------------------- Code V (A) (D) Date Expir- Title Amount Exer- ation or cisable Date Number of Shares ------------------------------------------------------------------------------------------------------------------------------------ Class A Preferred $-0- 3/1/01 P 6,061 3/1/01 N/a Common 60,610 $6.60 6,061 D Stock, Series 1 Stock, par value $0.01 per share ------------------------------------------------------------------------------------------------------------------------------------ Class A Preferred $-0- 1/3/01 P 37,879 1/3/01 N/a Common 378,790 $6.60 37,879 I By Olson Stock, Series 1 Stock, par Farms, value Inc. $0.01 per share ------------------------------------------------------------------------------------------------------------------------------------ Class A Preferred $-0- 9/25/00 P 41,177 9/25/00 N/a Common 411,770 $17.00 41,177 I By Olson Stock, Series 1 Stock, par Farms, value Inc. $0.01 per share ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: Not included in these shares reported are (i) the shares owned by Estate of Peter Dean Olson (because pecuniary interest without voting or investment power does not provide a basis for including the trust's shares in the Foundation's ownership and the sole beneficiary of the estate has no part of the voting or investment power, even though Michael Mills, president of Olson Farms, Inc., is both executor of the estate and one of four directors of the Foundation, whose Board requires a majority vote, not unanimity); and (ii) the shares owned by the Peter Dean Olson Trust, (because pecuniary interest held by the Foundation as sole beneficiary of the trust without voting or investment power does not provide a basis for including). However, Mr. Mills is sole trustee of the trust and has boting and investment power, but disclaims beneficial ownership. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Michael L. Mills 4/9/01 ----------------------------------- ** Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided 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.