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* Trout Richard J. (Check all applicable) (Last) (First) (Middle) X Director _____10% Owner X 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) 20775 Rosedale Drive Person (Voluntary) x Form Filed by One Reporting Person (Street) January 2001 _____ Form Filed by More than One Reporting Person 5. If Amendment, Date of Riverside CA 92508 5 Original (Month/Year) ------------------------------------------------------------------------------------------------------------------------------------ (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 25,000 I By IRA acct. ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ ---------------------------------------- ------- ------- ------ -------- ---------- -------------- ------------------- ------------ 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 ------------------------------------------------------------------------------------------------------------------------------------ Stock Option $1.00 1/26/01 A 100,000 1/26/02 1/26/04 Common Stock, $1.00 125,000 D par value $0.01 per share ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) Granted by issuer's board of directors for no consideration. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Richard J. Trout 02/10/01 ----------------------------------- ** 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.