Form 5

 

FORM 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

OMB APPROVAL

 / /

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Washington, DC 20549

ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

OMB NUMBER: 3235-0362
Expires: January 31, 2005
Estimated average burden hours per response...1.0

 

 

 

 

 / /

Form 3 Holdings Reported

 

 

 

 

 

 

 / /

Form 4 Transactions Report

 

 

 

 

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(h) of the Investment Company Act of 1940

 

 

 

 

 

1.  Name and Address of Reporting Person *

2.  Issuer Name and Ticker or Trading Symbol

6.  Relationship of Reporting Person(s) to Issuer
                (Check all applicable)

 

Brass Eagle Inc. (XTRM)

 

Schmidt                    C.                        Miles

 

   X  Director                                       10% Owner

(Last)                    (First)                   (Middle)

3.  I. R. S. Identification Number of Reporting

4.  Statement for Month/Day/Year

        Officer (give title below)             Other (specify below)

 

Person, if an entity (Voluntary)

2002

                                                                                                              

2280 Greenlawn Dr.

 

 

 

(Street)

 

5.  If Amendment, Date of

7.  Individual or Joint/Group Reporting

Troy,                  OH                       45373-4312

 

Original (Month/Day/Year)

             (check applicable line)

(City)                   (State)                       (Zip)

 

 

 X  Form Filed by one Reporting Person

 

 

 

      Form Filed by More than One Reporting Person

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned


1.  Title of Security

2.  Trans-action

2A.  Deemed

3.  Transaction Code

4.  Securities Acquired (A) or Disposed

5.  Amount of Securities

6.  Owner-ship

7.  Nature of

(Instr. 3)

Date

Execution Date,

(Instr.8)

of (D) (Instr. 3, 4 and 5)

Beneficially Owned at the end

Form: Direct

Indirect

 

(Month/Day/Year)

If any

 

 

Of Issuer's Fiscal Year

(D) or Indirect

Beneficial

 

 

(Month/Day/Year)

 

 

 

(A) or

 

(Instr. 3 and 4)

(I)

Ownership

                                        

                                 

                                 

 Code

 

   Amount   

 (D)  

      Price     

                                                  

 (Instr.4)          

(Instr.4)        

Brass Eagle Inc.

1/2/02

 

A

 

363

A

***

 

 

 

Common Stock

4/3/02

 

A

 

416

A

***

 

 

 

 

7/10/02

 

A

 

317

A

***

 

 

 

 

10/29/02

 

A

 

385

A

***

2,125

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


*  If the form is filled by more than one reporting person, see instruction 4(b)(v).
***  Given to reporting person as compensation for serving on Board of Directors.



Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts calls warrants options, convertible securities)

1.  Title of

2.  Conversion

3.  Transaction Date

3A.  Deemed

4. Transaction

5.  Number of

6.  Date Exercisable and

7.  Title and Amount of

8.  Price of

9.  Number of

10.  Ownership

11.  Nature

Derivative

or Exercise

(Month/Day/Year)

Execution

Code

Derivative

Expiration Date

Underlying Securities

Derivative

Derivative

of Derivative

of Indirect

Security

Price of

 

Date, if any

(Instr. 8)

Securities

(Month/Day/Year)

(Instr. 3 and 4)

Security

Securities

Security:

Beneficial

(Instr. 3)

Derivative

 

(Month/Day/

 

Acquired (A) or

 

 

(Instr.5)

Beneficially

Direct (D) or

Ownership

 

Security

 

Year)

 

Disposed of (D)

 

 

 

Owned at

Indirect (I)

(Instr.4)

 

 

 

 

 

(Instr. 3, 4 and 5)

 

 

 

End of Year

(Instr. 4)

 

 

 

 

 

 

 

 

 

 

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

or

 

 

 

 

 

 

 

 

 

 

 

Date

Expiration

 

Number

 

(Instr. 4)

 

 

                 

                        

                                

                    

     Code     

   (A)   

 (D) 

 Exercisable 

   Date   

 Title 

of Shares

                  

                     

                       

                   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Explanation of Responses:


/s/  C. Miles Schmidt                                                   

February 14,2003                  

** 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 is insufficient, see Instruction 6 for procedure.



Last update:  09/03/2002