FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION |
OMB APPROVAL |
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/ / |
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 |
OMB NUMBER: 3235-0287 |
(Print or Type Responses) |
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 Reporting Person * |
2. Issuer Name and Ticker or Trading Symbol |
6. Relationship of Reporting Person(s) to Issuer |
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Brass Eagle Inc. (XTRM) |
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Sarrazin Robert |
X Director 10% Owner |
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(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) |
January 24, 2003 |
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114 Imperial Ave. |
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(Street) |
063-84-5189 |
5. If Amendment, Date of |
7. Individual or Joint/Group Reporting |
Westport CT 06880 |
Original (Month/Day/Year) |
(check applicable line) |
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(City) (State) (Zip) |
X Form Filed by one Reporting Person |
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Form Filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security |
2. Transaction Date |
2A. Deemed |
3. Transaction Code |
4. Securities Acquired (A) or Disposed |
5. Amount of Securities |
6. Ownership |
7. Nature of |
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(Instr. 3) |
(Month/Day/Year) |
Execution Date, |
(Instr.8) |
of (D) (Instr. 3, 4 and 5) |
Beneficially Owned Following |
Form: Direct |
Indirect |
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If any |
Reported Transactions(s) |
(D) or Indirect |
Beneficial |
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(Month/Day/Year) |
(A) or |
(Instr. 3 and 4) |
(Instr. 4) |
Ownership |
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Code |
V |
Amount |
(D) |
Price |
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(Instr.4) |
Brass Eagle Inc. |
1/23/03 |
A |
284 |
A |
* |
5,462 |
D |
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Common Stock |
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* 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 |
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Derivative |
or Exercise |
(Month/Day/Year) |
Execution |
Code |
Derivative |
Expiration Date |
Underlying Securities |
Derivative |
Derivative |
Form of |
of Indirect |
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Security |
Price of |
Date, if any |
(Instr. 8) |
Securities |
(Month/Day/Year) |
(Instr. 3 and 4) |
Security |
Securities |
Derivative |
Beneficial |
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(Instr. 3) |
Derivative |
(Month/Day/ |
Acquired (A) or |
(Instr.5) |
Beneficially |
Securities: |
Ownership |
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Security |
Year) |
Disposed of (D) |
Owned |
Direct (D) or |
(Instr.4) |
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(Instr. 3, 4 and 5) |
Following |
Indirect (I) |
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Amount |
Reported |
(Instr. 4) |
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or |
Transaction(s) |
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Date |
Expiration |
Number |
(Instr. 4) |
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Code |
V |
(A) |
(D) |
Exercisable |
Date |
Title |
of Shares |
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Explanation of Responses:
/s/ Robert Sarrazin |
January 24, 2003 |
** Signature of Reporting Person |
Date |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
** 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: 09/05/2002