UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
James JayCee 9298 SVL BOX VICTORVILLE, CA 92395 |
 |  X |  | Majortiy Holder |
JayCee James | 04/10/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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). |
(1) | Establishment of Capital Source Healthcare REIT (formerly SCOR HOLDING (SWITZERLAND) LTD) the discriminatory share price, the reporting owner has determined to issue 5,000,000 shares preferred stock upon the completion of Capital Source Healthcare REIT (CHR) corporate restructuring notwithstanding all like industry comparable share structures and share prices. |
(2) | Establishment of Capital Source Healthcare REIT (formerly SCOR HOLDING (SWITZERLAND) LTD) the discriminatory share price, the reporting owner has determined to issue 10,000,000 shares common stock upon the completion of Capital Source Healthcare REIT (CHR) corporate restructuring notwithstanding all like industry comparable share structures and share prices. |
 Remarks: Control may be deemed to exist as permitted under 13d-4 of SEC 34 I expressly declare that any such filings shall not be construed as an admission that such person is for the purposes of Sections 13(d) or 13(g) the beneficial owner of any securities covered by the schedule or a member of a group defined for these purposes other than as described in 13D. The reporting entity is not aware of any plans or proposals which could result in the acquisition by a person of securities of the issuer. |