|
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 |
OMB NUMBER: 3235-0362 |
|
|
|
|
/ / |
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 |
|
|
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