FORM 4 OMB APPROVAL
|_|Check this box if no longer OMB Number 3235-0287
subject to Section 16 Form 4 Expires: December 31, 2001
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934, Section 17(2) of the Public Utility See
Instruction 1(b) Holding Company Act of 1935 or Section 30(f) of the
Investment Company Act of 1940
(Print or Type Responses)
----------------------------------------- -------------------------------------------- ---------------------------------------
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)
Downes Paul Bravo! Foods International Corp [X] Director [X] 10% Owner
[ ] Officer (give title below)
----------------------------------------- ------------------- ----------------------- [ ] Other (specifty below)
(Last) (First) (Middle) 3. IRS or Social 4. Statement for
c/o Bravo! Foods International Corp. Security Number Month/Year ---------------------------------------
11300 US Highway 1, Suite 202 of Reporting 1 / 2002 7. Individual or Joint/Group Filing
----------------------------------------- (Voluntary) ----------------------- (Check Applicable Line)
(Street) 5. If Amendment, [X] Form filed by One Reporting Person
Date of Original [ ] Form filed by More than One
North Palm Beach FL 33408 (Month/Year) Reporting Person
----------------------------------------- ------------------- ----------------------- ---------------------------------------
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially
Owned
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----------------------- ------------ -------------- ----------------------------- ----------------- --------------- -------------
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner 7. Nature of
(Instr. 3) action action or Disposed of (D) Securities -ship Indirect
Date Code (Instr. 3, 4 and 5) Beneficially Form: Beneficial
(Instr. 8) Owned at Direct (D) Ownership
End of Month Indirect (I) (Instr. 4)
(Month/ (Instr. 3 and (Instr. 4)
Day/ 4)
Year)
-------------- -----------------------------
Code V Amount (A)or Price
(D)
----------------------- ------------ ------ ------- ------------ ------ --------- ------------------ -------------- -------------
Common Stock 1-28-02 S 135,000 D $0.39 496,182 D/I Affiliate
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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).
SEC 1474 (7-96)
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FORM 4 (continued) Table II-- Derivative Securities Acquired, Disposed of, or
Beneficially Owned (e.g., puts, calls,
warrants, options, convertible securities)
---------------- --------- -------- -------- ----------- ------------ ------------------ -------- --------- ------- -------
1.Title of Deri- 2.Conver- 3.Trans- 4.Trans- 5.Number of 6.Date Exer- 7.Title and Amount 8.Price 9.Number 10.Own- 11.Nat
vative Security sion or action action Derivative cisable and of Underlying Sec- of Deri- of Deri- ership ure of
(Instr. 3) Exercise Date Code Securities Expiration uritieis vative vative Form of Benefi
Price of (Month (Instr. Acquired (A) Date (Instr. 3 and 4) Security Securit- Deriva- cial
Deri- Day/ 8) or Disposed (Month/Day (Inst.5) ies Bene- tive Indir-
vative Year) of (D) Year) ficially Securi- ect
Security (Instr. 3,4 owned at ty: Di- owner-
and 5) end of rect(D) ship
Month or In- (Inst.
(Instr.4) dirct(I) 4)
(Inst.4)
-------- ----------- ------------ ------------------
Date Expir- Title Amount or
Exer- ation Number of
Code V (A) (D) cis- Date Shares
able
---------------- --------- -------- -------- ----------- ------------ ------------------ -------- --------- ------- -------
Employee Stock
Option (right
to buy) $1.00 n/a n/a n/a 3/97 4/2002 Common 1,383,705 n/a 1,383,705 I Affiliate
---------------- --------- -------- -------- ----------- ------------ ------------------ -------- --------- ------- -------
---------------- --------- -------- -------- ----------- ------------ ------------------ -------- --------- ------- -------
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Explanation of Responses:
Table I: 24,182 shares of Common owned directly; 472,000 owned by an
affiliate entity
By: /s/ Paul Downes 2-14-01
** 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.
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.
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