Form 5 - United States Securities And Exchange Commission
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3UNITED STATES SECURITIES AND EXCHANGE COMMISSION
OMB APPROVAL
FORM 5
Washington, DC 20549
OMB Number: 3235-0362
9 Check box if no
Expires: January 31, 2005
longer subject to
ANNUAL STATEMENT OF CHANGES BENEFICIAL OWNERSHIP
Estimated average burden
Section 16. Form 4 or
hours per response...1.0
Form 5 obligations
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
may continue. See
Section 17(a) of the Public Utility Holding Company Act of 1935 or Section
Instruction 1(b).
30(h) of the Investment Company Act of 1940
9 Form 3 Holdings
Reported
9 Form 4
Transactions Reported
1. Name and
2. Issuer Name and Ticker or Trading Symbol
6. Relationship of Reporting Person(s) to Issuer
Address of Reporting
(Check all applicable)
Person*
Shallbetter Industries, Inc. SBNS
___ Director
__ 10% Owner
__ Officer (give title below)
Other (specify below)
(Last)(First)(Middle)
3. I.R.S. Identification Number of Reporting
4. Statement for
7. Individual or Joint/Group Reporting
Person, if an entity (Voluntary)
Month/Year
(check applicable line)
Saunders, Donald G.
12/2002
__ Form Filed by One Reporting Person
X_ Form Filed by More than One Reporting
(Street)
5. If Amendment,
Person
2877 Paradise Rd.
Date of Original
#3603
(Month/Year)
Las Vegas, NV
89109
(City)(State)(Zip)
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