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)
Person(s) to Issuer
(Check all applicable)
Holz Robert Bravo! Foods International Corp. _X_ Director ____ 10% Owner
_ _ Officer (give title below)
------------------------------------------ ------------------- ----------------------- _ _ Other (specify 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 8/ 2001 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
--------------------------------------------------------------------------------
--------------------- ------------ ------------- ---------------------------------- ------------------ ------------ -------------
1. Title of Security 2.Trans- 3. 4. Securities Acquired (A) 5. Amount of 6. Owner 7. Nature of
(Instr. 3) action Trans- or Disposed of (D) Securities -ship Indirect
Date action (Instr. 3, 4 and 5) Beneficially Form: Beneficial
Code Owned at Direct (D) Ownership
(Instr. 8) End of Month Indirect (I) (Instr. 4)
(Month/ (Instr. 3 and 4) (Instr. 4)
Day/
Year)
------------- ----------------------------------
------ ------ ------------ ------ --------------
Code V Amount (A)or Price
(D)
----------------------- ----------- ------ ------ ------------ ------ -------------- ------------------ ------------ -------------
Common Stock 8-23-01 P 125,000 A $0.25/share 125,000 D
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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)
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 Deriv- 6.Date Exer- 7.Title and Amount 8.Price 9.Number 10.Own- 11.Nat
vative Security sion or action action ative Securities cisable and of Underlying Sec- of Deri- of Deri- ership ure of
(Instr. 3) Exercise Date Code Acuired (A) or Expiration uritieis vative vative Form of Benefi
Price of (Month (Instr. Disposed of (D) Date (Instr. 3 and 4) Security Securit- Deriva- cial
Deri- Day/ 8) (Instr. 3,4 and 5) (Month/Day (Inst.5) ies Bene- tive Indir-
vative Year) Year) ficially Securi- ect
Security owned at ty: Di- owner-
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)
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Explanation of Responses:
By: /s/ Robert Holz 9-25-01
**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
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