5 1 edgarized5albertbrown32003.txt ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP FOR ALBERT BROWN, DIRECTOR OMB APPROVAL OMB Number: 3235-0362 Expires: January 31, 2005 Estimated average burden hours per response 1.0 _________________________ Form 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D. C. 20549 Annual Statement of Changes in Beneficial Ownership 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 [X] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1 (b). [ ] Form 3 Holdings Report [ ] Form 4 Transactions Report (Print or type responses) __________________________________________________ 1. Name and Address of Reporting Person* Brown Albert G. __________________________________________________ (Last) (First) (Middle) 22718 Lone Eagle Road __________________________________________________ (Street) Apple Valley CA 92308 __________________________________________________ (City) (State) (Zip) __________________________________________________ 2. Issuer Name and Ticker or Trading Symbol Pismo Coast Village, Inc. __________________________________________________ 3. IRS Identification Number of Reporting Person, If an Entity (Voluntary) __________________________________________________ 4. Statement for Month/Year 03/2003 __________________________________________________ 5. If Amendment, Date of Original (Month/Year) __________________________________________________ 6. Relationship of Reporting Persons to Issuer (Check all applicable) X Director ___ 10% Owner ___ Officer (give title) X Other (specify) Mr. Brown passed away March 24, 2003 __________________________________________________ 7. Individual or Joint/Group Filing (Check Applicable Line) 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. |2. |2A. |3. |4. |5. |6. |7. | Title |Trans- |Deemed |Trans-|Securities |Amount of |Ownership |Nature | of |action |Execution|action|Acquired (A) or |Securities |Form: |Of | Security|Date |Date |Code |Disposed (D)of |Beneficially |Direct (D)|Indirect | |(M/D/Y)|(M/D/Y) | |Amount|(A)|Price |Owned at end |or |Beneficial| | | | | |or | |of Issuer's |Indirect |Ownership | | | | | |(D | |Fiscal Year |(I) | | ________|_______|_________|______|_______|___|______|______________|__________|__________| Common |3/24/03| N/A | N/A |N/A |N/A| N/A |2 shares | N/A | N/A |
================================================================================================ Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., Puts, calls, warrants, options, convertible securities) ================================================================================================
1. |2. |3. |3A. |4. |5. |6. |7. |8. |9. |10. |11. | Ti- |Con- |Trans-|Deemed |Trans-|Number |Date |Title and |Price|Number |Owner-|Nature| tle |ver- |action|Execu- |action|of Deri-|Exercisable|Amount of |of |of |ship |of | of |sion |Date |tion |Code |vative |and |Underlying |Deri-|Deri- |of |In- | De- |or |(M/D/Y|Date | |Securi- |Expiration |Securities |va- |vative |De- |direct| ri |Exer- | |(M/D/Y)| |ties |Date | |tive |Secur- |riva- |Bene- | va- |cise | | | |Acquired|(M/D/Y) | |Sec- |ties |tive |ficial| tive|Price | | | |(A) or | | |urity|Benefi-|Secur-|Owner-| Sec-|of | | | |Disposed| | | |cially |ities |ship | ur- |Deri- | | | |(D) of | | | |Owned |Direct| | ity |vative| | | | | | | |at end |(D) or| | |Secur-| | | |________|___________|____________| |of Year|Indi- | | |ity | | | |(A)|(D) |Date |Ex- |Title|Amount| | |ect | | | | | | | | |Exer-|pira-| |or | | |(I) | | | | | | | | |cisa-|tion | |Number| | | | | | | | | | | |ble |Date | |of | | | | | | | | | | | | | | |Shares| | | | | ____|______|______|_______|______|___|____|_____|_____|_____|______|_____|_______|______|______| ____|______|______|_______|____|_|___|____|_____|_____|_____|______|_____|_______|______|______|
Explanation of Responses: /S/ JAY JAMISON, ASST. CORPORATE SECRETARY March 26, 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. 78 ff(a) Note: File three copies of this Form, one of which must be manually signed. If space is insufficient see Instruction 6 for procedure.