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form5030603_mmills.txt
FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
[ ] Check this box if no longer OMB APPROVAL
subject to Section 16. Form OMB Number: 3235-0362
4 or Form 5 obligations may Expires: January 31, 2005
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[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported
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(f) of the
Investment Company Act of 1940
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1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer
Reporting Person* (Check all applicable)
Mills, Michael L. Klever Marketing (KLMK) X Director _____10% Owner
(Last) (First) (Middle) ____ Officer (give _____Other (specify below)
title below)
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3. I.R.S. Identification 4. Statement for Individual or Joint / Group Filing
Number of Reporting Month/Year (Check Applicable Line)
20890 Bakal Drive Person, if an entity X Form Filed by One Reporting Person
(Voluntary)
(Street) 12/2002 _____ Form Filed by More than One Reporting Person
5. If Amendment, Date of
Riverside, California 92508 Original (Month/Year)
(City) (State) (Zip)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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2. Trans- 3. Transac- 4.Securities Acquired (A) or 5. Amount of 6. Ownership 7. Nature of
1. Title of Security action tion Disposed of (D) Securities Form: Indirect
(Instr. 3) Date Code (Instr. 3, 4 and 5) Beneficially Direct Beneficial
(Instr. 8) Owned at End (D) or Ownership
(Month/ of Month Indirect (Instr. 4)
Day/ (Instr. 3 and (I)
Year) 4) (Instr. 4)
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Amount (A)or(D) Price
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Common Stock, par value
$0.01 per share 11/18/96 P3 11,591 A 23,182 D
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Common Stock, par value
$0.01 per share 12/17/98 P3 11,591 A 23,182 D
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*If the form is filed by more than one reporting person, see Instruction
4(b)(v).
Persons who respond to the collection of information contained in this
form are not required to respond unless the form displays a currently
valid OMB control number.
(Over)
SEC 2270 (3-00)
FORM 5 (continued)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1.Title of 2. 3. 4. 5.Number of 6.Date 7.Title and 8.Price of 9.Number 10. 11.Nature
Derivative Conversion Trans- Trans- Derivative Exercisable Amount of Derivative of Ownership of
Security or action action Securities and Underlying Security Derivative Form of Indirect
(Instr. 3) Exercise Date Code Acquired Expiration Securities (Instr. Securities Derivative Beneficial
Price (Month/ (Instr. (A) or Date (Instr. 3 5) Beneficially Security: Ownership
of Day/ 8) Disposed of (Month/ and 4) Owned Direct (Instr.
Derivative Year) (D) (Instr. Day/Year) at End (D) or 4)
Security 3, 4, and 5) of Indirect
Month (I)
(Instr. (Instr.
4) 4)
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(A) (D) Date Expir- Title Amount
Exer- ation or
cisable Date Number
of
Shares
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Common Stock
Option $2.75 08/02/99 P4 A 8/02/99 8/02/99 Common 12,000 112,000 D
stock, par
value $0.01
per share
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Common Stock
Option $1.00 01/26/01 P4 A 1/26/02 1/26/04 Common 100,000 112,000 D
stock, par
value $0.01
per share
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Common Stock
Option $1.05 05/08/02 P4 A 5/08/03 5/08/05 Common 100,000 212,000 D
stock, par
value $0.01
per share
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Explanation of Responses:
Does not includes (a) 37,879 Class C Preferred Shares (convertible into 378,790
Common Shares) held by Olson Farms, Inc., of which Mr. Mills is president as to
all of which Mr. Mills disclaims beneficial ownership, (b) 411,770 common shares
held by Olson Farms, Inc., of which Mr. Mills is president and as to all of
which Mr. Mills disclaims beneficial ownership, (c) 5,769 Class A Preferred
Shares (convertible into 57,690 Common Shares) held by the Olson Foundation, of
which Mr. Mills is one of four trustees, as to all of which Mr. Milsl disclaims
beneficial ownership, (d) 6,061 Class D Preferred Shares (convertible into
60,610 common shares) held by Olson Foundation of which Mr. Mills is one of four
trustees, as to all of which Mr. Milsl disclaims beneficial ownership, (e)
973,603 common shares held by the Estate of Peter Dean Olson, of which Mr. Mills
is Executor, as to all of which Mr. Mills disclaims beneficial interest, (f)
759,765 common shares held by Olson Farms, Inc., of which Mr. Mills is president
as to all of which Mr. Mills disclaims beneficial ownership, (g) 150,000 common
shares held by the Olson Foundation, of which Mr. Mills is one of four trustees,
as to all of which Mr. Milsl disclaims beneficial ownership, (h) options or
warrants to purchase 136,153 shares held by the Olson Foundation, of which Mr.
Mills is one of four trustees, as to all of which Mr. Milsl disclaims beneficial
ownership, and (i) options or warrants to purchase 3,060 common shares held by
the Olson Farms, Inc., of which Mr. Mills is president as to all of which Mr.
Mills disclaims beneficial ownership.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Michael L. Mills 3/5/03
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** Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space provided 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
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