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OMB Number 3235-0104
Expires: January 31, 2005
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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 Reporting Person*
Chitayat Jack
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(Last) (First) (Middle)
1133 Park Avenue, Apt. 1W
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(Street)
New York NY 10128
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
December 18, 2002
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Liquidmetal Technologies (LQMT)
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
[X] Director [_] 10% Owner
[_] Officer (give title below) [_] Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
May 22, 2002
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7. Individual or Joint/Group Filing (Check applicable line)
[X] Form Filed by One Reporting Person
[_] Form Filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Beneficially Owned
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3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 4)
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Liquidmetal Technologies
Common Stock 71,323 D
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Liquidmetal Technologies
Common Stock 120,967(1) I Held by J. Holdsworth Capital, Ltd.
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Liquidmetal Technologies
Common Stock 2,496,904(2) I Held by ATI Holdings, LLC
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Liquidmetal Technologies
Common Stock 8,253(2) I Held by Cook Street, LLC
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(1) This amended Form 3 is being filed to clarify the number of shares held by
J. Holdsworth Capital, Ltd. in which the reporting person has a pecuniary
interest. Although the reporting person possesses shared voting and
investment power over all shares owned by J. Holdsworth Capital, Ltd. (as
reflected in his initial Form 3 filed on 5/22/2002), his actual pecuniary
interest (through his percentage ownership in such entities) is limited to
the number of shares set forth in this amendment.
(2) This amended Form 3 is also being filed to reflect these additional shares
in which the reporting person had an indirect pecuniary interest at the
time of the filing of his original Form 3 on May 22, 2002, but over which
he did not have voting or investment power as of such date.
* If the Form is filed by more than one Reporting Person, see Instruction
5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Over)
(Form 3-07/98)
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4) Derivative
and Expiration Date --------------------------------- 4. Conver- Security:
(Month/Day/Year) Amount sion or Direct 6. Nature of
---------------------- or Exercise (D) or Indirect
Date Expira- Number Price of Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative (I) Ownership
Security (Instr. 4) cisable Date Title Shares Security (Instr. 5) (Instr. 5)
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Explanation of Responses:
/s/ Jack Chitayat December 18, 2002
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JACK CHITAYAT
** 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 provided is insufficient, see Instruction 6 for procedure.
