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FORM 5 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
--------- WASHINGTON, D.C. 20549
[ ] CHECK THIS BOX IF NO LONGER
SUBJECT TO SECTION 16. FORM 4 OR ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
FORM 5 OBLIGATIONS MAY CONTINUE.
SEE INSTRUCTION 1(b).
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
[ ] FORM 3 HOLDINGS REPORTED Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
[ ] FORM 4 TRANSACTIONS REPORTED
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1. Name and Address of Reporting Person(1) 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
to Issuer
(Check all applicable)
_X_Director ______10% Owner
_X_Officer (give ______Other (specify
Buffington Douglas A. S2 Golf Inc. title below) below)
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(Last) (First) (Middle) 3. I.R.S. Identification 4. Statement for
Number of Reporting Month/Year President, Chief Operating Officer,
Person, if an entity 12/00 Chief Financial Officer and Treasurer
18 Gloria Lane (Voluntary)
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(Street) 5. If Amendment, 7. Individual or Joint/Group Filing
Date of (Check Applicable Line)
Fairfield NJ 07004 Original _X_ Form filed by One Reporting Person
-------------------------------------------- (Month/Year) ___ Form filed by More than One
(City) (State) (Zip) Reporting Person
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TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired(A) 5. Amount of 6. Owner- 7. Nature
(Instr. 3) action action or Disposed of (D) Securities ship of
Date Code (Instr. 3, 4 and 5) Beneficially Form: Indirect
(Instr. 8) Owned at End Direct) Bene-
(Month/ --------------------------------------- of Month (D or ficial
Day/ (Indirect Owner-
Year) (Instr. 3 (I) ship
and 4) (Instr. 4)
(Instr.
4)
(A) or
Code V Amount (D) Price
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Common Stock 2,000 D
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(Over)
Cle309595v1
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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 Derivative Security 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exercis- 7. Title and
(Instr. 3) sion or action action Derivative able and Expi- Amount of
Exercise Date Code Securities ration Date Underlying
Price of (Instr. 8) Acquired (Month/ Securities
Deri- (Month/ (A) or Dis- Day/Year) (Instr. 3 and 4)
vative Day/ posed of
Security Year) (D) (Instr.
3, 4, and 5)
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Amount
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Date Expira- Number
Exer- tion of
Code V (A) (D) cisable Date Title Shares
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Call Options $0.75(1) 12/31/00 A 20,000 Immed. See Common 20,000
(rights to buy) Note (2) Stock
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Call Options $1.84375 Immed. See Common 14,375
(rights to buy) Note (3) Stock
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Call Options $3.00(1) Immed. See Common 7,500
(rights to buy) Note (4) Stock
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Call Options $0.9375 Immed. Common 16,000
(rights to buy) Stock
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Call Options $0.9375(1) Immed. Common 27,500
(rights to buy) Stock
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8. Price 9. Number 10. Owner- 11. Nature
of of deriv- ship of Indi-
Deriva ative Form of rect
-tive Secur- Deriv- Benefi-
Security ities ative cial
(Instr. Bene- Security: Owner-
5) ficially Direct ship
Owned at (D) or (Instr. 4)
End of Indirect
Year (I)
(Instr. 4) (Instr. 4)
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20,000 D
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14,375 D
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7,500 D
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16,000 D
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27,500 D
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Explanation of Responses:
(1) Upon certain changes of control, exercise price becomes $0.01.
(2) Expiration date = 12/31/10 or 3 months after employment terminates.
(3) Expiration date = 3/9/10 or 3 months after employment terminates.
(4) Expiration date = 1/3/09 or 3 months after employment terminates.
(1) Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Douglas A. Buffington 3/28/01
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------ -------
Signature of Reporting Person(1) Date
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see Instruction 6 for procedure.
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