- Amended Statement of Changes in Beneficial Ownership (4/A)
14 Enero 2009 - 11:26AM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB Number:
3235-0287
Expires:
February 28, 2011
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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
*
Yorktown Avenue Capital, LLC
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2. Issuer Name
and
Ticker or Trading Symbol
BOWLIN TRAVEL CENTERS INC
[
BWTC
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
C/O T. WAGMAN @ FREDERIC DORWART LAWYERS, 124 EAST FOURTH STREET
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3. Date of Earliest Transaction
(MM/DD/YYYY)
1/9/2009
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(Street)
TULSA, OK 74103
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
1/13/2009
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One 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
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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1/9/2009
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P
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1000
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A
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$1.07
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679988
(1)
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I
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Magnolia Capital Partners, LLC
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Common Stock
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1/13/2009
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P
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7000
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A
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$0.95
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686988
(2)
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I
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Magnolia Capital Partners, LLC
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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(
1)
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Steve Heyman and Jim Adelson are the managers of Yorktown Avenue Capital, LLC and Magnolia Capital Partners, LLC. 72,708 shares of common stock are held directly by Magnolia and 607,280 shares are held directly by Yorktown. Mr. Heyman and Mr. Adelson disclaim beneficial ownership of the shares held directly by Magnolia and Yorktown.
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(
2)
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Steve Heyman and Jim Adelson are the managers of Yorktown Avenue Capital, LLC and Magnolia Capital Partners, LLC. 79,708 shares of common stock are held directly by Magnolia and 607,280 shares are held directly by Yorktown. Mr. Heyman and Mr. Adelson disclaim beneficial ownership of the shares held directly by Magnolia and Yorktown.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Yorktown Avenue Capital, LLC
C/O T. WAGMAN @ FREDERIC DORWART LAWYERS
124 EAST FOURTH STREET
TULSA, OK 74103
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X
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Adelson James F
15 EAST 5TH STREET
32ND FLOOR
TULSA, OK 74103
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X
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Heyman Stephen J
15 EAST 5TH STREET
32ND FLOOR
TULSA, OK 74103
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X
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Signatures
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Tamara Wagman
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1/14/2009
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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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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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.
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