FORM 4 OMB APPROVAL |_|Check this box if no longer OMB Number: 3235-0287 subject to Section 16. Form 4 or Expires: January 31, 2005 Form 5 obligations may continue. Estimated average burden See Instruction 1(b). hours per response...0.5 -------------------------------- -------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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 (Print or Type Responses) ----------------------------------------- -------------------------------------------- --------------------------------------- 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) Hirschman Stanley A. Bravo! Foods International Corp. [X] Director [ ] 10% Owner [ ] Officer (give title below) ----------------------------------------- ------------------- ---------------------- [X] Other (specify below) (Last) (First) (Middle) 3. I.R.S. Identi- 4. Statement for Chairman fication Number Month/Day/Year ---------------------- c/o Bravo! Foods International Corp. of Reporting --------------------------------------- 11300 US Highway 1, Suite 2002 Person, if an 10/2002 7. Individual or Joint/Group Filing ----------------------------------------- entity ---------------------- (Check Applicable Line) (Street) (Voluntary) 5. If Amendment, [X] Form filed by One Reporting Person Date of Original [ ] Form filed by More than One North Palm Beach FL 33408 (Month/Day/Year) Reporting Person ----------------------------------------- ------------------- ---------------------- --------------------------------------- (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned __________________________________________________________________________________________________________________________________ 1. Title of Security |2. Trans- |2A. Deemed |3. Trans- |4. Securities Acquired (A) |5. Amount of |6. Ownership |7. Nature of (Instr. 3) | action | Execu- | action | or Disposed of (D) | Securities | Form: | Indirect | Date | tion | Code | (Instr. 3, 4 and 5) | Beneficially| Direct (D) | Beneficial | | Date, if| (Instr.| | Owned | or In- | Ownership | | any | 8) | | Following | direct (I) | (Instr. 4) | (Month/ | (Month/ | | | Reported | (Instr. 4) | | Day/ | Day/ |__________|___________________________| Transactions| | | Year) | Year) |Code V | Amount (A)or Price | (Instr. 3 | | | | | | (D) | and 4) | | __________________________________________________________________________________________________________________________________ Common Stock | 10/09/02 | | V | 250,000 A $0.40/share| 269,670 | | __________________________________________________________________________________________________________________________________ | | | | | | | __________________________________________________________________________________________________________________________________ | | | | | | | __________________________________________________________________________________________________________________________________ | | | | | | | __________________________________________________________________________________________________________________________________ | | | | | | | __________________________________________________________________________________________________________________________________ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (9-02) 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 nummber. 1 FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) __________________________________________________________________________________________________________________________________ 1.Title of |2.Conver-|3.Trans-|3A.Deemed|4.Trans-|5.Number of |6.Date Exer-|7.Title and Amount|8.Price |9.Number |10.Own-|11.Nature Derivative |sion or |action |Execution|action |Derivative |cisable and |of Underlying Se- |of Deri-|of Deriv-|ership |of In- Security |Exercise |Date |Date, if |Code |Securities |Expiration |curities |vative |ative |Form of|direct (Instr. 3) |Price of |(Month |any |(Instr. |Acquired (A)|Date |(Instr. 3 and 4) |Security|Securi- |Deriva-|Benefi- |Deri- |Day/ |(Month/ |8) |or Disposed |(Month/Day | |(Instr. |ties |tive |cial |vative |Year) |Day/Year)| |of (D) |Year) | |5) |Bene- |Securi-|Owner- |Security | | | |(Instr. 3, | | | |ficially |ty: Di-|ship | | | | |4 and 5) | | | |Owned |rect |Instr. | | | | | | | | |Follow- |(D) |4) | | | | | | | | |ing |or In- | | | | |________|____________|____________|__________________| |Reported |direct | | | | | |Date | | |Trans- |(I) | | | | | | |Exer- Expir-| Amount or | |action(s)|(Instr.| | | | | | |cis- ation | Number of | |(Instr. |4) | | | | |Code V | (A) (D) |able Date |Title Shares | |4) | | __________________________________________________________________________________________________________________________________ Employee | | | | | | | | | | | Stock | | | | | | | | | | | Option | | | | | | | | | | | (right to | | | | | | | | | | | buy) | | | | | | | | | | | __________________________________________________________________________________________________________________________________ | | | | | | | | | | | __________________________________________________________________________________________________________________________________ | | | | | | | | | | | __________________________________________________________________________________________________________________________________ | | | | | | | | | | | __________________________________________________________________________________________________________________________________ | | | | | | | | | | | __________________________________________________________________________________________________________________________________ Explanation of Responses: Stock issued at value of $.40 per share for services rendered by Chairman By: /s/ Stanley A. Hirschman 10/09/02 _________________________________ _______________ ** 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. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space 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 valid OMB Number. 2