SEC 1473
(09-02)

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FORM 3

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549


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(h) of the Investment Company Act of 1940

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(Print or Type Responses)

 


 1. Name and Address of Reporting Person*



     Toibb                Harris

(Last)            (First)            (Middle)



307 21st Street

(Street)



Santa Monica        CA        90402

(City)      (State)          (Zip)

 2. Date of Event
    Requiring Statement
    (Month/Day/Year)


February 28, 2003



 3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)

 


 4. Issuer Name and Ticker
    or Trading Symbol


TAG-IT PACIFIC, INC.

TAG

 

 5. Relationship of Reporting Person(s) to Issuer

  (Check all applicable)

      Director

  X  10% Owner

      Officer (give title below)

      Other (specify below)


  

 6. If Amendment,
    Date of Original
    (Month/Day/Year)

 




 7. Individual or Joint/Group

    Filing (Check Applicable Line)

 

  X  Form filed by One Reporting Person

 

        Form filed by More than One Reporting Person

 

Table I — Non-Derivative Securities Beneficially Owned

 

 1. Title of Security
    (Instr. 4)

 2.  Amount of
    Securities
    Beneficially
    Owned
    (Instr. 4)

 3. Ownership Form: Direct (D) or Indirect (I)
    (Instr. 5)

 4. Nature of Indirect Beneficial Ownership
    (Instr. 5)

Common Stock

957,166

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Table II — Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

 

1. Title of
    Derivative
    Security
    (Instr. 4)

2.  Date Exercisable and
    Expiration Date
    (Month/Day/Year)

3. Title and Amount of
    Securities Underlying Derivative
    Security (Instr. 4)

4. Conversion or
    Exercise Price of
    Derivative
    Security

5. Ownership
    Form of Derivative
    Securities: Direct (D)
    or Indirect (I) (Instr. 5)

6. Nature of Indirect
    Beneficial
    Ownership
    (Instr. 5)

Date Exercisable

Expiration Date

Title

Amount or
Number of Shares

WARRANT

12/28/01

12/28/05

COMMON STOCK

66,666

$4.34 #

D

 

WARRANT

12/28/01

12/28/05

COMMON STOCK

66,666

$4.73 #

D

 

WARRANT

3/22/02

3/22/06

COMMON STOCK

25,000

$4.34 #

D

 

WARRANT

3/22/02

3/22/06

COMMON STOCK

25,000

$4.73 #

D

 

WARRANT

2/28/03

2/28/07

COMMON STOCK

75,000

$4.34 #

D

 

WARRANT

2/28/03

2/28/07

COMMON STOCK

75,000

$4.73 #

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

Explanation of Responses:

# Exercise price may fluctuate upwards, to a maximum of $5.25 per share, based upon the price of the common stock at the time of exercise.

 

 

/s/ Harris Toibb

 

March 3, 2003

** Signature of Reporting Person

 

Date

 

*

 

If the form is filed by more than one reporting person, see Instruction 5(b)(v).

 

 

 

**

 

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.

 

 

http://www.sec.gov/divisions/corpfin/forms/form3.htm

Last update: 09/03/2002