- ---------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ----------------------------
|F O R M 3| Washington, D.C. 20549 | OMB APPROVAL |
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES |OMB Number 3235-0104|
|Expires: January 31, 2005 |
|Estimated average burden |
|hours per response.....0.5|
Filed pursuant to Section 16(a) of the Securities Exchanged Act of 1934, ----------------------------
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act 1940
(Print or Type Responses)
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|1.Name and Address of | 2. Date of Event | 4. Issuer Name and Ticker or Trading Symbol |
| Reporting Person* | Requiring Statement | |
| | (Month/Day/Year) | Tintic Gold Mining Company (TTGM) |
| | | |
| | | |
| Burningham, Leonard W. | | |
|------------------------------| | |
| (Last) (First) (Middle) | | |
| | | |
| | 4/22/03* | |
| | | |
| 455 E. 500 S., #205 | | |
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| (Street) | 3.IRS Identification Number | 5. Relationship of Reporting Person(s) to | 6. If Amendment, Date of|
| | of Reporting Person, if an| Issuer | Original |
| | entity (voluntary) | (Check all applicable) | (Month/Day/Year) |
| | | | |
| | | Director X 10% Owner | |
| | | --- --- | |
| Salt Lake City, UT 84111 | | | |
|------------------------------| | Officer (give title Other |-------------------------|
| (City) (State) (Zip) | | --- below) --- (specify | 7. Individual or Joint/ |
| | | below) | Group Filing (Check |
| | | | Applicable Line) |
| | | | |
| | | | X Form filed by One |
| | | ----------------------------------------- | --- Reporting Person |
| | | | |
| | | | Form filed by More |
| | | | --- than One Person |
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| TABLE I - Non-Derivative Securities Beneficially Owned |
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| 1.Title of Security | 2. Amount of Securities Beneficially | 3. Ownership Form: Direct (D) |4. Nature of Indirect |
| (Instr. 4) | Owned | or Indirect (I) | Beneficial Ownership |
| | (Instr. 4) | (Instr. 5) | (Instr. 5) |
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| <s> | <c> | <c> | <c> |
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| Common stock | 170,000 | D* | |
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Reminder: Report on a separate line for each class of securities beneficially owned directly of indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
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FORM 3 (continued)
TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible security)
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|1.Title of|2. Date Exer- |3. Title and Amount of Securities |4. Conversion |5. Ownership Form |6. Nature of Indirect |
|Derivative| cisable and | Underlying Derivative | or Exercise | of Derivative | Beneficial Ownership |
|Security | Expiration | Security (Instr. 4) | Price of | Securities: | (Instr. 5) |
|(Instr.4) | Date | | Derivative | Direct (D) or | |
| | (Month/Day/Year) | | Security | Indirect (I) | |
| |--------------------------------------------------------| | (Instr. 5) | |
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| | Date | Expira- | | Amount or | | | |
| | Exer- | tion | | Number of | | | |
| | cisable | Date | Title | Shares | | | |
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Explanation of Responses:
*Authorized to be issued on April 22, 2003, by the Board of Directors pursuant to Rule 16b-3(d)(1) of the Securities and Exchange
Commission.
/s/ Leonard W. Burningham 4/22/03
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**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.
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