UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 5
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
[ ] Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue.
[ ] Form 3 Holdings Reported
[ ] Form 4 Transactions Reported
1 Name and Address of Reporting Person
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Hirofumi Inagawa
4-25-1 Aoyamadai Abiko-City Chiba-Prefecture, Japan 270-1175
2 Issuer Name and Ticker or Trading Symbol
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MyOffiz, Inc.
3 IRS or Social Security Number of Reporting Person (Voluntary)
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4 Statement for Month/Day/Year
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December 31, 2002
5 If Amendment, Date of Original (Month/Day/Year)
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N/A
6 Relationship of Reporting Person(s) to Issuer (Check all applicable)
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[X] Director [ ] 10% Owner
[ ] Officer (give title below) [ ] Other (Specify below)
7 Individual or Joint/Group Filing (Check applicable line)
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[X] Form filed by One Reporting [ ] Form filed by More than One
Person Reporting Person
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) 7)Nature of
action action or Disposed of (D) Securities Indirect
Date Code A Beneficially D Beneficial
(Month/ or Owned at or Ownership
Day/Year) Code Amount D Price End of Year I
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Common Stock 10/31/00 21,428 D
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Form 5 (continued)
Table II (PART 1) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1 through 6)
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1)Title of Derivative 2)Conversion 3)Trans- 4)Trans- 5)Number of Derivative 6)Date Exercisable and
Security or Exercise action action Securities Acquired (A) Expiration Date
Price of Date Code or Disposed of (D)
Derivative
Security Code A D Exercisable Expiration
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Table II (PART 2) Derivative Securitites Acquired, Disposed of, or Beneficially Owned (Columns 1,3 and 7 through 11)
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1)Title of Derivative 3)Trans- 7)Title and Amount 8)Price 9)Number of 10) 11)Nature of
Security action of Underlying of Deri- Derivative Indirect
Date Securities vative Securities D Beneficial
Amount or Security Beneficially or Ownership
Number of Owned at I
- Title Shares End of Year
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Explanation of Responses:
/s/ Hirofumi Inagawa February 14, 2003
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Signature of Reporting Date
Person