U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person: Richard F. Holt, 31103 Rancho Vieso Road #2102, San Juan Capistrano, CA 92675 2. Date of Event Requiring Statement (Month/Date/Year): 8/6/99 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Issuer Name and Ticker or Trading Symbol: Age Research, Inc. (N/A) 5. Relationship of Reporting Person(s) to Issuer (Check all Applicable) (X) Director (X) Officer, give title below ( ) 10% Owner ( ) Other Title: Vice President 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 2. Amount of 3. Ownership 4. Nature of Securities Form: Direct Indirect Beneficially (D) or Beneficial Owned Indirect (I) Ownership - -------------------- --------------- --------------- --------------- Common Stock 50,000 I Through Spouse Common Stock 3,064,543 D N/A Common Stock 15,500,000 D N/A Common Stock 768,645 D N/A
TABLE II - Derivative Securities Beneficially Owned 1. Title of 2. Date Exercisable 3. Title and Amount of 4. Conver- 5. Ownership 6. Nature Derivative and Expiration Securities Underlying sion or Form of Of Security Date (Month Day Derivative Security Exercise Derivative Indirect Year) Price of Security: Ownership ------------------- ---------------------- Derivative Direct (D) Date Exer- Expira- Title Amount or Security Or Indirect cisable tion Number of (I) Date Shares - ----------- ---------- -------- ----------- ---------- ---------- ----------- ---------- N/A
Explanation of Responses: Signature of Reporting Person: /S/ Richard F. Holt - ------------------------------ Richard F. Holt Date: 8/10/99