---------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION ---------------------------- |F O R M 4| Washington, D.C. 20549 | OMB APPROVAL | ---------------- |--------------------------| Check this box if STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0287| [X] no longer Subject |Expires: December 31, 2001| to Section 16. |Estimated ave. 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(f) of the Investment Company Act 1940 ------------------------------------------------------------------------------------------------------------------------------------ |1.Name and Address of Reporting Person* |2.Issuer Name and Ticker or Trading Symbol |6.Relationship of Reporting Person to | | | | Issuer (Check all Applicable) | | | | | | | | | | Packard Kevin L. | Computerized Thermal Imaging, Inc. "COII" | Director 10% Owner | |----------------------------------------|------------------------------------------------|--- --- | | (Last) (First) (MI) |3.IRS or Soc. Sec. No. |4.Statement for Month/ | Officer X Other | | | of Reporting Person | Year |--- (give title below)--- (Specify) | | | (Voluntary) | | | | | | | Former CFO, Secretary & Treasurer | | 874 S. Mountainside Drive | N/A | June 2001 | | |----------------------------------------| |------------------------|----------------------------------------| | (Street) | |5.If Amendment, Date of |7. Individual or Joint/Group Filing | | | | Original (Month/Year) | (Check Applicable Line) | | | | | | | | | N/A | X Form filed by One Reporting Person | | | | |--- | | | | | Form filed by More than One | | Farmington, UT 84025 | | |--- Reporting Person | |----------------------------------------------------------------------------------------------------------------------------------| | (City) (State) (Zip) | | TABLE I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |----------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security |2.Transac- |3.Trans. |4.Securities Acquired (A) or |5.Amount of |6. |7.Nature of Indirect| | (Instr. 3) | tion Date | Code | Disposed of (D) | Securities |Own.| Beneficial | | |(Mon/Day/Yr)| | | Beneficially |Form| Ownership | | | |(Instr.8)| (Instr. 3, 4, & 5) | Owned at End of|(D) | | | | | |-------------------------------| Month | or | (Instr. 4) | | | | | |(A) | | |(I) | | | | | | Amount |(D) | Price | (Instr. 3 & 4) | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | | | | | | | | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | | | | | | | | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | | | | | | | | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | | | | | | | | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | | | | | | | | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | | | | | | | | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| PAGE: 1 OF 2 FORM 4 (continued) TABLE II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible security) ------------------------------------------------------------------------------------------------------------------------------------ |1.Title of|2.Conver-|3. |4.Tran- |5.Number of |6.Date |7.Title and Amount|8.Price of|9.Number |10. |11.Nature | |Derivative|sion or |Trans | saction| Derivative |Exercisable | of Underlying |Derivative| of |Own.| of | |Security |Exercise |Date | Code | Securities |and | Securities |Security |Derivative|Form|Indirect | |(Instr. 3)|Price of |(Mon/ |(Instr.8)| Acquired (A) or |Expiration | (Instr. 3 & 4) |(Instr. 5)|Securities|of |Beneficial| | |Deriva- | Day/ | | Disposed of (D) |Date | | |Benefi- |Deri|Ownership | | |tive |Year) | | (Instr. 3, 4 & 5)|(Month/Day/ | | |cially |Sec.|(Instr. 4)| | |Security | | | | Year) | | |Owned at |Dir.| | | | | | | |--------------|------------------| |End of |(D) | | | | | | | | | | |Amount | |Month |or | | | | | |---------|-------------------|Date |Exp. | Title |Number | |(Instr. 4)|Ind.| | | | | |Code| V | (A) | (D) |Exbl.|Date | |Shares | | |(I) | | |----------|---------|-------|----|----|----------|--------|-----|--------|----------|-------|----------|----------|----|----------| |----------|---------|-------|----|----|----------|--------|-----|--------|----------|-------|----------|----------|----|----------| |Restricted| | | | | | | | | | | | | | | |Common | | | | | | | | | Common | | | | | | |Stock | 0.00|2/01/01| A | | 50,000 | |08/01| N/A | Stock | 50,000| N/A | 50,000| D | | |----------|---------|-------|----|----|----------|--------|-----|--------|----------|-------|----------|----------|----|----------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |----------|---------|-------|----|----|----------|--------|-----|--------|----------|-------|----------|----------|----|----------| Explanation of Responses: /s/Kevin L. Packard 07/10/01 ---------------------------------------------- ---------------------- **Signature of Reporting Person Date 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). ** 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. PAGE: 2 OF 2