5 1 form-5.txt FORM 5 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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(f) of the Investment Company Act of 1940 [_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). [_] Form 3 Holdings Reported [_] Form 4 Transactions Reported ________________________________________________________________________________ 1. Name and Address of Reporting Person* John Jason -------------------------------------------------------------------------------- (Last) (First) (Middle) 8 - 1545 West 14th Avenue -------------------------------------------------------------------------------- (Street) Vancouver B.C. V2J 1J5 -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Issuer Name and Ticker or Trading Symbol: Tripacific Development Corp., the Issuer presently has no Ticker or Trading Symbol as it is not yet quoted ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an Entity (Voluntary) N/A ________________________________________________________________________________ 4. Statement for Month/Year 03/01 ________________________________________________________________________________ 5. If Amendment, Date of Original (Month/Year) N/A ________________________________________________________________________________ 6. Relationship of Reporting Person(s) to Issuer: (Check all applicable) [X] Director [_] 10% Owner [X] Officer (give title below) [_] Other (specify below) President and Secretary ________________________________________________________________________________ 7. Individual or Joint/Group Reporting (Check applicable line) [X] Form filed by one Reporting Person [_] Form filed by more than one Reporting Person ________________________________________________________________________________ ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================

* If the form is filed by more than one Reporting Person, see Instruction 4(b)(v). Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================

Explanation of Responses: /s/ Jason John May 1, 2001 --------------------------------------------- ----------------------- **Signature of Reporting Person -- Jason John 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 provided is insufficient, see Instruction 6 for procedure.

TRIPACIFIC DEVELOPMENT CORP 5