SC 13D
1
th13d.txt
SECURITIES AND EXCHANGE COMMISSION
Washington, D. C. 20549
SCHEDULE 13D
(Rule 13d-101)
INFORMATION STATEMENT PURSUANT TO RULES 13d-1(a) AND 13d-2(a) UNDER THE
SECURITIES EXCHANGE ACT OF 1934
Bear Lake Recreation, Inc.
(Name of Issuer)
Common Stock, par value $0.001 par value
(Title of Class of Securities)
07383D 10 3
(CUSIP Number)
Branden T. Burningham, Esq.
455 East 500 South, Suite 205,
Salt Lake City, UT 84111, (801-363-74ll)
(Name, Address and Telephone Number of Person Authorized to Receive Notices)
October 3, 2005
(Date of Event which Requires Filing of this Statement)
1 The remainder of this cover page shall be filled out for a reporting
person's initial filing on this form with respect to the subject class of
securities, and for any subsequent amendment containing information which
would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be
deemed to be "filed" for the purpose of Section 18 of the Securities Exchange
Act of 1934 or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act (however, see the
Notes).
(Page 1 of 5 Pages)
1. NAME OF REPORTING PERSONS Derrick M. Albiston
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
3. SEC USE ONLY
4. SOURCE OF FUNDS* PF
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO
ITEM 2(d) or 2(e) [ ]
6. CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
NUMBER OF SHARES 7. SOLE VOTING POWER: 367,200
BENEFICIALLY OWNED 8. SHARED VOTING POWER: 0
BY EACH REPORTING PERSON 9. SOLE DISPOSITIVE POWER: 367,200
WITH 10. SHARED DISPOSITIVE POWER: 0
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
367,200
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
[ ]
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
8.39%.
14. TYPE OF REPORTING PERSON
IN
*SEE INSTRUCTIONS BEFORE FILLING OUT!
(Page 2 of 5 Pages)
Item 1. Security and Issuer.
Title of Securities. Common Stock, par value, $0.001 per share.
Name of Issuer. Bear Lake Recreation, Inc. ("Bear Lake")
Address of Issuer's Principal Executive Office.
4685 S. Highland Drive, Suite 202, Salt Lake City, Utah 84117.
Item 2. Identity and Background.
(a) Name of Person Filing. This Schedule 13D is being filed for
Thomas J. Howells.
(b) Address. Mr. Howells' address is 9706 Ruskin Circle,
Sandy, UT 84092
(c) Mr. Howells is currently employed by Jenson Services, Inc., a
Utah corporation, that provides financial consulting services and
is located at the same address of the issuer.
(d) During the last five years, Mr. Howells has not been convicted
in any criminal proceeding.
(e) During the last five years, Mr. Howells has not been a party
to a civil proceeding of a judicial or administrative body of competent
jurisdiction, which resulted in a judgment, decree or final order enjoining
future violations of, or prohibiting or mandating activities subject to,
Federal or State securities laws or finding any violation with respect to such
laws.
(f) Citizenship. Mr. Howells is a citizen of the United States.
Item 3. Source and Amount of Funds or Other Consideration
Mr. Howells purchased 240,000 shares of Bear Lake Recreation, Inc.'s, $.001
par value common stock, from Mr. Frank Gillen as an investment in a private
transaction for $10,000. As a result of this transaction Mr. Howells directly
holds 367,200 or 8.39% of common stock issued and outstanding with no indirect
holdings.
Item 4. Purpose of Transaction.
The purpose of the transaction was an investment by Mr. Howells under
mutually acceptable terms to both parties in execution of this private
transaction.
(Page 3 of 5 Pages)
Item 5. Interest in Securities of the Issuer.
(a) Amount Beneficially Owned. As of the date hereof Mr. Howells owns
367,200 shares of the issuer's common stock.
Percent of Class. The shares of common stock held by Mr. Howells
represent approximately 8.39% of the common stock outstanding as of the date
hereof.
(b) Number of shares as to which such person has:
Sole power to vote or to direct the vote: 367,200
Shared power to vote or to direct the vote: 0
Sole power to dispose or to direct the disposition of: 367,200
Shared power to dispose or to direct the disposition of: 0
(c) N/A
(d) N/A
(e) N/A
Item 6. Contracts, Arrangements, Understandings or Relationships With
Respect to Securities of the Issuer.
None; N/A
Item 7. Material to be Filed as Exhibits.
N/A
(Page 4 of 5 Pages)
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
DATE: October 12, 2005
/s/ THOMAS J. HOWELLS
---------------------
Thomas J. Howells
(Page 5 of 5 Pages)