SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

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(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
JURIKA WILLIAM K

(Last) (First) (Middle)
Suite 210

(Street)
Oakland CA 94612

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Q COMM INTERNATIONAL INC [ QMM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
08/18/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 08/18/2003 P 200 A $5.87 223,370 I ( 1 ) By limited partnership
Common Stock 08/18/2003 P 4,500 A $5.85 227,870 I ( 1 ) By limited partnership
Common Stock 08/18/2003 P 4,800 A $5.8 232,670 I ( 1 ) By limited partnership
Common Stock 08/19/2003 P 17,300 A $5.85 249,970 I ( 1 ) By limited partnership
Common Stock 08/19/2003 P 2,000 A $5.848 251,970 I ( 1 ) By limited partnership
Common Stock 08/19/2003 P 400 A $5.84 252,370 I ( 1 ) By limited partnership
Common Stock 08/19/2003 P 8,800 A $5.8174 261,170 I ( 1 ) By limited partnership
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
JURIKA WILLIAM K

(Last) (First) (Middle)
Suite 210

(Street)
Oakland CA 94612

(City) (State) (Zip)
1. Name and Address of Reporting Person*
JURIKA MICHELLE

(Last) (First) (Middle)
SUITE 210

(Street)
OAKLAND CA 94612

(City) (State) (Zip)
Explanation of Responses:
1. These securities are held directly by a limited partnership, a 51.3% limited partnership interest of which is held by the Jurika Family Trust U/A 1989. William Jurika is also the managing member of the general partner of the limited partnership. The reporting persons are each trustees of the Jurika Family Trust U/A 1989.
William K. Jurika, Individually and as Trustee of the Jurika Family Trust U/A 1989 08/19/2003
Michelle Jurika, Individually and as Trustee of the Jurika Family Trust U/A 1989 08/19/2003
** 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).
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