-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, FcdRi/gkJ+rPbITJvPFI2Jnv5TzD9AdtfSeEfFN1vXndDZS2e2S2/P3SG4HWhQ6H 9B8a6LiWn9VuEOhTjCsJuA== 0001144204-05-033161.txt : 20051028 0001144204-05-033161.hdr.sgml : 20051028 20051028162321 ACCESSION NUMBER: 0001144204-05-033161 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20051028 DATE AS OF CHANGE: 20051028 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Cody Matthew CENTRAL INDEX KEY: 0001333568 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: BUSINESS PHONE: 631-474-1630 MAIL ADDRESS: STREET 1: 157 CLIFF ROAD CITY: BELLE TERRE STATE: NY ZIP: 11777 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WORLD HEART CORP CENTRAL INDEX KEY: 0001024520 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 000000000 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-50628 FILM NUMBER: 051163541 BUSINESS ADDRESS: STREET 1: 7799 PARDEE LANE CITY: OAKLAND STATE: CA ZIP: 94621 BUSINESS PHONE: 510-563-5000 MAIL ADDRESS: STREET 1: 7799 PARDEE LANE CITY: OAKLAND STATE: CA ZIP: 94621 SC 13D 1 v027853_sc13d.txt ---------------------------- | OMB APPROVAL | | OMB Number: 3235-0145 | | Expires: December 31, 2005 | | Estimated average burden | | hours per response.....11 | ---------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment no._____)* WORLD HEART CORPORATION - -------------------------------------------------------------------------------- (NAME OF ISSUER) COMMON STOCK, NO PAR VALUE - -------------------------------------------------------------------------------- (TITLE OF CLASS OF SECURITIES) 980905202 - -------------------------------------------------------------------------------- (CUSIP NUMBER) MATTHEW J. CODY 157 CLIFF ROAD, BELLE TERRE, NY 11777 - -------------------------------------------------------------------------------- (NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON AUTHORIZED TO RECEIVE NOTICES AND COMMUNICATIONS) October 24, 2005 - -------------------------------------------------------------------------------- (DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT) IF THE FILING PERSON HAS PREVIOUSLY FILED A STATEMENT ON SCHEDULE 13G TO REPORT THE ACQUISITION WHICH IS THE SUBJECT OF THIS SCHEDULE 13D, AND IS FILING THIS SCHEDULE BECAUSE OF RULE 13D-1(E), 13D-1(F) OR 13D-1(G), CHECK THE FOLLOWING BOX |_|. NOTE: SCHEDULES FILED IN PAPER FORMAT SHALL INCLUDE A SIGNED ORIGINAL AND FIVE COPIES OF THE SCHEDULE, INCLUDING ALL EXHIBITS. SEE RULE 13D-7 FOR OTHER PARTIES TO WHOM COPIES ARE TO BE SENT. * 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 DISCLOSURES PROVIDED IN A PRIOR COVER PAGE. THE INFORMATION REQUIRED ON 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 ("ACT") 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). CUSIP No. 980905202 SCHEDULE 13D CUSIP NO - --------------------------------------------------------------------- (1) NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) MATTHEW J. CODY - --------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A (A) N/A MEMBER OF A GROUP (SEE INSTRUCTIONS) (B) N/A - --------------------------------------------------------------------- (3) SEC USE ONLY - --------------------------------------------------------------------- (4) SOURCE OF FUNDS (SEE INSTRUCTIONS) PF - --------------------------------------------------------------------- (5) CHECK BOX IF DISCLOSURE OF LEGAL |_| PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(D) OR 2(E) - --------------------------------------------------------------------- (6) CITIZENSHIP OR PLACE OF ORGANIZATION United States - --------------------------------------------------------------------- NUMBER OF SHARES (7) SOLE VOTING POWER BENEFICIALLY OWNED BY EACH 0 REPORTING PERSON ---------------------------------------------- WITH (8) SHARED VOTING POWER 500,000 shares of common stock ---------------------------------------------- (9) SOLE DISPOSITIVE POWER 0 ---------------------------------------------- (10) SHARED DISPOSITIVE POWER 500,000 shares of common stock - --------------------------------------------------------------------- (11) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 500,000 shares of common stock - --------------------------------------------------------------------- (12) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) / EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) - --------------------------------------------------------------------- (13) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 500,000 / 17,101,400 = 2.92% - --------------------------------------------------------------------- (14) TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - --------------------------------------------------------------------- Item 1 Security & Issuer. This Schedule 13D relates to the common stock, no par value per share of World Heart Corporation. The principal executive office of the issuer is 1Laser Street, Ottawa, Ontario, Canada A6, K2E7V1. Item 2 Identity and Background. a) This Schedule 13D is filed on behalf of Matthew J. Cody b) The principal place of residence and business of the Reporting Person is 157 Cliff Road,Belle Terre,NY 11777. c) The Reporting Person is retired. d) The Reporting Person has not, during the past five years, been convicted in any criminal proceedings. (Excluding traffic violations or similar misdemeanors.) e) The Reporting Person has not, during the past five years, been a party to a civil proceedings of a judicial or administrative body of competent jurisdiction, as a result of which any of them became or is subject to a judgement, decree or final order enjoining future violations of, or finding any violations with respect to such laws. f) The Reporting Person is a citizen of the United States of America. Item 3 Source & Amount of Funds or Other Consideration. Personal funds of the Reporting Person. Item 4 Purpose of transaction The Reporting Person sold 1,000,000 shares of the common stock of the Issuer. Item 5 Interest in Securities of the Issuer. The Reporting Person owns 500,000 shares of the Common Stock, representing 2.92% of the outstanding Common Stock. Due to the sale of shares, the Reporting Person ceased being a beneficial owner of more than 5% on October 24, 2005. 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. DATED: /S/ ------------------------ -----END PRIVACY-ENHANCED MESSAGE-----