-----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, Cj29moensKwq2VpiCvkTw68HL5HwME9CwVO41g6etW7WRVOygiNqS7b3Z5SIBxvx IHisQV4p70ZJmuyjCd6mUw== 0000897101-01-000168.txt : 20010224 0000897101-01-000168.hdr.sgml : 20010224 ACCESSION NUMBER: 0000897101-01-000168 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010220 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INNOVEX INC CENTRAL INDEX KEY: 0000050601 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 411223933 STATE OF INCORPORATION: MN FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-36792 FILM NUMBER: 1550723 BUSINESS ADDRESS: STREET 1: 530 ELEVENTH AVENUE SOUTH CITY: HOPKINS STATE: MN ZIP: 55343-9904 BUSINESS PHONE: 6129384155 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HALEY THOMAS W CENTRAL INDEX KEY: 0000900717 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: INNOVEX INC STREET 2: 1313 FIFTH STREET SOUTH CITY: HOPKINS STATE: MN ZIP: 55343 BUSINESS PHONE: 6129384155 MAIL ADDRESS: STREET 1: C/O INNOVEX INC STREET 2: 1313 FIFTH STREET SOUTH CITY: HOPKINS STATE: MN ZIP: 55343 SC 13G/A 1 0001.txt ------------------------------ OMB APPROVAL ------------------------------ OMB Number Expires: Estimated average burden hours per response ....... 0.5 ------------------------------ SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. 12) Innovex, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.04 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 45 76 47 - -------------------------------------------------------------------------------- (CUSIP Number) - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [_] Rule 13d-(c) [_] Rule 13d-1(d) - ---------- (SC13G-07/98) CUSIP No. 457647 13G Page of Pages - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Thomas W. Haley ###-##-#### - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION - -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER SHARES 801,220 ----------------------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER OWNED BY -0- ----------------------------------------------------------------- EACH 7. SOLE DISPOSITIVE POWER REPORTING 801,220 ----------------------------------------------------------------- PERSON 8. SHARED DISPOSITIVE POWER -0- WITH - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 801,220 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 5.3% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No. 457647 13G Page of Pages - -------------------------------------------------------------------------------- Item 1(a). Name of Issuer: Innovex Inc. - -------------------------------------------------------------------------------- Item 1(b). Address of Issuer's Principal Executive Offices: 5540 Pioneer Creek Drive Maple Plain MN 55359-9003 - -------------------------------------------------------------------------------- Item 2(a). Name of Person Filing: Thomas W. Haley - -------------------------------------------------------------------------------- Item 2(b). Address of Principal Business Office, or if None, Residence: Innovex Inc. 5540 Pioneer Creek Drive Maple Plain MN 55359-9003 - -------------------------------------------------------------------------------- Item 2(c). Citizenship: American - -------------------------------------------------------------------------------- Item 2(d). Title of Class of Securities: Common Stock, $.04 par value - -------------------------------------------------------------------------------- Item 2(e). CUSIP Number: 457647 - -------------------------------------------------------------------------------- Item 3 If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: Not Aplicable CUSIP No. 457647 13G Page of Pages Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. The ownership of Mr haley as of December 31, 2000 was as follows: (a) Amount beneficially owned: 801,220 (b) Percent of class: 5.3% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 801,220 (ii) Shared power to vote or to direct the vote -0- (iii) Sole power to dispose or to direct the disposition of 801,220 (iv) Shared power to dispose or to direct the disposition of -0- - -------------------------------------------------------------------------------- Item 5. Ownership of Five Percent or Less of a Class. - -------------------------------------------------------------------------------- Item 6. Ownership of More Than Five Percent on Behalf of Another Person. Not Aplicable - -------------------------------------------------------------------------------- Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not Aplicable - -------------------------------------------------------------------------------- Item 8. Identification and Classification of Members of the Group. Not Aplicable - -------------------------------------------------------------------------------- Item 9. Notice of Dissolution of Group. Not Aplicable - -------------------------------------------------------------------------------- Item 10. Certifications. (a) The following certification shall be included if the statement is filed pursuant to Rule 13d-1(b): "By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect." (b) The following certification shall be included if the statement is filed pursuant to Rule 13d-1(c): "By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect." 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. January, 31, 2001 ---------------------------------------- (Date) ---------------------------------------- (Signature) ---------------------------------------- (Name/Title) Note. Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7(b) for other parties for whom copies are to be sent. Attention. Intentional misstatements or omissions of fact constitute federal criminal violations (see 18 U.S.C. 1001). -----END PRIVACY-ENHANCED MESSAGE-----