-----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, Pu5lfD3s4Hxst57YtpdBSSlkkUVvTP5ZrZTyZxww21g+nNQQGRtNNwwo7QZktiPf 2ClbZY3lAdazn7AcaNvEhg== 0001206774-03-000062.txt : 20030214 0001206774-03-000062.hdr.sgml : 20030214 20030214081632 ACCESSION NUMBER: 0001206774-03-000062 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030214 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: 1934 Act SEC FILE NUMBER: 005-36792 FILM NUMBER: 03562487 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 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 d11941.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. 13) 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-1(c) [x] Rule 13d-1(d) - ---------- (SC13G-07/98) CUSIP No. 457647 13G Page 2 of 5 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 847,220 _________________________________________________________________ BENEFICIALLY 6. SHARED VOTING POWER OWNED BY -0- _________________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING 847,220 _________________________________________________________________ PERSON 8. SHARED DISPOSITIVE POWER -0- WITH ________________________________________________________________________________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 847,220 ________________________________________________________________________________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] ________________________________________________________________________________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 5.6% ________________________________________________________________________________ 12. TYPE OF REPORTING PERSON* IN ________________________________________________________________________________ *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No. 457647 13G Page 3 of 5 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 Applicable CUSIP No. 457647 13G Page 4 of 5 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, 2002 was as follows: (a) Amount beneficially owned: 847,220 (b) Percent of class: 5.6% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 847,220 (Includes options exercisable within 60 days of December 31, 2002 to purchase 46,000 shares) (ii) Shared power to vote or to direct the vote -0- (iii) Sole power to dispose or to direct the disposition of 847,220 (Includes options exercisable within 60 days of December 31, 2002 to purchase 46,000 shares) (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 Applicable ________________________________________________________________________________ Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not Applicable ________________________________________________________________________________ Item 8. Identification and Classification of Members of the Group. Not Applicable ________________________________________________________________________________ Item 9. Notice of Dissolution of Group. Not Applicable ________________________________________________________________________________ Item 10. Certifications. Not applicable. 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. February, 14, 2003 ---------------------------------------- (Date) /s/ Thomas W. Haley ---------------------------------------- (Signature) Chairman ---------------------------------------- (Name/Title) -----END PRIVACY-ENHANCED MESSAGE-----