-----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, Vn5m25jBOiX0s5oe4TaGoNjPeRexhwOrpqyFNbOXas9oHB2wfybDjf+wgSxYn0Qk ubTK/AaBZCl97WFohwLagQ== 0000950109-97-001299.txt : 19970222 0000950109-97-001299.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950109-97-001299 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: UROLOGIX INC CENTRAL INDEX KEY: 0000882873 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 411697237 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-48431 FILM NUMBER: 97534078 BUSINESS ADDRESS: STREET 1: 14405 21ST AVE N CITY: MINNEAPOLIS STATE: MN ZIP: 55447 BUSINESS PHONE: 6124751400 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: REID JOHN M CENTRAL INDEX KEY: 0001033590 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 195 BUNKER HILL AVE CITY: STRATHAM STATE: NH ZIP: 03885 SC 13G 1 SCHEDULE 13G SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No. )* Urologix, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, Par Value $0.01 - -------------------------------------------------------------------------------- (Title of Class of Securities) 917273 10 4 -------------------------------------- (CUSIP Number) *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 ("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). (Continued on following page(s)) Page 1 of 5 Pages - ------------------------ -------------------------- CUSIP No. 917273 10 4 13G Page 2 of 5 Pages -------------- --- --- - ------------------------ -------------------------- - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON John M. Reid - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION American - ------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 596,337 --------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY 0 OWNED BY --------------------------------------------------- 7 SOLE DISPOSITIVE POWER EACH 596,337 REPORTING --------------------------------------------------- PERSON 8 SHARED DISPOSITIVE POWER WITH 0 - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 596,337 - ------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - ------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.5% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! Item 1. (a) Name of Issuer -------------- Urologix, Inc., a Minnesota corporation (b) Address of Issuer's Principal Executive Offices ----------------------------------------------- Urologix, Inc., 14405 21st Avenue North, Minneapolis, MN 55447 Item 2. (a) Name of Person Filing. This statement is being filed by --------------------- John M. Reid, an individual. (b) Address of Principal Business Office or, if none, Residence. The ----------------------------------------------------------- principal address of Mr. Reid is 195 Bunker Hill Avenue, Stratham, NH 03885. (c) Citizenship. Mr. Reid is an American citizen. ----------- (d) Title of Class of Securities. Common Stock, $0.01 par ---------------------------- value per share. (e) CUSIP Number. 917273 10 4 ------------ Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b), ----------------------------------------------------------------- check whether the person filing is a: ------------------------------------ (a) [_] Broker or Dealer registered under Section 15 of the Act (b) [_] Bank as defined in Section 3(a)(6) of the Act (c) [_] Insurance Company as defined in Section 3(a)(19) of the Act (d) [_] Investment Company registered under Section 8 of the Investment Company Act (e) [_] Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940 (f) [_] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see (S)240.13d-1(b)(1)(ii)(F) (g) [_] Parent Holding Company, in accordance with (S)240.13d-1(b)(ii) (G)(Note: See Item 7) (h) [_] Group, in accordance with (S)240.13d-1(b)(ii)(H) Not Applicable Item 4. Ownership --------- As of December 31, 1996, the ownership of Mr. Reid was as follows: (a) Amount Beneficially Owned - 596,337 (b) Percent of Class - 6.5% (c) Of the shares owned by Mr. Reid, Mr. Reid has the power to vote or dispose of the shares as follows: (i) Sole power to vote or direct the vote - 596,337 (ii) Shared power to vote or direct the vote - 0 (iii) Sole power to dispose or direct the disposition of - 596,337 (iv) Shared power to dispose or direct the disposition of - 0 Item 5. Ownership of Five Percent or less of a Class -------------------------------------------- Not Applicable. Page 3 of 5 Pages 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 Reported on by the Parent Holding Company. --------------------------------------------------------------- If a parent holding company has filed this schedule, pursuant to Rule 13d-1(b)(iii)(G), so indicate under Item 3(g) and attach an exhibit stating the identity and the Item 3 classification of the relevant subsidiary. If a parent holding company has filed this schedule pursuant to Rule 13d-1(c), attach an exhibit stating the identification of the relevant subsidiary. 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. Certificates ------------ The following certificates 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 in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. Not Applicable. Page 4 of 5 Pages SIGNATURES ---------- 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 10, 1997 /s/ John M. Reid -------------------------------------------- John M. Reid Page 5 of 5 Pages -----END PRIVACY-ENHANCED MESSAGE-----