0000897069-05-000798.txt : 20120615
0000897069-05-000798.hdr.sgml : 20120615
20050328174317
ACCESSION NUMBER: 0000897069-05-000798
CONFORMED SUBMISSION TYPE: SC 13G/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20050329
DATE AS OF CHANGE: 20050328
GROUP MEMBERS: DAVID RAAB
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: FARO TECHNOLOGIES INC
CENTRAL INDEX KEY: 0000917491
STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829]
IRS NUMBER: 593157093
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-52203
FILM NUMBER: 05707527
BUSINESS ADDRESS:
STREET 1: 125 TECHNOLOGY PARK
CITY: LAKE MARY
STATE: FL
ZIP: 32746-6204
BUSINESS PHONE: 4073339911
MAIL ADDRESS:
STREET 1: FARO TECHNOLOGIES INC
STREET 2: 125 TECHNOLOGY PARK
CITY: LAKE MARY
STATE: FL
ZIP: 32746
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: RAAB SIMON
CENTRAL INDEX KEY: 0001061096
STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000]
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G/A
BUSINESS ADDRESS:
STREET 1: 125 TECHNOLOGY PARK
CITY: LAKE MARY
STATE: FL
ZIP: 32746
BUSINESS PHONE: 4073339911
MAIL ADDRESS:
STREET 1: FARO TECHNOLOGIES INC
STREET 2: 125 TECHNOLOGY PARK
CITY: LAKE MARY
STATE: FL
ZIP: 32746
SC 13G/A
1
cmw1229.txt
AMENDMENT NO. 3
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 3)*
FARO Technologies, Inc.
--------------------------------------------------------------------------------
(Name of Issuer)
Common Stock, $.001 par value
--------------------------------------------------------------------------------
(Title of Class of Securities)
311642 10 2
------------------------------------------------------------------------
(CUSIP Number)
December 31, 2004
--------------------------------------------------------------------------------
(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)
* 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).
(Continued on following page(s))
Page 1 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
================================================================================
1 NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Simon Raab
--------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) [_]
(b) [_]
--------------------------------------------------------------------------------
3 SEC USE ONLY
--------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
Canada
--------------------------------------------------------------------------------
5 SOLE VOTING POWER
NUMBER OF 2,459,329
SHARES ---------------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY
EACH ---------------------------------------------------
REPORTING 7 SOLE DISPOSITIVE POWER
PERSON 2,459,329
WITH ---------------------------------------------------
8 SHARED DISPOSITIVE POWER
--------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,459,329
--------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES (SEE INSTRUCTIONS) [_]
--------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
17.4%
--------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
================================================================================
Page 2 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
Item 1(a). Name of Issuer:
--------- --------------
FARO Technologies, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
--------- -----------------------------------------------
125 Technology Park, Lake Mary, Florida 32746
Item 2(a). Name of Person Filing:
--------- ---------------------
Simon Raab
Item 2(b). Address of Principal Business Office or, if none,
---------- -------------------------------------------------
Residence:
---------
125 Technology Park, Lake Mary, Florida 32746
Item 2(c). Citizenship:
--------- -----------
Canada
Item 2(d). Title of Class of Securities:
--------- ----------------------------
Common Stock
Item 2(e). CUSIP Number:
--------- ------------
311642 10 2
Item 3. If this statement is filed pursuant to Rules
--------------------------------------------
13d-1(b), or 13d-2(b) or (c), check whether the
-----------------------------------------------
person filing is a:
------------------
N/A
Item 4. Ownership (as of December 31, 2004)
------- -----------------------------------
(a) Amount Beneficially Owned: 2,459,329
(b) Percent of Class: 17.4%
Page 3 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
2,459,329
(ii) shared power to vote or to direct the
vote:
(iii) sole power to dispose or to direct the
disposition of:
2,459,329
(iv) shared power to dispose or to direct
the disposition of:
Includes 103,500 shares that the reporting person
has the right to acquire pursuant to Rule 13d-3
upon the exercise of outstanding stock options.
Item 5. Ownership of Five Percent or Less of a Class.
------ --------------------------------------------
N/A
Item 6. Ownership of More than Five Percent on Behalf of
------ ------------------------------------------------
Another Person.
--------------
N/A
Item 7. Identification and Classification of the
------ ----------------------------------------
Subsidiary Which Acquired the Security Being
--------------------------------------------
Reported on By the Parent Holding Company.
-----------------------------------------
N/A
Item 8. Identification and Classification of Members of
-----------------------------------------------
the Group.
---------
See Exhibit A for the identity of the group
members filing this schedule.
Item 9. Notice of Dissolution of Group.
------ ------------------------------
N/A
Item 10. Certification.
------- -------------
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 that purpose or effect.
Page 4 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
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.
March 16, 2005
-----------------------------------
Date
/s/ Simon Raab
-----------------------------------
[Signature]
Simon Raab
-----------------------------------
[Name/Title]
Page 5 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
================================================================================
1 NAME OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
David Raab
--------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)
(a) [_]
(b) [_]
--------------------------------------------------------------------------------
3 SEC USE ONLY
--------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
--------------------------------------------------------------------------------
5 SOLE VOTING POWER
NUMBER OF 2,084,108
SHARES ---------------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY
EACH ---------------------------------------------------
REPORTING 7 SOLE DISPOSITIVE POWER
PERSON 2,084,108
WITH ---------------------------------------------------
8 SHARED DISPOSITIVE POWER
--------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,084,108
--------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES (SEE INSTRUCTIONS) [_]
--------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
14.8%
--------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
IN
================================================================================
Page 6 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
Item 1(a). Name of Issuer:
--------- --------------
FARO Technologies, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
--------- -----------------------------------------------
125 Technology Park, Lake Mary, Florida 32746
Item 2(a). Name of Person Filing:
--------- ---------------------
David Raab
Item 2(b). Address of Principal Business Office or, if none,
---------- -------------------------------------------------
Residence:
---------
3251 Ponkan Pines Road, Apopka, FL 32712
Item 2(c). Citizenship:
--------- -----------
United States
Item 2(d). Title of Class of Securities:
--------- ----------------------------
Common Stock
Item 2(e). CUSIP Number:
--------- ------------
311642 10 2
Item 3. If this statement is filed pursuant to Rules
--------------------------------------------
13d-1(b), or 13d-2(b) or (c), check whether the
-----------------------------------------------
person filing is a:
------------------
N/A
Item 4. Ownership (as of December 31, 2004)
------- -----------------------------------
(a) Amount Beneficially Owned: 2,084,108
(b) Percent of Class: 14.8%
Page 7 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
2,084,108
(ii) shared power to vote or to direct the
vote:
0
(iii) sole power to dispose or to direct the
disposition of:
2,084,108
(iv) shared power to dispose or to direct
the disposition of:
0
Item 5. Ownership of Five Percent or Less of a Class.
------ --------------------------------------------
N/A
Item 6. Ownership of More than Five Percent on Behalf of
------ ------------------------------------------------
Another Person.
--------------
N/A
Item 7. Identification and Classification of the
------ ----------------------------------------
Subsidiary Which Acquiredthe Security Being
-------------------------------------------
Reported on By the Parent Holding Company.
-----------------------------------------
N/A
Item 8. Identification and Classification of Members of
-----------------------------------------------
the Group.
---------
See Exhibit A for the identity of the group
members filing this schedule.
Item 9. Notice of Dissolution of Group.
------ ------------------------------
N/A
Item 10. Certification.
------- -------------
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 that purpose or effect.
Page 8 of 11 Pages
------------------------------------------------------
CUSIP No. 311642 10 2
------------------------------------------------------
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.
March 16, 2005
-----------------------------------
Date
/s/ David Raab
-----------------------------------
[Signature]
David Raab
-----------------------------------
[Name/Title]
Page 9 of 11 Pages
EXHIBIT A
1. David Raab is the trustee of the Xenon Research, Inc. Irrevocable 2004 Trust
dated December 21, 2004 (the "Xenon Trust"):
A. The settlor of which is Xenon Research, Inc.; and
B. Which acquired 2,084,108 shares of FARO Technologies, Inc. common
stock contributed by Xenon Research, Inc.
2. On December 31, 2004, David Raab had sole voting and investment power over
the shares held in the Xenon Trust.
3. On February 19, 2005, the Xenon Trust terminated and distributed to Xenon
Research, Inc. 2,084,108 shares of FARO Technologies, Inc. common stock. Xenon
Research, Inc. had the right to acquire all of the shares held by the Xenon
Trust within 60 days of December 21, 2004.
4. Simon Raab, the Chairman and Chief Executive Officer of FARO Technologies,
Inc., and his wife, Diana Raab, own all of the outstanding shares of Xenon
Research, Inc. Mr. Raab has voting and investment control over the 2,084,108
shares of FARO Technologies, Inc. held by Xenon Research, Inc. and beneficial
ownership of these shares has been attributed to Mr. Raab.
Page 10 of 11 Pages
EXHIBIT B
JOINT FILING AGREEMENT
In accordance with Rule 13d-1(k) under the Securities Exchange Act of
1934, the persons named below agree to the joint filing on behalf of each of
them of this Schedule 13G with respect to the common stock of FARO Technologies,
Inc. and further agree that this Joint Filing Agreement may be included as an
Exhibit to such joint filing.
Date: March 16, 2005
Simon Raab
/s/ Simon Raab
-----------------------------------
[Signature]
David Raab
/s/ David Raab
-----------------------------------
[Signature]
Page 11 of 11 Pages