-----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, IsxCzUiEavqxNk2QHH+WQ3dWb/hIXE8EeoieRnspRPlHbKetckZUuB1bnkSj+/gR fYYDpyEq1XikYmndcXQy6w== 0001038838-99-000187.txt : 19990901 0001038838-99-000187.hdr.sgml : 19990901 ACCESSION NUMBER: 0001038838-99-000187 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990831 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INTERLEUKIN GENETICS INC CENTRAL INDEX KEY: 0001037649 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 943123681 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-53249 FILM NUMBER: 99703833 BUSINESS ADDRESS: STREET 1: 100 NE LOOP 410 STREET 2: STE 820 CITY: SAN ANTONIO STATE: TX ZIP: 78216-4749 BUSINESS PHONE: 2103496400 MAIL ADDRESS: STREET 1: 100 NE LOOP 410 STREET 2: STE 820 CITY: SAN ANTONIO STATE: TX ZIP: 78216 FORMER COMPANY: FORMER CONFORMED NAME: MEDICAL SCIENCE SYSTEMS INC DATE OF NAME CHANGE: 19971003 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CROCKER GARY L CENTRAL INDEX KEY: 0001094201 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 3764 E THOUSAND OAKS CIRCLE CITY: HOLIDAY STATE: UT ZIP: 84124 BUSINESS PHONE: 8012789546 SC 13D 1 SCHEDULE 13D FOR GARY CROCKER SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. _______)* INTERLEUKIN GENETICS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) ------------------------------------ (CUSIP Number) U. Spencer Allen 100 N.E. Loop 410, Suite 820, San Antonio, TX 78216-4769 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) August 20, 1999 (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(b)(3) or (4), check the following box: . Check the following box if a fee is being paid with this statement: . (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class. (See Rule 13d-7.) NOTE: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. CUSIP No. _______ - -------------------------------------------------------------------------------- (1) Names of Reporting Persons. S.S. or Crocker Enterprises, LLC I.R.S. Identification Nos. of Above 87-0509642 Persons - -------------------------------------------------------------------------------- (2) Check the Appropriate box if a Member (a) of a Group (See Instructions) (b) - -------------------------------------------------------------------------------- (3) SEC Use Only - -------------------------------------------------------------------------------- (4) Source of Funds (See Instructions) OO - -------------------------------------------------------------------------------- (5) Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) - -------------------------------------------------------------------------------- (6) Citizenship or Place of Organization Utah - -------------------------------------------------------------------------------- Number of Shares (7) Sole Voting Crocker Enterprises, LLC, Beneficially Owned Power 1,100,000 shares of Common By Each Reporting ------------------------------------------------------------ Person With (8) Shared Voting Power ------------------------------------------------------------ (9) Sole Disposi- Crocker Enterprises, LLC, tive Power 1,100,000 shares of Common ------------------------------------------------------------ (10) Shared Dis- positive Power - -------------------------------------------------------------------------------- (11) Aggregate Amount Beneficially Owned by Crocker Enterprises, LLC, Each Reporting Person 1,100,000 shares of Common - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- (12) Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See In- structions) - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- (13) Percent of Class Represented by Amount 6.64% in Row (11) - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- (14) Type of Reporting Person (See Instructions) IN *The remainder of this cover The information required on page shall be filled out for a the remainder of this cover page reporting person's initial filing shall not be deemed to be "filed" on this form with respect to the for the purpose of Section 18 of subject class of securities, and the Securities Exchange Act of 1934 for any subsequent amendment ("Act") or otherwise subject to the containing information which would liabilities of that section of the alter disclosures provided in a Act but shall be subject to all prior cover page. other provisions of the Act (however, see the Notes). Item 1. Security and Issuer. This statement is related to the Common Stock, of Interleukin Genetics, Inc., a Texas corporation ("IGI"). The address of the principal executive offices of IGI is 100 N.E. Loop 410, Suite 820, San Antonio, TX 78216-4769. Item 2. Identity and Background. (a) The person filing this statement is Crocker Enterprises, LLC, a Utah limited liability company. (b) The business address of Crocker Enterprises, LLC is 3764 Thousand Oaks Drive, Salt Lake City, Utah 84124. (c) Crocker Ventures, LLC is privately held, with a broad portfolio of stock investments. It was not formed for the purpose of acquiring the IGI shares subject to this report. Gary L. Crocker is the Managing Member of Crocker Enterprises. Mr. Crocker has been a director of IGI since June of 1999. (d) Neither Gary L. Crocker nor Crocker Enterprises, LLC has been convicted in a criminal proceeding (excluding traffic violations and similar misdemeanors) during the last five years. (e) Neither Gary L. Crocker nor Crocker Enterprises, LLC, has, during the last five years, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and as a result of such proceeding been or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) Gary L. Crocker, the Managing Member of Crocker Enterprises, LLC., is a citizen of the United States of America. Crocker Enterprises, LLC is a Utah limited liability company. Item 3. Source and Amount of Funds or Other Consideration. On June 9, 1999 Crocker Enterprises, LLC purchased for cash 220,000 shares of IGI's Series A Preferred Stock in a private placement. At IGI's August 20, 1999 Annual Shareholders Meeting, the shareholders approved the arrangements of the sale of the Series A Preferred Shares in the private placement. This action automatically caused the Series A Preferred Stock to convert into five share of IGI Common Stock for each Series A Preferred Share then held. Crocker Enterprises, LLC, now owns 1,100,00 shares of the common shares of IGI. Page 2 of 3 Item 4. Purpose of Transaction. Crocker Enterprises, LLC acquired the shares of IGI as an investment with the goal of capital appreciation. Item 5. Interest in Securities of the Issuer. (a) Gary L. Crocker was elected a director of IGI at approximately the same time that Crocker Enterprises LLC purchased the IGI Series A Preferred Shares. Mr. Crocker was awarded a stock option to acquire up to 2083 shares of IGI Common Stock. Gary L. Crocker and all of his immediate family members are the members (equity owners) of Crocker Enterprises, LLC. Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer. See disclosure in Item 5. On or about August 24, 1999, IGI filed with the Securities and Exchange Commission a registration statement on Form S-3 covering the possible resale of all of Crocker Enterprises LLC's 1,100,000 common shares, along with the shares of other IGI selling shareholders. Item 7. Material to be Filed as Exhibits. None. SIGNATURES After reasonable inquiry and to the best of my knowledge and belief the information set forth in this statement is true, complete and correct. Dated as of the 29th day of August, 1999. Crocker Enterprises, LLC /s/Gary L. Crocker ----------------------------- By Gary L. Crocker, Managing Member Page 3 of 3 -----END PRIVACY-ENHANCED MESSAGE-----