-----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, CnjjIB56XRmVpMm0wPnt2ArcyXk6J+1lg0PiOFLB8nc912i/kuLLikbnnehBWCZZ qj0nyNG42ZBtk7n1gLSWCQ== 0000950120-98-000074.txt : 19980313 0000950120-98-000074.hdr.sgml : 19980313 ACCESSION NUMBER: 0000950120-98-000074 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980112 FILED AS OF DATE: 19980312 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMERICAN ELECTROMEDICS CORP CENTRAL INDEX KEY: 0000352281 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 042608713 STATE OF INCORPORATION: DE FISCAL YEAR END: 0727 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-09922 FILM NUMBER: 98564318 BUSINESS ADDRESS: STREET 1: 13 COLUMBIA DR STE 18 CITY: AMHERST STATE: NH ZIP: 03031 BUSINESS PHONE: 6038806300 MAIL ADDRESS: STREET 1: 13 COLUMBIA DR STREET 2: STE 18 CITY: AMHERST STATE: NH ZIP: 03031 COMPANY DATA: COMPANY CONFORMED NAME: DAVENPORT BLAKE C CENTRAL INDEX KEY: 0001057409 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 1700 COMMERCE- 19TH FLOOR CITY: DALLAS STATE: TX ZIP: 75201 MAIL ADDRESS: STREET 1: 1700 COMMERCE STREET 2: 19TH-FLOOR CITY: DALLAS STATE: TX ZIP: 75201 3 1 FORM 3 OF BLAKE C. DAVENPORT FORM 3 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB APPROVAL OMB Number: 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response . . . . 0.5 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 -------------------------------------------------------------------------- 1. Name and Address of Reporting Persons Blake C. Davenport 1700 Commerce, 19th Floor Dallas, Texas 75201 --------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) 1/12/1998 -------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) -------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol American Electromedics Corp. (AECO) --------------------------------------------------------------------------- 5. Relationship of Reporting Person to Issuer (Check all applicable) X Director 10% Owner ---- ---- Officer Other (specify below) ---- (give ---- title below) ------------------------ --------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) --------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person ---- ____ Form filed by More than One Reporting Person --------------------------------------------------------------------------- TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED --------------------------------------------------------------------------- Title of Security 2. Amounts of 3. Ownership 4. Nature of (Instr. 4) Securities Form: Direct (D) Indirect Beneficially or Indirect (I) Beneficial Owned (Instr. 5) Ownership (Instr. 4) (Instr. 5) ----------------- ------------ --------------- --------------- Common Stock, par value $.10 per share 18,200 shares D ------------------ ------------- ---------------- ---------------- 3,000 shs. by Common Stock, par wife and value $.10 per 5,920 shs. by share 8,920 shares I corporation (1) ------------------ ------------- ---------------- ---------------- ------------------ ------------- ---------------- ---------------- ------------------ ------------- ---------------- ---------------- ------------------------------------------------------------------------ (Print or Type Responses) Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v). (Over) SEC 1473 (7-96) FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) --------------------------------------------------------------------------- 1. Title of 2. Date Exer- 3. Title and Amount of Derivative cisable and Securities Underlying Security Expiration Derivative Security (Instr. 4) Date (Instr. 4) (Month/Day/ Year) -------------------- --------------------- -------------------------- Date Expira- Amount Exer- tion Title or cisable Date Number of Shares --------- ------- --------- --------- ------------------- ---------- --------- --------- ---------- ------------------- ---------- --------- --------- ---------- ------------------- ---------- --------- --------- ---------- ------------------- ---------- --------- --------- ----------- 4. Conver- 5. Ownership 6. Nature of sion or Form of Indirect Exercise Derivative Beneficial Price of Security: Ownership Deri- Direct (Instr. 5) vative (D) or Security Indirect (I) (Instr. 5) ----------------- -------------------------- ------------- ----------------- -------------------------- ------------- ----------------- -------------------------- ------------- ----------------- -------------------------- ------------- ----------------- -------------------------- ------------- ---------------------------------------------------------------------- Explanation of Responses: (1) The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. /s/ Blake C. Davenport 3/6/98 ------------------------------- --------------- **Signature of Reporting Person Date Blake C. Davenport ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. Page 2 SEC 1473 (7-96) -----END PRIVACY-ENHANCED MESSAGE-----