-----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, NprkSAAviMfPNuqXEL9KzR0l3mogqmyPnvLOSX2baoT1H4/EOrk7sluFd2M2Q4iU RbVypzinjvCiNWiSVw3PRA== /in/edgar/work/0001014108-00-000178/0001014108-00-000178.txt : 20001123 0001014108-00-000178.hdr.sgml : 20001123 ACCESSION NUMBER: 0001014108-00-000178 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001110 FILED AS OF DATE: 20001122 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LABONE INC/ CENTRAL INDEX KEY: 0000830158 STANDARD INDUSTRIAL CLASSIFICATION: [8071 ] IRS NUMBER: 431039532 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 333-92137 FILM NUMBER: 775101 BUSINESS ADDRESS: STREET 1: 10101 RENNER BLVD STREET 2: P. O. BOX 7568 CITY: LENEXA STATE: KS ZIP: 66219 BUSINESS PHONE: 9138881770 MAIL ADDRESS: STREET 1: 10101 RENNER BLVD STREET 2: X CITY: LENEXA STATE: KS ZIP: 66219 FORMER COMPANY: FORMER CONFORMED NAME: LAB HOLDINGS INC DATE OF NAME CHANGE: 19980406 FORMER COMPANY: FORMER CONFORMED NAME: SEAFIELD CAPITAL CORP DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: BMA CORP /MO/ DATE OF NAME CHANGE: 19910520 COMPANY DATA: COMPANY CONFORMED NAME: ASSELTA MICHAEL J CENTRAL INDEX KEY: 0001128630 STANDARD INDUSTRIAL CLASSIFICATION: [ ]OWNER STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: LASONE, INC STREET 2: 10101 RENNER BLVD. CITY: LENEXA STATE: KS ZIP: 66219-9752 MAIL ADDRESS: STREET 1: LABONE, INC. STREET 2: 10101 RENNER BLVD. CITY: LENEXA STATE: KS ZIP: 66219-9752 3 1 0001.txt FORM 3 - -------------- FORM 3 - -------------- U. S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 2. Date of Event Requiring 4. Issuer Name and Ticker or Trading Symbol Reporting Person* Statement (Month/Day/Year) November 10, 2000 LabOne, Inc. - ------------------------------------------------------------------------------------------------------------------------------------ (Last) (First) (Middle) 3. IRS or Social Security Number 5. Relationship of Reporting Person to 6. If Amendment, Date of of Reporting Person Issuer (Check all applicable) Original Asselta, Michael J. (Voluntary) (Month/Day/Year) __Director __10% Owner X Officer __Other (give title below) (specify below) Executive Vice President, Operations - ----------------------------- ------------------------ (Street) 7. Individual or Joint/ Group Filing (Check 12906 Carter Street applicable Line) X Form filed by One Reporting Person __ Form filed by More than One Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table 1 - Non-Derivative Securities Beneficially Owned Overland Park, Kansas 66213 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of 3. Ownership 4. Nature of Indirect Securities Form: Direct Beneficial Ownership Beneficially Owned (D) or Indirect (Instr. 5) (Inst. 4) (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 1,314 D(1) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ * If the Form is filed by more than one Reporting Person, see instruction 5(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) PAGE 1 OF 2 PAGES (Table Continued) FORM 3 (cont'd.) Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of 2. Date exer- 3. Title and 4. Conver- 5. Ownership 6. Nature of Derivative cisable and Amount of sion or Form of Indirect Security Expiration Securities Exercise Derivative Beneficial (Inst. 4) Date (Month/ Underlying Price of Security: Ownership Day/Year) Derivative Derivative Direct (d) (Instr. 5) Security Security or Indirect (Inst. 4) (I) (Instr. 5) -------------------------------------------------- Date Expira- Amount Exer- Tion Title or Number cisable Date of Shares - ------------------------------------------------------------------------------------------------------------------------------------ Employee Longterm Incentive 05/12/2000 05/12/2005 Common Stock 2,500 $13.7500 D Stock Plan (05/10/95) - ------------------------------ ---------------------------------------------------- Employee Longterm Incentive 11/10/2000 11/10/2005 Common Stock 17,500 $11.6250 D Stock Plan (11/10/95) - ------------------------------ ---------------------------------------------------- Employee Longterm Incentive 05/14/2004 05/14/2009 Common Stock 10,000 $12.1719 Stock Plan (05/14/99) - ------------------------------ ---------------------------------------------------- - ------------------------------ ---------------------------------------------------- - ------------------------------ ---------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) All of which are held in an individually directed account under LabOne's 401(k) profit-sharing plan, as to which Mr. Asselta has sole investment power only. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Michael J. Asselta 11/21/00 -------------------------- ------------------- Michael J. Asselta by Randy Date Shelton as attorney-in-fact Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure. PAGE 2 OF 2 PAGES -----END PRIVACY-ENHANCED MESSAGE-----