4 1 0001.txt ANNUAL STMT OF CHANGES IN BENEFICIAL OWNERSHIP
/ / Check this box if no longer U.S. SECURITIES AND EXCHANGE COMMISSION subject to Section 16. Form 4 or Form 5 obligations may Washington, D.C. 20549 continue See Instruction 1(b). STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Reporting Person* Issuer (Check all applicable) LabOne, Inc. X Director __ 10% Owner ----------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS or Social 4. Statement for __ Officer __ Other Security Month/Year (give title (specify below) Number of Reporting below) Grant, W.D. Person (Voluntary) 03/2001 ------------------------- ------------------------------------------------------------------------- (Street) 5. If Amendment, Date 7. Individual or Joint/Group Filing of Original (Check applicable line) (Month/Year) X Form filed by One Reporting One Ward Parkway, Suite 130 Person ___ Form filed by More than One Reporting Person --------------------------------------------------------------------------------------------------------------------------- (City) (State) (Zip) Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned. Kansas City, MO 64112 --------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Trans- 3. Trans- 4. Securities 5. Amount of 6. Ownership 7. Nature (Instr. 3) action action Acquired (A) Securities Form: of Indirect date: Code or Disposed of (D) Beneficially Direct Beneficial (Instr.8) (Instr. 3, 4 and 5) Owned at (D) or Ownership End of Mth Indirect (Instr. 4) (Month/ (Instr. 3 (I) Day/ and 4) (Instr.4) Year) ------------------------------------ Code V Amount (A) or Price (D) --------------------------------------------------------------------------------------------------------------------------- Common Stock 03/31/2001 J(1) 7,968 A 897,956 D --------------------------------------------------------------------------------------------------------------------------- 851,355 I (2) --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- * If the Form is filed by more than one Reporting Person, see instruction 4(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 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================================================================== 1.Title of 2.Conver- 3.Trans- 4.Trans- 5.Number 6.Date Exerci- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature Deriva- sion or action action of Deriv- sable and Amount of of of Deri- ship of In- tive Exercise Date Code ative Expiration Underlying Deriva- vative Form of direct Security Price of (Month/ (Instr. Securi- Date (Month/ Securities tive Securi- Deriv- Bene- (Ins. 3) Deriv- Day/ 8) ties Day/Year) (Instr. 3 Security ties Bene- ative ficial ative Year) Acquired and 4) (Instr. ficially Security; Owner- Security (A) or 5) Owned at Direct ship Disposed End of (D) or (Instr. of (D) Month Indirect 4) (Instr. 3, (Instr. (I) 4, and 5) 4) (Instr. 4) --------------------------------------------------- Code V (A) (D) Date Expira- Exer- tion cisable Date ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ================================================================================================================================== Explanation of Responses: (1) 3,984 shares were distributed to Mr. Grant and 3,984 shares were distributed to Mr. Grant's wife by four charitable remainder trusts of which Mr. and Mrs. Grant are beneficiaries, and (2) Includes (a) 478,237 shares held by three family trusts for which Mr. Grant, as co-trustee, shares voting and investment power with UMB Bank, N.A.; (b) 295,158 shares held by two family trusts as to which Mr. Grant has the right to direct the voting and disposition of such shares and therefore shares voting and investment powers with the trustee, UMB Bank, N.A. and (c) 77,960 shares owned by Mr. Grant's wife, as to which Mr. Grant disclaims beneficial ownership. Does not include 60,649 shares held by a family trust for Mr. Grant's niece, for which Mr. Grant, as co-trustee, shares voting and investment power with UMB Bank, N.A., as to which shares Mr. Grant does not have a pecuniary interest. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ W.D. Grant by attorney-in-fact Randy Shelton April 10, 2001 -------------------------------------------------------- ----------------- W.D. Grant by attorney-in-fact Randy Shelton Date 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