-----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, OqSi11TYVADxpEs91FD5A8/fyNODwfdvMezveLO4sxnDxA/3s84n0dGTuGvKFfFX b6RDexShpKg3ijbIReBrCQ== 0001014108-99-000172.txt : 19990820 0001014108-99-000172.hdr.sgml : 19990820 ACCESSION NUMBER: 0001014108-99-000172 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990810 FILED AS OF DATE: 19990819 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LABONE INC/ CENTRAL INDEX KEY: 0000830158 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 431039532 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-16946 FILM NUMBER: 99696274 BUSINESS ADDRESS: STREET 1: 10101 RENNER BLVD STREET 2: P. O. BOX 7568 CITY: LENEXA STATE: KS ZIP: 66219 BUSINESS PHONE: 9136483600 MAIL ADDRESS: STREET 1: 5000 W 95TH STREET STREET 2: SUITE 260 CITY: SHAWNEE MISSION STATE: KS ZIP: 66207 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: RIFKIND RICHARD A CENTRAL INDEX KEY: 0001036339 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O LABONE INC STREET 2: 10310 W 84TH TERRACE PO BOX 2035 CITY: LENEXA STATE: KS ZIP: 66214 MAIL ADDRESS: STREET 1: LABONE INC STREET 2: 10310 W 84TH TERRACE PO BOX 2035 CITY: LENEA STATE: KS ZIP: 66214 3 1 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) August 10, 1999 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 Rifkind, Richard A. (Voluntary) (Month/Day/Year) X Director __10% Owner __Officer __Other (give title below) (specify below) - ----------------------------- ------------------------ (Street) 7. Individual or Joint/ Group Filing (Check 425 E. 58th Street, Apt. 48A 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 New York, NY 10022 - ------------------------------------------------------------------------------------------------------------------------------------ 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 5,921 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ * 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 - ------------------------------------------------------------------------------------------------------------------------------------ Director Stock Option Plan 01/02/1995 01/02/2001 Common Stock 13,715 $09.875 D - ------------------------------ ---------------------------------------------------- Director Stock Option Plan 03/01/1996 03/01/2001 Common Stock 8,285 $11.125 D - ------------------------------ ---------------------------------------------------- - ------------------------------ ---------------------------------------------------- - ------------------------------ ---------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Richard A. Rifkind August 13, 1999 ------------------------- -------------------- Richard A. Rifkind 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 -----END PRIVACY-ENHANCED MESSAGE-----