3 1 f3.htm Form 3 - Ratterman

 

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

Reporting Person*

 

2. Date of Event Requiring

Statement (Month/Day/Year)

December 15, 2001

4. Issuer Name and Ticker or Trading Symbol

LabOne, Inc.

(Last) (First) (Middle)

Ratterman, Joseph P.

 

 

3. IRS or Social Security Number

of Reporting Person (Voluntary)

 

5. Relationship of Reporting Person to

Issuer (Check all applicable)

Director __ 10% Owner

X Officer __ Other

(give title below) (specify below)

Executive Vice President for Information Technology & Chief Information Officer

 

6. If Amendment, Date of

Original

(Month/Day/Year)

 

(Street)

5106 S.W. Pelican Pt.

 

 

7. Individual or Joint/Group

Filing (Check applicable

Line)

X Form filed by One

Reporting Person

___ Form filed by More than

One Reporting Person

(City) (State) (Zip)

Lees Summit, MO. 64082

 

Table 1 - Non-Derivative Securities Beneficially Owned

1. Title of Security

2. Amount of

Securities

Beneficially Owned

(Inst. 4)

3. Ownership

Form: Direct

(D) or Indirect

(I) (Instr. 5)

4. Nature of Indirect

Beneficial Ownership

(Instr. 5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* 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

PAGE 1 OF 2 PAGES

FORM 3 (cont'd.) Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of

Derivative

Security

(Inst. 4)

2. Date exer-

cisable and

Expiration

Date (Month/

Day/Year)

3. Title and

Amount of

Securities

Underlying

Derivative

Security

(Inst. 4)

4. Conver-

sion or

Exercise

Price of

Derivative

Security

5. Ownership

Form of

Derivative

Security:

Direct (d)

or Indirect

(I) (Instr.

5)

6. Nature of

Indirect

Beneficial

Ownership

(Instr. 5)

 

Date

Exer-

cisable

Expira-

Tion

Date

Title

Amount or Number of Shares

 

 

 

Employee Longterm Incentive Stock Plan (12/15/2001)

12/15/2006

12/15/2011

Common Stock

10,000

$14.225

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).

 

Joseph P. Ratterman by Randy Shelton as attorney-in-fact December 20, 2001

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