SC 13G/A 1 sc13ga1-bick.txt SC 13G/A #1 BICK 123102 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G/A (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. 1)(1) XTRANA, INC. -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, PAR VALUE $0.01 -------------------------------------------------------------------------------- (Title of Class of Securities) 98415F 10 9 -------------------------------------------------------------------------------- (CUSIP Number) DECEMBER 31, 2002 -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [X] Rule 13d-1(c) [_] Rule 13d-1(d) ---------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP No. 98415F 10 9 13G/A Page 2 of 5 Pages ________________________________________________________________________________ 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Michael D. Bick, Ph.D. ________________________________________________________________________________ 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] ________________________________________________________________________________ 3. SEC USE ONLY ________________________________________________________________________________ 4. CITIZENSHIP OR PLACE OF ORGANIZATION USA ________________________________________________________________________________ NUMBER OF 5. SOLE VOTING POWER SHARES 1,108,512 (1) _________________________________________________________________ BENEFICIALLY 6. SHARED VOTING POWER OWNED BY 0 _________________________________________________________________ EACH 7. SOLE DISPOSITIVE POWER REPORTING 1,108,512 (1) _________________________________________________________________ PERSON 8. SHARED DISPOSITIVE POWER WITH 0 ________________________________________________________________________________ 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,108,512 (1) ________________________________________________________________________________ 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [_] ________________________________________________________________________________ 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.7% (2) ________________________________________________________________________________ 12. TYPE OF REPORTING PERSON* IN ________________________________________________________________________________ *SEE INSTRUCTIONS BEFORE FILLING OUT! (1) Includes 66,562 shares of common stock subject to options that are currently exercisable or that will become exercisable on or before September 30, 2003, and 1,022,950 shares held in the Bick Family Trust. (2) Based on a total of 16,533,269 shares of the issuer's Common Stock issued and outstanding on April 23, 2003, as reported on the issuer's Form 10-Q for the period ended March 31, 2003. CUSIP No. 98415F 10 9 13G/A Page 3 of 5 Pages Item 1(a). Name of Issuer: Xtrana, Inc. ____________________________________________________________________ Item 1(b). Address of Issuer's Principal Executive Offices: 590 Burbank Street, Suite 205 Broomfield, Colorado 80020 ____________________________________________________________________ Item 2(a). Name of Person Filing: Michael D. Bick, Ph.D. ____________________________________________________________________ Item 2(b). Address of Principal Business Office, or if None, Residence: c/o Xtrana, Inc. 590 Burbank Street, Suite 205 Broomfield, Colorado 80020 ____________________________________________________________________ Item 2(c). Citizenship: USA ____________________________________________________________________ Item 2(d). Title of Class of Securities: Common Stock, par value $0.01 per share ____________________________________________________________________ Item 2(e). CUSIP Number: 98415F 10 9 ____________________________________________________________________ Item 3. If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a: Not Applicable ____________________________________________________________________ Item 4. Ownership. See rows 5 through 9 and 11 of the cover page for each Reporting Person. ____________________________________________________________________ Item 5. Ownership of Five Percent or Less of a Class. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities check the following [ ]. Not Applicable ____________________________________________________________________ Item 6. Ownership of More Than Five Percent on Behalf of Another Person. Not Applicable ____________________________________________________________________ CUSIP No. 98415F 10 9 13G/A Page 4 of 5 Pages Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person. Not Applicable ____________________________________________________________________ Item 8. Identification and Classification of Members of the Group. Not Applicable ____________________________________________________________________ Item 9. Notice of Dissolution of Group. Not Applicable ____________________________________________________________________ Item 10. Certifications. "By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having such purpose or effect." CUSIP No. 98415F 10 9 13G/A Page 5 of 5 Pages SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. July 21, 2003 ---------------------------------------- (Date) /s/ Michael D. Bick, Ph.D. ---------------------------------------- Michael D. Bick, Ph.D.