0001170918-05-000046.txt : 20120725
0001170918-05-000046.hdr.sgml : 20120725
20050208171835
ACCESSION NUMBER: 0001170918-05-000046
CONFORMED SUBMISSION TYPE: SC 13G/A
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20050208
DATE AS OF CHANGE: 20050208
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: XTRANA INC
CENTRAL INDEX KEY: 0000830736
STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835]
IRS NUMBER: 581729436
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-40396
FILM NUMBER: 05584920
BUSINESS ADDRESS:
STREET 1: PO BOX 668
CITY: SEDALIA
STATE: CO
ZIP: 80135
BUSINESS PHONE: 3034664424
MAIL ADDRESS:
STREET 1: PO BOX 668
CITY: SEDALIA
STATE: CO
ZIP: 80135
FORMER COMPANY:
FORMER CONFORMED NAME: BIOPOOL INTERNATIONAL INC
DATE OF NAME CHANGE: 19920703
FORMER COMPANY:
FORMER CONFORMED NAME: CYTRX BIOPOOL LTD
DATE OF NAME CHANGE: 19890716
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: BICK MICHAEL D PHD
CENTRAL INDEX KEY: 0001220698
FILING VALUES:
FORM TYPE: SC 13G/A
BUSINESS ADDRESS:
STREET 1: XTRANA INC
STREET 2: 590 BURBANK ST STE 250
CITY: BROOMFIELD
STATE: CO
ZIP: 80020
BUSINESS PHONE: 3034666424
SC 13G/A
1
sc13ga3-bick.txt
SC 13G, AMENDMENT NO. 3
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
----------
SCHEDULE 13G/A
UNDER THE SECURITIES EXCHANGE ACT OF 1932
(AMENDMENT NO. 3)(1)
XTRANA, INC.
--------------------------------------------------------------------------------
(Name of Issuer)
COMMON STOCK, PAR VALUE $0.01 PER SHARE
--------------------------------------------------------------------------------
(Title of Class of Securities)
98415F 10 9
--------------------------------------------------------------------------------
(CUSIP Number)
December 31, 2004
--------------------------------------------------------------------------------
(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 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 ("Act") 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
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
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 5 SOLE VOTING POWER
OF 1,092,950 (1)
SHARES --------- ---------------------------------------------------
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY 0
REPORTING --------- ---------------------------------------------------
PERSON 7 SOLE DISPOSITIVE POWER
WITH 1,092,950 (1)
--------- ---------------------------------------------------
8 SHARED DISPOSITIVE POWER
0
------------------ -------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,092,950 (1)
------------------ -------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES* [_]
------------------ -------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.6% (2)
------------------ -------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
------------------ -------------------------------------------------------------
(1) Includes 70,000 shares of common stock subject to options that are
currently exercisable or that will become exercisable on or before
March 1, 2005, 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 November 12, 2004, as reported on the
issuer's Form 10-Q for the period ended September 30, 2004.
ITEM 1 (a) NAME OF ISSUER:
Xtrana, Inc.
(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
P.O. Box 668
Sedalia, Colorado 80135
ITEM 2 (a) NAME OF PERSON FILING:
Michael D. Bick, Ph.D.
(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE,
RESIDENCE:
c/o Xtrana, Inc.
P.O. Box 668
Sedalia, Colorado 80135
(c) CITIZENSHIP:
USA
(d) TITLE OF CLASS OF SECURITIES:
Common Stock, par value $0.01 per share
(e) CUSIP NUMBER:
98415F 10 9
ITEM 3 IF THIS STATEMENT IS FILED PURSUANT TO RULES 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
Not Applicable.
ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER
PERSON
Not Applicable.
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 CERTIFICATION
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
that purpose or effect.
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.
February 8, 2005 /S/ MICHAEL D. BICK, PH.D.
---------------------------
Michael D. Bick, Ph.D.