-----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, J7CRMa9dPxEx377FLrL9vRaGkWUS66RWDtur9GsVuUOyT5bo3CgUu7qLpbZ4dU98 haVIUnsUhH4U7JWpumMFrQ== 0001000096-04-000799.txt : 20041207 0001000096-04-000799.hdr.sgml : 20041207 20041207164132 ACCESSION NUMBER: 0001000096-04-000799 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20041207 DATE AS OF CHANGE: 20041207 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LIFELINE THERAPEUTICS, INC. CENTRAL INDEX KEY: 0000849146 STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770] IRS NUMBER: 841097796 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-80096 FILM NUMBER: 041188811 BUSINESS ADDRESS: STREET 1: 6400 SOUTH FIDDLER'S GREEN CIRCLE STREET 2: SUITE 1750 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 720-488-1711 MAIL ADDRESS: STREET 1: 6400 SOUTH FIDDLER'S GREEN CIRCLE STREET 2: SUITE 1750 CITY: ENGLEWOOD STATE: CO ZIP: 80111 FORMER COMPANY: FORMER CONFORMED NAME: YAAK RIVER RESOURCES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ANDRAPLEX CORP DATE OF NAME CHANGE: 19920406 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Myhill Paul Robert CENTRAL INDEX KEY: 0001300361 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: BUSINESS PHONE: 720-488-1711 MAIL ADDRESS: STREET 1: 6400 S FIDDLERS GREEN CIRCLE STREET 2: SUITE 1750 CITY: DENVER STATE: CO ZIP: 80111 SC 13D 1 lifeinesch13d.txt SCHEDULE 13 D (MYHILL) OMB APPROVAL OMB Number: 3235-0145 Expires: December 31, 2005 Estimated average burden hours per response 11.00 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 Lifeline Therapeutics, Inc. ------------------------------------ (Name of Issuer) Common Stock --------------------------------------- (Title of Class of Securities) 53221T108 --------------------------------------- (CUSIP Number) Paul Robert Myhill Lisa Gail Myhill 3466 Willowrun Court Castle Rock, CO 80109 Telephone: 720 488 1711 ------------------------------------------------ (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) October 26, 2004 --------------------------------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of Sections 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box [ ]. Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Section 240.13d-7 for other parties to whom copies are to be sent. SCHEDULE 13D CUSIP No. 53221T108 Page 2 of 6 - -------------------------------------------------------------------------------- The information required on 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) SCHEDULE 13D CUSIP No. 53221T108 Page 3 of 6 - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON. I.R.S. IDENTIFICATION NO.OF ABOVE PERSON Paul Robert Myhill Lisa Gail Myhill - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] - ------------------------------------------------------------------- (b) [ ] 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 SOURCE OF FUNDS PF - -------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) [ ] - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Paul Robert Myhill: United States Lisa Gail Myhill: United States - -------------------------------------------------------------------------------- NUMBER OF | 7 | SOLE VOTING POWER SHARES 0 shares BENEFICIALLY ----------------------------------------------------- OWNED BY | 8 | SHARED VOTING POWER EACH 4,699,890 shares REPORTING ----------------------------------------------------- PERSON | 9 | SOLE DISPOSITIVE POWER WITH 0 shares ----------------------------------------------------- | 10 | SHARED DISPOSITIVE POWER 4,699,890 shares - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,699,890 shares as joint tenants - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES [ ] - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 28.7 % - -------------------------------------------------------------------------------- SCHEDULE 13D CUSIP No. 53221T108 Page 4 of 6 - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON Paul Robert Myhill: IN Lisa Gail Myhill: IN Item 1. Security And Issuer This Statement relates to the Common Stock of Lifeline Therapeutics, Inc., a company organized under the laws of the State of Colorado. The principal executive offices of the Lifeline Therapeutics, Inc. are located at 6400 South Fiddlers Green Circle, Suite 1750, Englewood, Colorado 80111. Item 2. Identity and Background The identities and residential addresses of the reporting persons are: Paul Robert Myhill, 3466 Willowrun Court, Castle Rock, Colorado 80109; and Lisa Gail Myhill, 3466 Willowrun Court, Castle Rock, Colorado 80109. Mr. Myhill serves as the Vice President and a Director of Lifeline Therapeutics, Inc., 6400 South Fiddlers Green Circle, Suite 1750, Englewood, CO 80111. Mrs. Myhill is currently not employed. The reporting persons have not been convicted in criminal proceedings of the nature described in Item 2(d) of Schedule 13D in the last five years. The reporting persons have not been parties to a civil proceeding of the nature described in Item 2(e) of Schedule 13D in the last five years. The reporting persons are both citizens of the United States. SCHEDULE 13D CUSIP No. 53221T108 Page 5 of 6 - -------------------------------------------------------------------------------- Item 3. Source and Amount of Funds or Other Consideration This Schedule 13D reports the following transactions: - -------------------------------------- ----------------------------------------- Securities Amount/Source of Funds - -------------------------------------- ----------------------------------------- 4,699,890 shares of common stock Mr. Myhill acquired the shares of common stock pursuant to the terms of an Agreement and Plan of Reorganization between Lifeline Nutraceuticals Corporation and Lifeline Therapeutics, Inc., whereby the shareholders of Lifeline Nutraceuticals exchanged their outstanding common stock in Lifeline Nutraceuticals for newly issued stock in Lifeline Therapeutics, Inc. - -------------------------------------- ----------------------------------------- 4,699,890 shares of common stock On November 22, 2004, Mr. Myhill transferred (as a gift) a joint tenancy interest in the 4,699,890 shares of Lifeline Therapeutics common stock to his wife, Lisa Gail Myhill. - -------------------------------------- ----------------------------------------- Item 4. Purpose of Transaction The reporting persons acquired these shares for investment purposes. Item 5. Interest in the Securities of the Issuer (a) The reporting persons aggregate interest and percentage of common stock of Lifeline Therapeutics, Inc. equal 4,699,890 shares (28.7% of the shares of common stock outstanding). The shares of common stock described above are the only interest the reporting persons have in Lifeline Therapeutics, Inc. common stock. (b) The reporting persons, individually, do not have sole voting or sole dispositive power with respect to any shares of common stock in Lifeline Therapeutics. The reporting persons have shared voting and dispositive power with respect to 4,699,890 shares of common stock of Lifeline Therapeutics, Inc., which they hold as joint tenants. (c) N/A (d) N/A (e) N/A SCHEDULE 13D CUSIP No. 53221T108 Page 6 of 6 - -------------------------------------------------------------------------------- Item 6. Contract, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer None Item 7. Material to be Filed as Exhibits N/A Signatures and Affidavits: 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. Dated: December 6, 2004 By: /s/ Paul Robert Myhill ------------------------------------- Dated: December 6, 2004 By: /s/ Lisa Gail Myhill ------------------------------------- ATTENTION: Intentional misstatements or omissions of fact constitute federal criminal violations. (See 18USC1001) -----END PRIVACY-ENHANCED MESSAGE-----