-----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, JVBjUoo9dLg49J1NnaO77kAV7UsdKDRLbUujqh56slInpsqHDu+2T06V9+PsDW+R psj2B+yCHpFnC+NXpgo1BQ== 0000950152-99-009612.txt : 19991214 0000950152-99-009612.hdr.sgml : 19991214 ACCESSION NUMBER: 0000950152-99-009612 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990920 FILED AS OF DATE: 19991213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: QUANTECH LTD /MN/ CENTRAL INDEX KEY: 0000880354 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411709417 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-19957 FILM NUMBER: 99773214 BUSINESS ADDRESS: STREET 1: 1419 ENERGY PARK DRIVE CITY: ST PAUL STATE: MN ZIP: 55108 MAIL ADDRESS: STREET 1: 1419 ENERGY PARK DRIVE CITY: ST PAUL STATE: MN ZIP: 55108 FORMER COMPANY: FORMER CONFORMED NAME: SPECTRUM DIAGNOSTICS SPA DATE OF NAME CHANGE: 19930328 COMPANY DATA: COMPANY CONFORMED NAME: GAINES ROBERT CENTRAL INDEX KEY: 0001074130 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 640 N LASALLE DRIVE SUITE 282 CITY: CHICAGO STATE: IL ZIP: 60610 BUSINESS PHONE: 3126643580 MAIL ADDRESS: STREET 1: 640 N LASALLE DRIVE SUITE 282 CITY: CHICAGO STATE: IL ZIP: 60610 4 1 QUANTECH LTD./ROBERT W. GAINES FORM 4 1
FORM 4 OMB Approval UNITED STATES SECURITIES AND EXCHANGE COMMISSION --------------------------- [ ] Check this box if no longer WASHINGTON, D.C. 20549 OMB Number: 3235-0287 subject to Section 16. Form Expires: September 30, 1998 4 or Form 5 obligations may STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden continue. See Instruction 1(b). hours per response .....0.5 Filed pursuant to Section 16(a) of the Securities and 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 (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1.Name and Address of Reporting Person*| 2. Issuer Name and Ticker or Trading Symbol | 6. Relationship of Reporting Person(s) | | to Issuer (Check all applicable) Gaines Robert W. | Quantech Ltd. QQQQ | _____ Director __X___ 10% Owner - -------------------------------------------------------------------------------------------| _____ Officer (give title below) (Last) (First) (Middle) | 3. IRS or Social | 4. Statement for | _____ Other (specify below) | Security Number | Month/Year | ________________________________ 640 N. LaSalle Drive, Suite 282 | of Reporting | 9/99 |---------------------------------------- - ---------------------------------------| Person (Voluntary) |-------------------------| 7. Individual or Joint/Group Filing (Street) | | 5. If Amendment, | (Check Applicable Line) | | Date of Original | _x_ Form filed by One Reporting Person Chicago IL 60610 | ###-##-#### | (Month/Year) | ___ Form filed by More than One | | 11/98 | Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) | TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security | 2.Transaction | 3.Transaction | 4.Securities Acquired(A) | 5.Amount of | 6.Owner-| 7.Nature (Instr. 3) | Date | Code | or Disposed of (D) | Securities | ship | of | (Month/ | (Instr. 8) | (Instr. 3, 4, and 5) | Beneficially| Form: | Indirect | Day/ | | | Owned at End| Direct | Bene- | Year) | --------------|--------------------------| of Month | (D) or | ficial | | | | | (A) | | | Indirect| Owner- | | | | | or | | (Instr. 3 | (I) | ship | | Code | V | Amount | (D) | Price | and 4) |(Instr.4)|(Instr.4) - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- common stock, no par value | 9/20/99 | X | |454,545 | A |$1.10/sh. | 454,545 | I |As the - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | |sole mem- - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | |ber of - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | |Millenium - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | |Medical - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | |Systems, - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- common stock, no par value | | | | | | | 5,000 | D |LLC - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ---------------------------------------|---------------|-------|-------|--------|------|----------|-------------|---------|--------- | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned, directly or indirectly. (over) * If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (7-96)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1.Title of Derivative Security | 2.Conversion | 3.Transaction | 4.Transaction | 5.Number of | 6.Date Exer- | 7.Title and Amount (Instr. 3) | or Exercise | Date | Code | Derivative | cisable and | of Underlying | Price of | | (Instr. 8) | Securities | Expiration Date | Securities | Derivative | (Month/Day/ | | Acquired (A) | (Month/Day/Year) | (Instr. 3 and 4) | Security | Year) | | or Disposed | | | | | | of (D) |-------------------------------------- | | | | (Instr. 3, | Date | Expir- | | Amount or | | | | 4, and 5) | Exer- | ation | Title | Number of | | |---------------|--------------| cisable | Date | | Shares | | | Code | V | (A) | (D) | | | | - ------------------------------------------------------------------------------------------------------------------------------------ warrants to purchase | $1.10/share | 9/20/99 | X | | |454,545| 11/13/98|11/13/03| common | 1,800,000 - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- common stock, no par | | | | | | | | | stock | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- value | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- warrants to purchase | $1.25/share | 9/21/99 | X | 175,000| | 9/21/99 | 9/21/04| common | 175,000 - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- common stock, no par value | | | | | | | | | stock | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- warrants to purchase | | | | | | | present |11/05/03| common | 6,783 - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- common stock, no par value | | | | | | | | | stock | - -------------------------------|------------------------------|-------|-------|------|-------|---------|--------|--------|---------- | | | | | | | | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- 11,963 shares of Series A | | | | | | | present | | | - -------------------------------|--------------|---------------|-------|-------|------|-------|---------|--------|--------|---------- Preferred stock, convertible | | | | | | | | Series A preferred - -------------------------------|--------------|---------------|-------|-------|------|-------|---------| convertible to to common stock | | | | | | | | common stock - ---------------------------------------------------------------------------------------------------------------------------------- 8.Price of | 9.Number of | 10.Ownership | 11.Nature of | Derivative | Derivative | Form of | Indirect | Security | Securities | Derivative | Beneficial | (Instr. 5) | Beneficially | Security: | Ownership | | Owned at End | Direct (D) or | (Instr. 4) | | of Month | Indirect (I) | | | (Instr. 4) | (Instr. 4) | | - -------------------------------------------------------------------| $1.10 | 1,345,455 | I | as the sole | - --------------|----------------|-------------------|---------------| | | | member of | - --------------|----------------|-------------------|---------------| | | | Millenium | - --------------|----------------|-------------------|---------------| | | | Medical | - --------------|----------------|-------------------|---------------| | | | Systems, LLC | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| $1.25 | 175,000 | D | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| $.75/share | 6,783 | D | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| | | | | - --------------|----------------|-------------------|---------------| $.75/share | 47,852 | D | | - -------------------------------------------------------------------- Explanation of Responses: /s/ Robert W. Gaines 12//1/99 ------------------------------------ ----------------- **Signature of Reporting Person Date Robert W. Gaines ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Page 2 SEC 1974 (7-96) Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
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