-----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, J8EL3sKuZv657ihCn77Bp+w8rV22fL7ToFq35HE1Ox639Wh1oBN4Pwmd4Gir8rwq QL2Cwv0TRWfSuH+9H4dYOA== 0001191152-03-000007.txt : 20031030 0001191152-03-000007.hdr.sgml : 20031030 20031030214807 ACCESSION NUMBER: 0001191152-03-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031028 FILED AS OF DATE: 20031030 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SEVERSON CLINTON CENTRAL INDEX KEY: 0001191152 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-19720 FILM NUMBER: 03968216 MAIL ADDRESS: STREET 1: C/O ABAXIS INC STREET 2: 3240 WHIPPLE ROAD CITY: UNION CITY STATE: CA ZIP: 94587 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ABAXIS INC CENTRAL INDEX KEY: 0000881890 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 770213001 STATE OF INCORPORATION: CA FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 3240 WHIPPLE STREET 2: ROAD CITY: UNION CITY STATE: CA ZIP: 94587 BUSINESS PHONE: (510) 675-6500 MAIL ADDRESS: STREET 1: 3240 WHIPPLE STREET 2: ROAD CITY: UNION CITY STATE: CA ZIP: 94587 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-10-28 0 0000881890 ABAXIS INC ABAX 0001191152 SEVERSON CLINTON C/O ABAXIS INC 3240 WHIPPLE ROAD UNION CITY CA 94587 1 1 0 0 President,CEO, Board Chairman Common Stock 2003-10-28 4 J 0 28285 7 A 159914 D Series D Preferred Stock 7 2003-10-28 4 C 0 198 7 D 2000-10-04 2005-10-04 Common Stock 28285 777564 D Under the terms of Abaxis' Certificate of Determination with respect to the Series D Preferred Stock, the stock automatically converted on October 28, 2003. Includes - (a) 159,914 shares of common stock. Shares are subject to conversion terms. In addition, to footnote 2, includes the following: (a) 9,900 shares of common stock issuable upon the exercise of warrants; (b) 607,750 shares subject to options exercisable by Mr. Clinton Serverson as of 10/30/03; (c) 106,250 shares of options granted and unvested as of 10/30/03. /s/ Clinton Severson 2003-10-30 -----END PRIVACY-ENHANCED MESSAGE-----