-----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, DOKdChnnPuMMqHo0q3rmISw3gzD85/gD5sT/g/YaxSiLlxHEEH4iQXAv5p+iFRzV OpzvUb78yY1vQGug+2jTgQ== 0001262014-09-000021.txt : 20091221 0001262014-09-000021.hdr.sgml : 20091221 20091221191928 ACCESSION NUMBER: 0001262014-09-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091218 FILED AS OF DATE: 20091221 DATE AS OF CHANGE: 20091221 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: UROLOGIX INC CENTRAL INDEX KEY: 0000882873 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 411697237 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 BUSINESS ADDRESS: STREET 1: 14405 21ST AVE N CITY: MINNEAPOLIS STATE: MN ZIP: 55447 BUSINESS PHONE: 6124751400 MAIL ADDRESS: STREET 1: 14405 21ST AVENUE NORTH CITY: MINNEAPOLIS STATE: MN ZIP: 55447 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DANN MITCHELL CENTRAL INDEX KEY: 0001013102 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-28414 FILM NUMBER: 091253379 MAIL ADDRESS: STREET 1: C/O SAPIENT CAPITAL MANAGEMENT, LLC STREET 2: PO BOX 1590 CITY: WILSON STATE: WY ZIP: 83014 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-12-18 0 0000882873 UROLOGIX INC ULGX 0001013102 DANN MITCHELL C/O SAPIENT CAPITAL MANAGEMENT, LLC PO BOX 1590 WILSON WY 83014 1 0 0 0 Common Stock 2009-12-18 5 G 0 E 21666 0 D 435089 D Common Stock 2009-12-18 5 G 0 E 21666 0 A 61684 I Trustee for Glory Bowl Trust Common Stock 10358 I Through IRA Rollover FBO Mitchell Dann The reporting person is the sole trustee of the Glory Bowl Trust of which the reporting person's minor child is the beneficiary. The reporting person disclaims beneficial ownership of these securities. By April Hamlin, Attorney-In-Fact for Mitchell Dann 2009-12-21 -----END PRIVACY-ENHANCED MESSAGE-----