-----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, R0qxUA/bxbJ3qWbaS6IVT2JYYMuo+ro90GJL6/854OZDwmfaMGD2Toa2/nlGchRX 4A7WJV9kklPd/0n43vax2g== 0000912057-00-012068.txt : 20000317 0000912057-00-012068.hdr.sgml : 20000317 ACCESSION NUMBER: 0000912057-00-012068 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000316 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CELOX LABORATORIES INC CENTRAL INDEX KEY: 0000883720 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 363384240 STATE OF INCORPORATION: MN FISCAL YEAR END: 0831 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-42302 FILM NUMBER: 571951 BUSINESS ADDRESS: STREET 1: 1311 HELMO AVE CITY: ST PAUL STATE: MN ZIP: 55128 BUSINESS PHONE: 6127301500 MAIL ADDRESS: STREET 1: 1311 HELMO AVE CITY: ST PAUL STATE: MN ZIP: 55128 FORMER COMPANY: FORMER CONFORMED NAME: CELOX CORPORATION DATE OF NAME CHANGE: 19930328 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: VEIMAN JAMES EDWARD CENTRAL INDEX KEY: 0001109385 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 13646 CROOKED LAKE BLVD CITY: ANOKA STATE: MI ZIP: 55304 BUSINESS PHONE: 6516535934 MAIL ADDRESS: STREET 1: 13646 CROOKED LAKE BLVD CITY: ANOKA STATE: MI ZIP: 55304 SC 13G 1 SC 13G SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 Celox Laboratories, Inc. ------------------------ (Name of Issuer) Common Stock ------------ (Title of Class of Securities) 151179108 --------- (CUSIP Number) February 28, 2000 ----------------- (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) * 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 the 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). Page 1 of 5 CUSIP No. 151179108 13G Page 2 of 5 - ---------------------------- --------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS James E. Veiman (the "Reporting Person") - ---------------------------- --------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* Not Applicable (a) / / (b) / / - ---------------------------- --------------------------------------------------- 3 SEC USE ONLY - ---------------------------- --------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ---------------------------- --------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 434,500(1) BENEFICIALLY ---------------------- ---------------------------- OWNED BY EACH 6 SHARED VOTING POWER REPORTING 0 PERSON ---------------------- ---------------------------- WITH 7 SOLE DISPOSITIVE POWER 434,500 ---------------------- ---------------------------- 8 SHARED DISPOSITIVE POWER 0 - ---------------------------- --------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 434,500 - ---------------------------- --------------------------------------------------- 10 CHECK BOX If THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / / Not Applicable - ---------------------------- --------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 12.43% - ---------------------------- --------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ---------------------------- --------------------------------------------------- *SEE INSTRUCTION BEFORE FILLING OUT! - --------------------- (1) Includes 200,000 shares of common stock that were issued upon exercise of a warrant dated March 10, 2000. Item 1(a). NAME OF ISSUER: The name of the issuer is Celox Laboratories, Inc. (the "Issuer"). Item 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: The address of the principal executive offices of the Issuer is 1311 Helmo Avenue, Saint Paul, MN 55128. Item 2(a). NAME OF PERSON FILING: James E. Veiman (the "Reporting Person"). Item 2(b). ADDRESS OR PRINCIPAL BUSINESS OFFICE OR, IF NON, RESIDENCE: The address of the Reporting Person is 13646 Crooked Lake Boulevard, Anoka, MN 55304. Item 2(c). CITIZENSHIP: The Reporting Person is a citizen of the United States. Item 2(d). TITLE OF CLASS OF SECURITIES: The class of equity securities to which this Statement relates is the Common Stock of the Issuer (the "Common Stock"). Item 2(e). CUSIP NUMBER: The CUSIP number of the Common Stock is 151179108. Item 3. If this Statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the filing person is a: Not Applicable. Item 4. OWNERSHIP: (a) Amount Beneficially Owned: 434,500 (b) Percent of Class: 12.43% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote................................ 434,500 (ii) shared power to vote or to direct the vote.............................. 0 Page 3 of 5 (iii) sole power to dispose or to direct the disposition of.......................................................... 434,500 (iv) shared power to dispose or to direct the disposition of................. 0
- ------------------------- 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: 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 acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing control of the Issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes of effect. Page 4 of 5 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. Date: March 13, 2000. By: /s/ James E. Veiman ------------------------ James E. Veiman Page 5 of 5 -----END PRIVACY-ENHANCED MESSAGE-----