-----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, OQswTGPr8ol1/NTr5Pza2gSQt+JMSEb0xJn96Tt2x3mTF3wm2lUfwTauEx96cFUP KRtMssR+1Udktz6N/ViPfQ== 0000950147-03-000158.txt : 20030212 0000950147-03-000158.hdr.sgml : 20030212 20030212125236 ACCESSION NUMBER: 0000950147-03-000158 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030212 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: HOWSE ELWOOD D CENTRAL INDEX KEY: 0001191706 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 5 MAIL ADDRESS: STREET 1: 1275 W. WASHINGTON CITY: TEMPE STATE: AZ ZIP: 85281 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ORTHOLOGIC CORP CENTRAL INDEX KEY: 0000887151 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 860585310 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-21214 FILM NUMBER: 03553330 BUSINESS ADDRESS: STREET 1: 1275 WEST WASHINGTON STREET CITY: TEMPE STATE: AZ ZIP: 85281 BUSINESS PHONE: 6024375520 MAIL ADDRESS: STREET 1: 1275 WEST WASHINGTON STREET CITY: TEMPE STATE: AZ ZIP: 85281 5 1 e-9579.txt FORM 5 OF ELWOOD D. HOWSE, JR. ------------------------------ OMB APPROVAL ------------------------------ - ------ OMB Number: 3235-0362 FORM 5 Expires: January 31, 2005 - ------ Estimated average burden hours per response ....... 1.0 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 [ ] Check this box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). [ ] Form 3 Holdings Report [X] Form 4 Transactions Reported ================================================================================ 1. Name and Address of Reporting Person* Howse, Jr. Elwood D. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 1275 West Washington Street - -------------------------------------------------------------------------------- (Street) Tempe Arizona 85281 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Issuer Name AND Ticker or Trading Symbol OrthoLogic Corp. (OLGC) ================================================================================ 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) ================================================================================ 4. Statement for Month/Year December 31, 2002 ================================================================================ 5. If Amendment, Date of Original (Month/Year) ================================================================================ 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [ ] Officer (give title below) [ ] Other (specify below) ------------------------------------ ================================================================================ 7. Individual or Joint/Group Filing (Check applicable line) [X] Form filed by One Reporting Person [ ] Form filed by More Than one Reporting Person ================================================================================ Page 1 of 3 Form 5 (continued) Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
======================================================================================================================== | | | | | | | | | | | | 5. Amount| | | | | | | of Secur-| | | | | | 4. | ities | | 7. | | | | Securities | Bene- | | Nature | | | | Acquired (A) | ficially | 6. Owner-| of | | | | or Disposed | Owned at | ship | Indirect | | 2A. | | of (D) (Instr. | End of | Form: | Bene- | | Deemed | | 3, 4 and 5) | Issuer's | Direct | ficial | 2. Trans- | Execution | 3. | ---------------- | Fiscal | (D) or | Owner- | action Date | Date, if any| Transaction | |(A)| | Year | Indirect | ship 1. Title of Security | (Month/Day/ | (Month/Day/ | Code | Amount|or |Price | (Instr. | (I) | (Instr. (Instr. 3) | Year) | Year) | (Instr. 8) | |(D)| | 3 and 4) | (Instr.4)| 4) - ------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------ ========================================================================================================================
* If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Page 2 of 3 Form 5 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
========================================================================================================================= | | | | |5. | | | | 9. |10. | | | | | |Number | | | | Number |Owner-| | | | | |of | |7. | | of |ship | |2. | | | |Deriv- | |Title and | | Deriv- |of | |Conver-| | | |ative | |Amount of | | ative |Deriv-|11. |sion | | | |Secur- | |Underlying | | Secur- |ative |Nature |of | |3A. | |ities |6. |Securities |8. | ities |Secur-|of |Exer- | |Deemed | |Acquired |Date |(Instr. 3 |Price | Bene- |ity: |In- |cise |3. |Execu- | |(A) or |Exercisable and |and 4) |of | ficially|Direct|direct |Price |Trans- |tion |4. |Disposed |Expiration Date |-------------|Deriv- | Owned |(D) or|Bene- 1. |of |action |Date, |Trans- |of(D) |(Month/Day/Year) | |Amount|ative | at End |In- |ficial Title of |Deriv- |Date |if any |action |(Instr.3,|-----------------| |or |Secur- | of |direct|Owner- Derivative |ative |(Month/ |(Month/ |Code |4 and 5) |Date | Expira-| |Number|ity | Year |(I) |ship Security |Secur- |Day/ |Day/ |(Instr.|-------- |Exer- | tion | |of |(Instr.| (Instr. |(Instr|(Instr. (Instr. 3) |ity |Year) |Year) |8) |(A) | (D)|cisable | Date |Title |Shares|5) | 4) |4) |4) - ------------------------------------------------------------------------------------------------------------------------- Stock Option $3.61 12/31/02 A 10,000 12/31/02 12/31/12 Common 10,000 10,000 D (Right to buy) Stock - ------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------- =========================================================================================================================
Explanation of Responses: By: Sherry A. Sturman 02/10/03 - ------------------------------- ------------ **Signature of Reporting Person Date Attorney-in-Fact ** 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 provided is insufficient, see Instruction 6 for procedures. Page 3 of 3 -----END PRIVACY-ENHANCED MESSAGE-----