-----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, LfgCdPmD4pBwALYJEdNTkGZ5CgIR1JVqFA2dbDUcdcoB6qBJ2jeN7QmzP8HUqQmh dBzQmyDVMruI055hHi2Iqw== 0000897069-03-001429.txt : 20031114 0000897069-03-001429.hdr.sgml : 20031114 20031114162606 ACCESSION NUMBER: 0000897069-03-001429 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031112 FILED AS OF DATE: 20031114 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FARO TECHNOLOGIES INC CENTRAL INDEX KEY: 0000917491 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 593157093 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746-6204 BUSINESS PHONE: 4073339911 MAIL ADDRESS: STREET 1: FARO TECHNOLOGIES INC STREET 2: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAAB SIMON CENTRAL INDEX KEY: 0001061096 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23081 FILM NUMBER: 031005045 BUSINESS ADDRESS: STREET 1: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746 BUSINESS PHONE: 4073339911 MAIL ADDRESS: STREET 1: FARO TECHNOLOGIES INC STREET 2: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746 4 1 dkm551_ex.xml X0201 4 2003-11-12 0 0000917491 FARO TECHNOLOGIES INC FARO 0001061096 RAAB SIMON 125 TECHNOLOGY PARK LAKE MARY FL 32746 1 1 1 0 President and CEO Common Stock, par value $.001 2003-11-12 4 S 0 663920 21.50 D 2084108 I Note 1 Common Stock, par value $.001 102000 I Note 2 Common Stock, par value $.001 169721 D Represents shares held by Xenon Research, Inc., a corporation in which the reporting person has investment control over the shares of the issuer owned by such corporation. The reporting person and his wife, Diana Raab, own all of the outstanding shares of Xenon Research, Inc. Represents shares held by a revocable trust of which the reporting person is the settlor and trustee. /s/ Martin A. Traber, Attorney-in-fact for Simon Raab 2003-11-14 -----END PRIVACY-ENHANCED MESSAGE-----