-----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, FP2vLEldv7xWZvBhIxV1C3+8WdYrPPi4pQfshRFh8gX2XtKKKrIuQJI4ODIiyCnm lrDFUAu5yC8MZtncVk0xWg== 0001176721-04-000016.txt : 20040116 0001176721-04-000016.hdr.sgml : 20040116 20040116132543 ACCESSION NUMBER: 0001176721-04-000016 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040116 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GENESIS BIOVENTURES INC CENTRAL INDEX KEY: 0001084966 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 980163232 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-62309 FILM NUMBER: 04529242 BUSINESS ADDRESS: STREET 1: 1A - 3033 KING GEORGE HIGHWAY STREET 2: SURREY CITY: BRITISH COLUMBIA CAN STATE: A1 ZIP: V4P 1B8 BUSINESS PHONE: 6045420820 MAIL ADDRESS: STREET 1: 1A - 3033 KING GEORGE HIGHWAY STREET 2: SURREY CITY: BRITISH COLUMBIA CAN STATE: A1 ZIP: V4P 1B8 FORMER COMPANY: FORMER CONFORMED NAME: BIOLABS INC DATE OF NAME CHANGE: 19990811 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LUTZ FAMILY TRUST CENTRAL INDEX KEY: 0001135377 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 71 BALTIMORE ESTATES CITY: PHOENIX STATE: AZ ZIP: 85016 BUSINESS PHONE: 6029563072 MAIL ADDRESS: STREET 1: 71 BALTIMORE ESTATES CITY: PHOENIX STATE: AZ ZIP: 85016 SC 13G 1 doc1.txt OMB APPROVAL ------------------------- OMB Number: 3235-0145 Expires: August 31, 1999 Estimated average burden Hours per response . 14.90 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. _________)* GENESIS BIOVENTURES, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - -------------------------------------------------------------------------------- (Title of Class of Securities) 371828 10 4 -------------------------------------- (CUSIP Number) DECEMBER 31, 2003 - -------------------------------------------------------------------------------- (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) [_] Rule 13d-1(c) [X] 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. 371828 10 4 - -------------------------- - -------------------------------------------------------------------------------- 1. Names of Reporting Persons I.R.S. Identification Nos. of above persons (entities only).: LUTZ FAMILY TRUST ###-##-#### - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) [_] (b) [_] N/A - -------------------------------------------------------------------------------- 3. SEC Use Only: - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization: UNITED STATES - -------------------------------------------------------------------------------- Number of 5. Sole Voting Power: 7,135,575 Shares Bene- finically by ------------------------------------------------------ Owned by Each Reporting 6. Shared Voting Power: N/A Person With: ------------------------------------------------------ 7. Sole Dispositive Power: 7,135,575 ------------------------------------------------------ 8. Shared Dispositive Power: N/A - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person: 7,135,575 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions): 11. Percent of Class Represented by Amount in Row (9): 24.5 % - -------------------------------------------------------------------------------- 12. Type of Reporting Person (See Instructions) OO Page 2 of 5 CUSIP No. 371828 10 4 - -------------------------- ITEM 1. (a) Name of Issuer: Genesis Bioventures, Inc. (b) Address of Issuer's Principal Executive Offices: Suite 1A, 3033 King George Highway, Surrey, BC, Canada, V4P 1B8 ITEM 2. (a) Name of Person Filing: LUTZ FAMILY TRUST (b) Address of Principal Business Office or, if none, Residence: 71 Biltmore Estates, Phoenix AZ 85016 (c) Citizenship: UNITED STATES (d) Title of Class of Securities: COMMON STOCK (e) CUSIP Number: 371828 10 4 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO SEC.SEC. 240.13D-1(B) OR 240.13D-2(B) OR (C), CHECK WHETHER THE PERSON FILING IS A: (a) [_] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). (b) [_] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c) (c) [_] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). (d) [_] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). (e) [_] An investment adviser in accordance with Sec.240.13d-1(b)(1)(ii)(E): (f) [_] An employee benefit plan or endowment fund in accordance with Sec.240.13d-1(b)(1)(ii)(F): (g) [_] A parent holding company or control person in accordance with Sec.240.13d-1(b)(1)(ii)(G) : (h) [_] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813): (i) [_] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3): (j) [_] Group, in accordance with Sec.240.13d-1(b)(1)(ii)(J). ITEM 4. OWNERSHIP. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount Beneficially owned: 7,135,575 (b) Percent of Class: 24.5% (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: 7,135,575 (ii) Shared power to vote or to direct the vote: N/A (iii) Sole power to dispose or to direct the disposition of: 7,135,575 (iv) Shared power to dispose or to direct the disposition of: N/A Page 3 of 5 CUSIP No. 371828 10 4 - -------------------------- ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [_] ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. N/A ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY N/A ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP N/A ITEM 9. NOTICE OF DISSOLUTION OF GROUP N/A ITEM 10. CERTIFICATION Page 4 of 5 CUSIP No. 371828 10 4 - -------------------------- By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. 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. JANUARY 14, 2004 ------------------------------ Date /s/ Robert F. Lutz ------------------------------ Signature Robert F. Lutz, Trustee ------------------------------ Name/Title Page 5 of 5 -----END PRIVACY-ENHANCED MESSAGE-----