-----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, MhfvACFVKmFISllyPbAiCCB8va3pgIStNHOujog73RNMnDKABQMN+HAjYQ+MnkW4 cMjNR6L39jCrzXvkbIxhvQ== 0001140437-04-000094.txt : 20040209 0001140437-04-000094.hdr.sgml : 20040209 20040209092743 ACCESSION NUMBER: 0001140437-04-000094 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INNOVEX INC CENTRAL INDEX KEY: 0000050601 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 411223933 STATE OF INCORPORATION: MN FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-36792 FILM NUMBER: 04576133 BUSINESS ADDRESS: STREET 1: 5540 PIONEER CREEK DRIVE CITY: MAPLE PLAIN STATE: MN ZIP: 55359-9003 BUSINESS PHONE: 7634795300 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: INNOVEX INC CENTRAL INDEX KEY: 0000050601 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC COMPONENTS, NEC [3679] IRS NUMBER: 411223933 STATE OF INCORPORATION: MN FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 5540 PIONEER CREEK DRIVE CITY: MAPLE PLAIN STATE: MN ZIP: 55359-9003 BUSINESS PHONE: 7634795300 SC 13G 1 i926298.htm SCHEDULE 13G

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549

SCHEDULE 13G
(Rule 13d-102)

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULES 13d-1(b)(c), AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO RULE 13d-2(b)

(Amendment No. 14)

Innovex, Inc.


(Name of Issuer)

 

Common Stock, $.04 par value


(Title of Class of Securities)

 

45 76 47


(CUSIP Number)

 

 


(Date of Event Which Requires Filing of this Statement)

          Check the  appropriate  box to  designate  the rule  pursuant to which this Schedule is filed:

                     o  Rule 13d-1(b)

                     o  Rule 13d-1(c)

                     x  Rule 13d-1(d)


1.

NAME OF REPORTING PERSONS

 

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

Thomas W. Haley

 

 


2.

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

 

     (a)      o

 

 

     (b)      o

 

 

 

 


3.

SEC USE ONLY

 


4.

   CITIZENSHIP OR PLACE OF ORGANIZATION

 


NUMBER OF

5.

SOLE VOTING POWER

 

 

 

SHARES

 

826,220

 


BENEFICIALLY

6.

SHARED VOTING POWER

 

 

 

OWNED BY

 

-0-

 


EACH

7.

SOLE DISPOSITIVE POWER

 

 

 

REPORTING

 

826,220

 


PERSON

8.

SHARED DISPOSITIVE POWER

 

 

 

WITH

 

-0-

 


9.

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

 

826,220

 


10.

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

 

o

 


11.

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

 

4.4%

 


12.

TYPE OF REPORTING PERSON*

 

 

IN

 


*SEE INSTRUCTIONS BEFORE FILLING OUT!


Item 1(a).

Name of Issuer:

 

 

Innovex Inc.

 


Item 1(b).

Address of Issuer’s Principal Executive Offices:

 

 

5540 Pioneer Creek Drive

 

Maple Plain MN 55359-9003

 


Item 2(a).

Name of Person Filing:

 

 

Thomas W. Haley

 


Item 2(b).

Address of Principal Business Office, or if None, Residence:

 

 

Innovex Inc.

 

5540 Pioneer Creek Drive

 

Maple Plain MN 55359-9003

 


Item 2(c).

Citizenship:

 

 

American

 


Item 2(d).

Title of Class of Securities:

 

 

Common Stock, $.04 par value

 


Item 2(e).

CUSIP Number:

 

 

457647

 


Item 3.

If This Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:

 

 

Not Applicable


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.

The ownership of Mr Haley as of December 31, 2003 was as follows:

 

(a)

Amount beneficially owned:

826,220

 

 

(b)

Percent of class:

4.4%

 

 

(c)

Number of shares as to which such person has:

 

                    (i)     Sole power to vote or to direct the vote                                   826,220 (Includes options exercisable within 60 days of December 31, 2003 to purchase 55,000 shares)

                    (ii)    Shared power to vote or to direct the vote                                   -0-

                    (iii)    Sole power to dispose or to direct the disposition of               826,220 (Includes options exercisable within 60 days of December 31, 2003 to purchase 55,000 shares)

                    (iv)    Shared power to dispose or to direct the disposition of             -0-


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:      x

 


 

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.

Certifications.

 

Not applicable.


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.

 

February, 14, 2004

 


 

(Date)

 

 

 

/s/ THOMAS W. HALEY

 


 

(Signature)

 

 

 

Chairman

 


 

(Name/Title)

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