-----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, JrqSaX0/3ycjIfakaFUt1gQkr7QNpyDNzco0LVj3IkzN2YmJUQxnPTAtgaBwojnO rWG+3hXRmfN80naRXDG21Q== 0000914760-04-000012.txt : 20040209 0000914760-04-000012.hdr.sgml : 20040209 20040209154838 ACCESSION NUMBER: 0000914760-04-000012 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040209 GROUP MEMBERS: D. TED THOMPSON GROUP MEMBERS: RUFUS S. TEESDALE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: X RITE INC CENTRAL INDEX KEY: 0000790818 STANDARD INDUSTRIAL CLASSIFICATION: PHOTOGRAPHIC EQUIPMENT & SUPPLIES [3861] IRS NUMBER: 381737300 STATE OF INCORPORATION: MI FISCAL YEAR END: 0102 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-38836 FILM NUMBER: 04577990 BUSINESS ADDRESS: STREET 1: 3100 44TH ST SW CITY: GRANDVILLE STATE: MI ZIP: 49418 BUSINESS PHONE: 6165347663 MAIL ADDRESS: STREET 1: 3100 44TH STREET SW CITY: GRANDVILLE STATE: MI ZIP: 49418 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: TEESDALE RUFUS S CENTRAL INDEX KEY: 0001187481 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 3100 44TH STREET SW CITY: GRANDVILLE STATE: MI ZIP: 49418 BUSINESS PHONE: 515534 MAIL ADDRESS: STREET 1: 3100 44TH STREET SW CITY: GRANDVILLE STATE: MI ZIP: 49418 SC 13G/A 1 xrite_13ga17.txt AMENDMENT NO. 17 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 17)(1) X-Rite, Incorporated -------------------- (Name of Issuer) Common Stock, Par Value $.10 Per Share -------------------------------------- (Title of Class of Securities) 983857103 --------- (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) ----- X Rule 13d-1(c) ----- Rule 13d-1(d) ----- (1)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). (Continues on the following page(s)) Page 1 of 7 Pages CUSIP NO. 983857103 13G PAGE 2 OF 7 PAGES ------------------------- - -------------------------------------------------------------------------------- 1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only) Rufus S. Teesdale - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group (a) / / (See Instructions) (b) /X/ - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Citizenship or Place of Organization United States of America - -------------------------------------------------------------------------------- Number of 5 Sole Voting Power Shares 1,316,983 ------------------------------------------------------ Beneficially 6 Shared Voting Power Owned by 0 ------------------------------------------------------ Each Reporting 7 Sole Dispositive Power Person With 1,316,983 ------------------------------------------------------ 8 Shares Dispositive Power 0 - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person 1,396,983 - -------------------------------------------------------------------------------- Check if the Aggregate Amount in Row (9) Excludes Certain Shares / / 10 (See Instructions) - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 6.8% - -------------------------------------------------------------------------------- 12 Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- CUSIP NO. 983857103 13G PAGE 3 OF 7 PAGES ------------------------- - -------------------------------------------------------------------------------- 1 Names of Reporting Persons/I.R.S. Identification Nos. of Above Persons (Entities Only) D. Ted Thompson - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group (a) / / (See Instructions) (b) /X/ - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Citizenship or Place of Organization United States of America - -------------------------------------------------------------------------------- Number of 5 Sole Voting Power Shares 1,368,300 ------------------------------------------------------ Beneficially 6 Shared Voting Power Owned by 0 ------------------------------------------------------ Each Reporting 7 Sole Dispositive Power Person With 1,368,300 ------------------------------------------------------ 8 Shares Dispositive Power 0 - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person 1,475,800 - -------------------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares: /X/ (See Instructions) - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 7.2% - -------------------------------------------------------------------------------- 12 Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- CUSIP NO. 983857103 13G PAGE 4 OF 7 PAGES ------------------------- - -------------------------------------------------------------------------------- ITEM 1(A) NAME OF ISSUER: X-Rite, Incorporated ITEM 1(B) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 3100 44th Street, S.W. Grandville, MI 49418 ITEM 2(A) NAME OF PERSON(S) FILING: Rufus S. Teesdale D. Ted Thompson ITEM 2(B) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: Rufus S. Teesdale 3152 E. Gatehouse Drive, S.E. Grand Rapids, MI 49546 D. Ted Thompson 1980 76th Street, S.W. Byron Center, MI 49315 ITEM 2(C) CITIZENSHIP: United States of America ITEM 2(D) TITLE OF CLASS OF SECURITIES: Common Stock, Par Value $.10 ITEM 2(E) CUSIP NUMBER: 983857103 ITEM 3 IF THIS STATEMENT IS FILED PURSUANT TOSS.SS.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 advisor registered in accordance with ss. 240.13d-1(b)(1)(ii)(E). (f) / / An employee benefit plan or endowment fund in accordance with ss.240.13d-1(b)(1)(ii)(F). CUSIP NO. 983857103 13G PAGE 5 OF 7 PAGES ------------------------- - -------------------------------------------------------------------------------- (g) / / A parent holding company or control person, in accordance withss.240.13d-1(b)(ii)(G). (h) / / A savings association 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 ss. 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. Rufus S. Teesdale - ----------------- (a) Amount beneficially owned: 1,396,983 (b) Percent of Class: 6.8% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 1,316,983 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of: 1,316,983 (iv) Shared power to dispose or to direct the disposition of: 0 Note: The amount beneficially owned includes options for 80,000 shares exercisable within 60 days. D. Ted Thompson - --------------- (a) Amount beneficially owned: 1,475,800 (b) Percent of Class: 7.2% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 1,368,300 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of: 1,368,300 (iv) Shared power to dispose or to direct the disposition of: 0 CUSIP NO. 983857103 13G PAGE 6 OF 7 PAGES ------------------------- - -------------------------------------------------------------------------------- Note: The amount beneficially owned includes options for 107,500 shares exercisable within 60 days, but does not include 160,000 shares held by a trust for which Mr. Thompson's wife serves as trustee, as to which Mr. Thompson disclaims beneficial ownership. 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 [THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK.] CUSIP NO. 983857103 13G PAGE 7 OF 7 PAGES ------------------------- - -------------------------------------------------------------------------------- ITEM 10 CERTIFICATION: 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. February 2 , 2004 -------------------------------- (Date) /s/ Rufus S. Teesdale -------------------------------- Rufus S. Teesdale February 2 , 2004 -------------------------------- (Date) /s/ D. Ted Thompson --------------------------------- D. Ted Thompson -----END PRIVACY-ENHANCED MESSAGE-----