-----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, Nw6Hcxyxuc1E9DSlR0YDK/8NOPtXy0Z5Yf87z5vcCiCaTT1OXHVx2+DK3fPmMG2n DlLY44U/a8z1yaaiU+WnSQ== 0001047469-99-016048.txt : 19990426 0001047469-99-016048.hdr.sgml : 19990426 ACCESSION NUMBER: 0001047469-99-016048 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990423 GROUP MEMBERS: ALLBAUGH MARK GROUP MEMBERS: FLORENCE ALLBAUGH SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BIO MEDICAL AUTOMATION INC CENTRAL INDEX KEY: 0000812152 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 840922701 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-39963 FILM NUMBER: 99599701 BUSINESS ADDRESS: STREET 1: 7450 EAST JEWELL AVE STE A CITY: DENVER STATE: CO ZIP: 80231 BUSINESS PHONE: 3033680401 MAIL ADDRESS: STREET 1: 7450 E JEWELL AVE STREET 2: STE A CITY: DENVER STATE: CO ZIP: 80231 FORMER COMPANY: FORMER CONFORMED NAME: OZO DIVERSIFIED AUTOMATION INC /CO/ DATE OF NAME CHANGE: 19920703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ALLBAUGH MARK CENTRAL INDEX KEY: 0001082860 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 280606718 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 7 SAWTOOTH CT. CITY: HILTON HEAD ISLAND STATE: SC ZIP: 29926 BUSINESS PHONE: 8437857320 SC 13G 1 SCHEDULE 13G UNITED STATES OMB APPROVAL SECURITIES AND EXCHANGE COMMISSION OMB Number 3235-0145 Washington, D.C. 20549 Expires: August 31, 1999 Estimated average burden SCHEDULE 13G hours per response 14.90 UNDER THE Securities Exchange Act of 1934 (Amendment No. )* Bio-Medical Automation, Inc. ------------------------------------------------------- (Name of Issuer) Common ------------------------------------------------------- (Title of Class of Securities) 692696305000 ------------------------------------------------------- (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: / / Rule 13d-1(b) /X/ Rule 13d-1(c) / / 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 to the Act (however, see the Notes). POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THE FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. CUSIP NUMBER: 692696305000 PAGE 2 OF 8 1. Names of Reporting Person: Mark Allbaugh I.R.S. Identification Nos. of above persons (entities only): - ------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a)______________ (b)______________ - ------------------------------------------------------------------------------- 3. SEC Use Only - ------------------------------------------------------------------------------- 4. Citizenship or Place of Organization: USA - ------------------------------------------------------------------------------- Number of Shares Bene- 5. Sole Voting Power: 4,600 ficially Owned by Each 6. Shared Voting Power: 46,474 Reporting Person With 7. Sole Dispositive Power: 4,600 8. Shared Dispositive Power: 46,474 ITEM 9. Aggregate Amount Beneficially owned by Each Reporting Person: 51,074 ITEM 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares N/A ITEM 11. Percent of Class Represented by Amount in Row (9) 8.9% ITEM 12. Type of Reporting Person (SEE INSTRUCTIONS): IN CUSIP NUMBER: 692696305000 PAGE 3 OF 8 1. Names of Reporting Person: Florence Allbaugh I.R.S. Identification Nos. of above persons (entities only): - ------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) ______________ (b) ______________ - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization: USA - -------------------------------------------------------------------------------- Number of Shares Bene- 5. Sole Voting Power: -0- ficially Owned by Each 6. Shared Voting Power: 46,474 Reporting Person With 7. Sole Dispositive Power: -0- 8. Shared Dispositive Power: 46,474 ITEM 9. Aggregate Amount Beneficially owned by Each Reporting Person: 46,474 ITEM 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares N/A ITEM 11. Percent of Class Represented by Amount in Row (9) 8.1% ITEM 12. Type of Reporting Person (SEE INSTRUCTIONS): IN CUSIP NUMBER: 692696305000 PAGE 4 OF 8 ITEM 1. (a) NAME OF ISSUER: Bio-Medical Automation, Inc. (b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES 7450 East Jewell Avenue, Suite A Denver, Colorado 80231 ITEM 2. (a) NAME OF PERSON FILING: Mark Allbaugh; Florence Allbaugh Husband and wife (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE: 7 Sawtooth Court Hilton Head Island, SC 29926 (c) CITIZENSHIP: USA (d) TITLE OF CLASS OF SECURITIES: Type of Stock: Common Stock, $.10 par value (e) CUSIP NUMBER: 692696305000 CUSIP NUMBER: 692696305000 PAGE 5 OF 8 ITEM 3. If this statement is filed pursuant to Sections 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 Section 240.13d-1(b)(1)(ii)(E). (f) / / An employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F). (g) / / A parent holding company or control person in accordance withSection 240.13d-1(b)(1)(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 withSection 240.13d-1(b)(1)(ii)(J). CUSIP NUMBER: 692696305000 PAGE 6 OF 8 ITEM 4. Ownership (a) AMOUNT BENEFICIALLY OWNED: Mark Allbaugh owns 4,600 shares of Common Stock in his own name, and 46,474 shares jointly with his wife, Florence Allbaugh. (b) PERCENT OF CLASS: % Mark Allbaugh 8.9% 46,474 Florence Allbaugh 8.1% (c) NUMBER OF SHARES AS TO WHICH THE PERSON HAS: NAME Mark Allbaugh (i) Sole power to vote or direct the vote: 4,600 shares (ii) Shared power to vote or direct the vote: 46,474 shares (iii) Sole power to dispose or to direct the disposition of: 4,600 shares (iv) Shared power to dispose or to direct the disposition of: 46,474 shares NAME Florence Allbaugh (i) Sole power to vote or direct the vote: -0- (ii) Shared power to vote or direct the vote: 46,474 shares (iii) Sole power to dispose or to direct the disposition of: -0- (iv) Shared power to dispose or to direct the disposition of: 46,474 shares 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 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 CUSIP NUMBER: 692696305000 PAGE 7 OF 8 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. Husband and wife ITEM 9. Notice of Dissolution of Group. N/A ITEM 10. Certification (a) Not applicable. (b) Pursuant to Section 240.13d-1(c) 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. Date: 3/26/99 Mark Allbaugh Florence Allbaugh /s/ Mark Allbaugh /s/ Florence Allbaugh - ------------------------ ------------------------- ATTENTION: INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT CONSTITUTE FEDERAL CRIMINAL VIOLATIONS (SEE 18 U.S.C. 1001) -----END PRIVACY-ENHANCED MESSAGE-----