0001221825-05-000034.txt : 20120614 0001221825-05-000034.hdr.sgml : 20120614 20050401143821 ACCESSION NUMBER: 0001221825-05-000034 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050401 DATE AS OF CHANGE: 20050401 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HAYWOOD GEORGE WEAVER CENTRAL INDEX KEY: 0001000514 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: BUSINESS PHONE: 2126920004 MAIL ADDRESS: STREET 1: CARE OF CRONIN AND VRIS, LLP STREET 2: 380 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AVI BIOPHARMA INC CENTRAL INDEX KEY: 0000873303 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 930797222 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-54847 FILM NUMBER: 05724790 BUSINESS ADDRESS: STREET 1: ONE SW COLUMBIA STREET 2: STE 1105 CITY: PORTLAND STATE: OR ZIP: 97258 BUSINESS PHONE: 5032270554 MAIL ADDRESS: STREET 1: ONE SW COLUMBIA STREET 2: SUITE 1105 CITY: PORTLAND STATE: OR ZIP: 97258 FORMER COMPANY: FORMER CONFORMED NAME: ANTIVIRALS INC DATE OF NAME CHANGE: 19970123 SC 13G 1 avibio_13g-050325.txt 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.__)1 AVI BIOPHARMA, INC. (Name of Issuer) Common Stock, par value $.0001 per share (Title of Class of Securities) 637184108 (CUSIP Number) March 25, 2005 (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 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). CUSIP NO. 637184108 13G PAGE 2 OF 6 PAGES -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) George W. Haywood -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (a) [ ] (b) [ ] -------------------------------------------------------------------------------- 3. SEC USE ONLY -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER 3,071,000 SHARES ----------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER 50,000 (1) OWNED BY ----------------------------------------------------- EACH 7. SOLE DISPOSITIVE POWER 3,071,000 REPORTING ----------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 50,000 (1) -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,121,000 -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [] -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 7.1% -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON * IN -------------------------------------------------------------------------------- (1) Consists of shares owned by spouse. * SEE INSTRUCTIONS BEFORE FILLING OUT. 2 ITEM 1(A). NAME OF ISSUER: Avi Biopharma, Inc. ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: One SW Columbia Street, Suite 1105, Portland, Oregon 97258 ITEM 2(A). NAME OF PERSON FILING: George W. Haywood ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: c/o Cronin & Vris, LLP, 380 Madison Avenue, 24th Floor, New York, New York 10017 ITEM 2(C). CITIZENSHIP: U.S.A ITEM 2(D). TITLE OF CLASS OF SECURITIES: Common Stock, par value $.0001 per share ITEM 2(E). CUSIP NUMBER 637184108 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: (a) [ ] Broker or dealer registered under Section 15 of the Exchange Act. (b) [ ] Bank as defined in Section 3(a) (6) of the Exchange Act. (c) [ ] Insurance company as defined in Section 3(a)(19) of the Exchange Act. (d) [ ] Investment company registered under Section 8 of the Investment Company Act. (e) [ ] An investment adviser in accordance with Rule 13d-1 (b)(1) (ii) (E); (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b) (1) (ii) (F); (g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b) (1) (ii) (G); (h) [ ] A savings association as defined in Section 3 (b) of the Federal Deposit 3 Insurance Act. (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3 (c) (14)of the Investment Company Act. (j) [ ] Group, in accordance with Rule 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 issue identified in Item 1. (a) Amount Beneficially Owned: 3,121,000 (b) Percent of Class: 7.1% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 3,071,000 (ii) shared power to vote or to direct vote: 50,000 (1) (iii) sole power to dispose or to direct the disposition of: 3,071,000 (iv) shared power to dispose or to direct the disposition of: 50,000 (1) ---------------- (1) Consists of shares owned by spouse. 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. Included as shares for which there exist shared voting and dispositive power are 50,000 shares owned by Mr. Haywood's spouse, which spouse would have the right to the receipt of dividends from, and proceeds for the sale of, such shares. ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY OR CONTROL PERSON. Not applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not applicable. 4 ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not applicable. 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. 5 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. APRIL 1, 2005 ------------- (Date) /s/ GEORGE W. HAYWOOD ---------------------- (Signature) GEORGE W. HAYWOOD ----------------- (Name/Title) 6