-----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, PW2MgeicJK5gF94/2ASiPYdqDo323HbV/vjldJXnOTm2Ar8kCl+L1XIUWG1P7AuZ EWKv9wgPj8BRadjCIbooRw== 0000950135-07-007726.txt : 20071221 0000950135-07-007726.hdr.sgml : 20071221 20071221132935 ACCESSION NUMBER: 0000950135-07-007726 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20071221 DATE AS OF CHANGE: 20071221 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: StatSure Diagnostic Systems, Inc. CENTRAL INDEX KEY: 0000885534 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 911549305 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-55049 FILM NUMBER: 071322101 BUSINESS ADDRESS: STREET 1: 1 CLARKS HILL RD. CITY: FRAMINGHAM STATE: MA ZIP: 01702 BUSINESS PHONE: 508.872.2625 MAIL ADDRESS: STREET 1: 1 CLARKS HILL RD. CITY: FRAMINGHAM STATE: MA ZIP: 01702 FORMER COMPANY: FORMER CONFORMED NAME: SALIVA DIAGNOSTIC SYSTEMS INC DATE OF NAME CHANGE: 19960122 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: INVERNESS MEDICAL INNOVATIONS INC CENTRAL INDEX KEY: 0001145460 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 043565120 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 51 SAWYER ROAD STREET 2: SUITE 200 CITY: WALTHAM STATE: MA ZIP: 02453 BUSINESS PHONE: 7816473900 MAIL ADDRESS: STREET 1: 51 SAWYER ROAD STREET 2: SUITE 200 CITY: WALTHAM STATE: MA ZIP: 02453 SC 13G 1 b67863sdsc13g.htm STATSURE DIAGNOSTIC SYSTEMS, INC. sc13g
Table of Contents

     
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
StatSure Diagnostic Systems, Inc.
 
(Name of Issuer)
Common Stock, $0.001
 
(Title of Class of Securities)
795427202
 
(CUSIP Number)
October 20, 2007
 
(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)
 
  þ   Rule 13d-1(c)
 
  o   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).

 


TABLE OF CONTENTS

Item 1.
Item 2.
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
Item 4. Ownership
Item 5. Ownership of Five Percent or Less of a Class
Item 6. Ownership of More than Five Percent on Behalf of Another Person
Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person
Item 8. Identification and Classification of Members of the Group
Item 9. Notice of Dissolution of Group
Item 10. Certification
Signature


Table of Contents

                     
CUSIP No.
 
795427202 
13G  Page  
2 
  of   
 5 Pages 

 

           
1   Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).

Inverness Medical Innovations, Inc.
     
     
2   Check the Appropriate Box if a Member of a Group (See Instructions)

  (a)   o
  (b)   þ
     
3   SEC Use Only
   
   
     
4   Citizenship or Place of Organization
   
  Delaware
       
  5   Sole Voting Power
     
Number of   2,499,999
       
Shares 6   Shared Voting Power
Beneficially    
Owned by   0
       
Each 7   Sole Dispositive Power
Reporting    
Person   2,499,999
       
With 8   Shared Dispositive Power
     
    0
     
9   Aggregate Amount Beneficially Owned by Each Reporting Person
   
  2,499,999
     
10   Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
   
  o
     
11   Percent of Class Represented by Amount in Row (9)
   
  6.1%
     
12   Type of Reporting Person (See Instructions)
   
  CO

 


Table of Contents

                     
CUSIP No.
 
795427202 
  Page  
  of   
5 Pages 
Item 1.
(a) Name of Issuer: StatSure Diagnostic Systems, Inc. (the “Issuer”).
(b) Address of the Issuer’s Principal Executive Offices: 1881 Worcester Road, #200, Framingham, MA 01701.
Item 2.
(a) Name of Person Filing: Inverness Medical Innovations, Inc.
(b) Address of Principal Business Office: 51 Sawyer Road, Suite 200, Waltham, MA 02453.
(c) Citizenship: Delaware
(d) Title and Class of Securities: Common stock, $0.001 (“Common Stock”)
(e) CUSIP Number: 795427202
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
Not applicable
Item 4. Ownership
In the aggregate, as of October 20, 2007, the Reporting Person beneficially owns 2,499,999 shares of Common Stock of the Issuer, representing approximately 6.1% of the class. The beneficial ownership of the Reporting Person includes:
  (i)   1,428,571 shares of the issued and outstanding Common Stock; and
 
  (ii)   a warrant to acquire 1,071,428 shares of Common Stock.
The Reporting Person has (or will have) the sole power to vote and dispose of all such beneficially owned shares.
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 or Control Person
Not applicable

 


Table of Contents

                     
CUSIP No.
 
795427202 
  Page  
  of   
5 Pages 
Item 8. Identification and Classification of Members of the Group
Not applicable
Item 9. Notice of Dissolution of Group
Not applicable
Item 10. Certification
By signing below I hereby 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.

 


Table of Contents

                     
CUSIP No.
 
795427202 
  Page  
  of   
5 Pages 
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: December 21, 2007    
 
           
    INVERNESS MEDICAL INNOVATIONS, INC.    
 
           
 
  By:   /s/ Jay McNamara    
 
           
    Jay McNamara
Senior Counsel—Corporate & Finance
   

 

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