-----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, ATfigDE8yWDXAGlj2m7JX8vmKd6mkGcENd3Fxt6jOPUmFADVFtypyXOPgYj6F7a6 jocqm8bwAS1RbOJ7+JnU/w== 0001017951-97-000179.txt : 19970912 0001017951-97-000179.hdr.sgml : 19970912 ACCESSION NUMBER: 0001017951-97-000179 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19970825 FILED AS OF DATE: 19970910 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GLOBAL MED TECHNOLOGIES INC CENTRAL INDEX KEY: 0001009463 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 841116894 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-22083 FILM NUMBER: 97678073 BUSINESS ADDRESS: STREET 1: 12600 W COLFAX STREET 2: SUITE 500 A CITY: LAKEWOOD STATE: CO ZIP: 80215 BUSINESS PHONE: 3032382000 MAIL ADDRESS: STREET 1: 12600 WEST COLFAX AVENUE STREET 2: SUITE A500 CITY: LAKEWOOD STATE: CO ZIP: 80125-3737 COMPANY DATA: COMPANY CONFORMED NAME: DUDZIAK JOSEPH F CENTRAL INDEX KEY: 0001045913 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 12600 W COLFAX AVE STREET 2: SUITE A 500 CITY: LAKEWOOD STATE: CO ZIP: 80215 BUSINESS PHONE: 3032380189 MAIL ADDRESS: STREET 2: 12600 W COLFAX AVE SUITE A500 CITY: LAKEWOOD STATE: CO ZIP: 80215 4 1 FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 / / Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. SEE Instruction 1(b). 1. Name and Address of Reporting Person: Dudziak Joseph F. -------------------------------------------------------------------- (Last) (First) (Middle) 12600 W. Colfax Ave., Suite A-500 -------------------------------------------------------------------- (Street) Lakewood CO 80215 -------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol: Global Med Technologies, Inc. (GLOB) 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: August, 1997 5. If Amendment, Date of Original (Month/Year): 6. Relationship of Reporting Person to Issuer (Check all applicable): Director / / Officer (give title below) / X / 10% Owner / / Other (specify below) / / President and Chief Operating Officer -------------------------------------- TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------- 1. Title of Security (Instr. 3): Common Stock, $.01 par value per share 2. Transaction Date (Month/Day/Year): 3. Transaction Code (Instr. 8): Code V ---- --- 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5): Amount (A) or (D) Price ------ ---------- ----- 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4): 14,367 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): D 7. Nature of Indirect Beneficial Ownership (Instr. 4): - -------------------------------------------------------------------------- FORM 4 (continued) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) - -------------------------------------------------------------------------- 1. Title of Derivative Security (Instr. 3): a. Stock Options to Buy b. Warrants 2. Conversion of Exercise Price of Derivative Security: a. $1.81 b. $3.75 3. Transaction Date (Month/Day/Year): a. 8/25/97 b. -- 4. Transaction Code (Instr. 8): Code V ---- --- a. A b. -- 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5): (A) (D) --- --- a. 125,000 -- b. -- -- 6. Date Exercisable and Expiration Date (Month/Day/Year): Date Expiration Exercisable Date ----------- ---------- a. 8/25/97(1) 8/25/2007 b. -- -- 7. Title and Amount of Underlying Securities (Instr. 3 and 4): Amount or Number Title of Shares ----- --------- a. Common Stock 125,000 b. -- -- 8. Price of Derivative Security (Instr. 5): a. b. 9. Number of Derivative Securities Beneficially Owned at End of Year (Instr. 4): a. 120,000 b. 12,500 10. Ownership of Derivative Security: Direct (D) or Indirect (I) (Instr. 4): a. D b. D 11. Nature of Indirect Beneficial Ownership (Instr. 4): a. b. - -------------------------------------------------------------------------- Explanation of Responses: (1) The 25,000 options previously granted on 9/30/97 at $2.50 per share exercisable at 20% per year beginning 9/30/98 and the 100,000 options previously granted on 6/28/95 at $2.45 per share exercisable at 20% per year commencing 6/28/96 have been modified effective 8/25/97 in the following respects: (a) such options are immediately fully vested, (b) such options are exercisable at an exercise price of $1.81 per share, and, as a result of such modifications, of the total 125,000 options, 55,248 shall constitute incentive stock options and the remaining 69,752 options shall constitute non-qualified stock options. /s/ JOSEPH F. DUDZIAK September 9, 1997 - ---------------------------------- ------------------- **Signature of Reporting Person Date ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Page 2 SEC 1474 (8-92) -----END PRIVACY-ENHANCED MESSAGE-----