-----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, EE6Y+LWdxZLAghw708b5XGeMabLo/h9qxmOoaJOYu2zNRuA4GQlGD/GElEdBmr0t w9O80jY6+Z65moBj20J7cg== 0001116502-03-001808.txt : 20030929 0001116502-03-001808.hdr.sgml : 20030929 20030929164916 ACCESSION NUMBER: 0001116502-03-001808 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030925 FILED AS OF DATE: 20030929 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BURCKHARDT HERMAN CENTRAL INDEX KEY: 0001219326 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50166 FILM NUMBER: 03915429 BUSINESS ADDRESS: STREET 1: 1535 OAK INDUSTRIAL LANE CITY: CUMMING STATE: GA ZIP: 30041 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NEXGEN VISION INC CENTRAL INDEX KEY: 0001124111 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 870659918 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 3505 SUMMIT TRAIL CITY: CUMMING STATE: GA ZIP: 30041 BUSINESS PHONE: 770-886-3200 MAIL ADDRESS: STREET 1: 3505 SUMMIT TRAIL CITY: CUMMING STATE: GA ZIP: 30041 FORMER COMPANY: FORMER CONFORMED NAME: K-1 BUILDERS INC DATE OF NAME CHANGE: 20000919 4 1 burckhardt_ex.xml X0201 4 2003-09-25 0 0001124111 NEXGEN VISION INC NXGN 0001219326 BURCKHARDT HERMAN 1535 OAK INDUSTRIAL LANE CUMMING GA 30041 0 0 1 0 Class A Common Stock 2003-09-25 4 S 0 12500 0.55 D 67500 D Class A Common Stock 2003-09-25 4 S 0 2500 0.58 D 65000 D ARB Investment Enterprises, Ltd., an entity controlled by Mr. Burckhardt owns 2,031,250 shares of Class B common stock. /s/ Hermann Burckhardt 2003-09-29 -----END PRIVACY-ENHANCED MESSAGE-----