0001460853-13-000015.txt : 20130521 0001460853-13-000015.hdr.sgml : 20130521 20130521115613 ACCESSION NUMBER: 0001460853-13-000015 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20130521 DATE AS OF CHANGE: 20130521 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AxoGen, Inc. CENTRAL INDEX KEY: 0000805928 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 411301878 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-38985 FILM NUMBER: 13860698 BUSINESS ADDRESS: STREET 1: 13859 PROGRESS BLVD. STREET 2: SUITE 100 CITY: ALACHUA STATE: FL ZIP: 32615 BUSINESS PHONE: (386) 462-6817 MAIL ADDRESS: STREET 1: 13859 PROGRESS BLVD. STREET 2: SUITE 100 CITY: ALACHUA STATE: FL ZIP: 32615 FORMER COMPANY: FORMER CONFORMED NAME: LECTEC CORP /MN/ DATE OF NAME CHANGE: 19920703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Utility Service Holding Co., Inc. CENTRAL INDEX KEY: 0001460853 IRS NUMBER: 582587459 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: P.O. BOX 120 CITY: WARTHEN STATE: GA ZIP: 31094 BUSINESS PHONE: 478-845-2361 MAIL ADDRESS: STREET 1: P.O. BOX 120 CITY: WARTHEN STATE: GA ZIP: 31094 SC 13G 1 ushc13gfilingreaxogen1.txt USHC- 13G FILING RE: AXOGEN INC. UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* AxoGen, Inc. (Name of Issuer) Common Stock, par value $0.01 per share (Title of Class of Securities) 523251 10 6 (CUSIP Number) Dominic S. Liberi, Esq. Obermayer Rebmann Maxwell & Hippel LLP 1617 John F. Kennedy Blvd., 19th Floor Philadelphia, PA 19103 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) March 28, 2013 (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) * 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 ont his 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 on 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). Continued on following pages Page 1 of 6 Pages 1. Names of Reporting Person: Utility Service Holding Company, Inc. (USHC) 2. Check the Appropriate Box if a Member of a Group: a. [ ] b. [ ] 3. SEC Use Only: 4. Citizenship or Place of Organization: Delaware Number of Shares Beneficially Owned by Each Reporting Person With: 5. Sole Voting Power: 972,127 6. Shared Voting Power: 0 7. Sole Dispositive Power: 0 8. Shared Dispositive Power: 972,127 9. Aggregate Amount Beneficially Owned by Each Reporting Person: 972,127 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares: N/A 11. Percent of Class Represented by Amount in Row (9): 8.736% 12. Type of Reporting Person: CO Item 1(a). Name of Issuer: AxoGen, Inc. Item 1(b). Address of the Issuer's Principal Executive Offices: 13859 Progress Boulevard, Suite 100 Alachua, Florida Item 2(a). Name of Person Filing: Utility Service Holding Company, Inc. Item 2(b). Address of Principal Business Office or, if None, Residence: P. O. Box 120 Warthen, GA 31094 Item 2(c). Citizenship: Delaware, USA Item 2(d). Title of Class of Securities: Common Stock, par value $0.01 per share Item 2(e). CUSIP Number: 52325 10 6 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: Not applicable. Item 4. Ownership: (a) Amount of beneficially owned: 972,127 (b) Percent of class: 8.736% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 972,127 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of: 972,127 (iv) Shared power to dispose or to direct the disposition of: 0 JAM Mark 3:1, LP ("JAM"), of which the Reporting Person is a limited partner, distributed all of its shares of Axogen, Inc. to its partners. The shares above reflect those distributed to the Reporting Person in accordance with its percentage of ownership in JAM pursuant to the governing documents of JAM. 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: Not applicable. 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 certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and 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 such purpose or effect. SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete, and correct. Date as of April 19, 2013. UTILITY SERVICE HOLDING COMPANY, INC. /s/ Carl S. Cummings, Sr. By: Carl S. Cummings, Sr. Title: President CUSIP 523251 10 6 SCHEDULE 13G Page 2 of 5 Pages 1685875.2 4720828 1685875.2 4720828