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
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