-----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, MvQqKTPrgwD0bY9cKZ6IR1OkxmGUxE+rSpkBRt4g5NlSf+Zo3UIrlGbYV+O9atLF tBVIO6yQvnDpYIghcvb8xw== 0000950150-02-000333.txt : 20020415 0000950150-02-000333.hdr.sgml : 20020415 ACCESSION NUMBER: 0000950150-02-000333 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020405 FILED AS OF DATE: 20020408 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PRO DEX INC CENTRAL INDEX KEY: 0000788920 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 841261240 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-14942 FILM NUMBER: 02604480 BUSINESS ADDRESS: STREET 1: 650 S. TAYKOR AVENUE STREET 2: SUITE 20-A CITY: LOUISVILLE STATE: CO ZIP: 80027 BUSINESS PHONE: 3034438165 MAIL ADDRESS: STREET 1: 1401 WALNUT STREET STREET 2: SUITE 540 CITY: BOULDER STATE: CO ZIP: 80302 COMPANY DATA: COMPANY CONFORMED NAME: COSS RONALD G CENTRAL INDEX KEY: 0001001849 DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 1401 WALNUT ST # 540 CITY: BOULDER STATE: CO ZIP: 80302 BUSINESS PHONE: 3034436136 MAIL ADDRESS: STREET 1: 1401 WALNUT ST # 540 CITY: BOULDER STATE: CO ZIP: 80302 4 1 a80668e4.txt FORM 4 - ------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION ------------------------------ FORM 4 WASHINGTON, D.C. 20549 OMB APPROVAL - ------ ------------------------------ STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB NUMBER: 3235-0287 [ ] CHECK THIS BOX IF NO EXPIRES: December 31, 2001 LONGER SUBJECT TO Filed pursuant to Section 16(a) of the Securities ESTIMATED AVERAGE BURDEN SECTION 16. FORM 4 Exchange Act of 1934, Section 17(a) of the HOURS PER RESPONSE.........0.5 OR FORM 5 OBLIGATIONS Public Utility Holding Company Act of 1935 ------------------------------ MAY CONTINUE. SEE or Section 30(f) of the Investment Company INSTRUCTION 1(b). Act of 1940 (Print or Type Responses) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) Coss Ronald G. Pro-Dex, Inc. (PDEX) to Issuer (Check all applicable) - -------------------------------------------- ---------------------------------------------- X Director X 10% Owner (Last) (First) (Middle) 3. IRS or Social Security 4. Statement of ---- --- 3 Overlook Drive Number of Reporting Month/Year X Officer (give Other (specify - -------------------------------------------- Person (Voluntary) March 2002 ---- title below) --- below) (Street) ------------------- Newport Coast CA 92657 5. If Amendment, Chairman - -------------------------------------------- Date of Original ------------------------------------ (City) (State) (Zip) (Month/Year) 7. Individual or Joint/Group Filing ------------------- (Check Applicable Line) X Form filed by One ---- Reporting Person Form filed by More than ---- One Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of (Instr. 3) action action or Disposed of (D) Securities Form Indirect Date Code (Instr. 3, 4 and 5) Beneficially Direct Beneficial (Instr. 8) Owned at (D) or Ownership (Month/ End of Month Indirect (Instr. 4) Day/ --------------------------------------- (Instr. 3 and 4) (I) Year) Code V Amount (A) or Price (Instr. 4) (D) - ------------------------------------------------------------------------------------------------------------------------------------ Pro-Dex, Inc. Common Stock 03/08/02 P 700 A 0.99 I Trust(1) - ------------------------------------------------------------------------------------------------------------------------------------ Pro-Dex, Inc. Common Stock 03/11/02 P 4,300 A 1.02 I Trust(1) - ------------------------------------------------------------------------------------------------------------------------------------ Pro-Dex, Inc. Common Stock 03/13/02 P 600 A 1.00 I Trust(1) - ------------------------------------------------------------------------------------------------------------------------------------ Pro-Dex, Inc. Common Stock 03/25/02 P 5,000 A 1.17 I Trust(1) - ------------------------------------------------------------------------------------------------------------------------------------ Pro-Dex, Inc. Common Stock 03/26/02 P 4,100 A 1.19 I Trust(1) - ------------------------------------------------------------------------------------------------------------------------------------ Pro-Dex, Inc. Common Stock 03/27/02 P 5,000 A 1.20 2,281,804(2) I Trust(1) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ SEC 1474 (6/5/2001)
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 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price Security sion or action action Derivative cisable and of Underlying of (Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv- Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative Deriv- Day/ Disposed of (D) (Month/Day/ Secur- ative Year) (Instr. 3, 4, Year) ity Security and 5) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Code V (A) (D) Date Expira- Title Amount or Exer- tion Number of cisable Date Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ 9. Number of 10. Ownership 11. Nature of Derivative Form of Indirect Securities Derivative Beneficial Beneficially Securities Ownership Owned at End Beneficially (Instr. 4) of Month Owned at End of (Instr. 4) Month (Instr. 4) - -------------------------------------------------------------------------- - -------------------------------------------------------------------------- - -------------------------------------------------------------------------- - -------------------------------------------------------------------------- - -------------------------------------------------------------------------- - -------------------------------------------------------------------------- - -------------------------------------------------------------------------- Explanation of Responses: (1) Declaration of Trust dated 10/3/85. (2) Includes 548,953 shares of the issuer's common stock which were distributed from the ESOP of Micro Motors, a subsidiary of the issuer. On 3/31/99, such shares of common stock were rolled-over into an IRA and as of such date are held directly by the reporting person. (Over) Reminder: Report on a separate line for each class of securities beneficially /s/ RONALD C. COSS 4/5/02 owned directly or indirectly. ------------------------------- --------------- Signature of Reporting Person Date * If the form is filed by more than one reporting person, see Instruction 4(b)(v). ** Intentional misstatements or omissions of fact constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. Page 2
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