-----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, OpsnpoqQxvf6gSH2sMu4oMpF5G61/N8nTEiBrea7PgiRdHCwHYrqPUxzvYvxsC9H UYbINaNpSKvn5+hspjBfkg== 0000891020-99-001497.txt : 19990831 0000891020-99-001497.hdr.sgml : 19990831 ACCESSION NUMBER: 0000891020-99-001497 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990830 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AFEM MEDICAL CORP CENTRAL INDEX KEY: 0000820608 STANDARD INDUSTRIAL CLASSIFICATION: CONVERTED PAPER & PAPERBOARD PRODS (NO CONTAINERS/BOXES) [2670] IRS NUMBER: 330202574 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-40164 FILM NUMBER: 99702817 BUSINESS ADDRESS: STREET 1: 10180 SW NIMBUS AVE STE J 5 CITY: PORTLAND STATE: OR ZIP: 97223-4340 BUSINESS PHONE: 5039688800 MAIL ADDRESS: STREET 1: 10180 SW NIMBUS AVE STREET 2: SUITE J-5 CITY: PORTLAND STATE: OR ZIP: 97223 FORMER COMPANY: FORMER CONFORMED NAME: XTRAMEDICS INC /NV/ DATE OF NAME CHANGE: 19920703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SCHROEDER RICHARD T CENTRAL INDEX KEY: 0001094027 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 2701 N W VAUGHN STREET 2: SUITE 442 CITY: PORTLAND STATE: OR ZIP: 97210 BUSINESS PHONE: 5032248163 MAIL ADDRESS: STREET 1: 2701 N W VAUGHN STREET 2: SUITE 442 CITY: PORTLAND STATE: OR ZIP: 97210 SC 13G 1 SCHEDULE 13G 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 -------------------------- SCHEDULE 13G A-FEM MEDICAL CORPORATION - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, $0.01 PAR VALUE PER SHARE - -------------------------------------------------------------------------------- (Title of Class of Securities) 00105V105 - -------------------------------------------------------------------------------- (CUSIP Number) August 31, 1998 - -------------------------------------------------------------------------------- (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) [X] Rule 13d-1(d) Page 1 of 6 Pages 2 - ------------------- ----------------- CUSIP NO. SCHEDULE 13G PAGE 2 OF 6 PAGES - ------------------- ----------------- - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Richard T. Schroeder - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION UNITED STATES - ------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 497,500 SHARES -------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 39,000 EACH -------------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH 497,500 -------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 39,000 - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 536,500 - ------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - ------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 5.5% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------- Page 2 of 6 Pages 3 ITEM 1(a). NAME OF ISSUER. This Schedule 13G relates to A-Fem Medical Corporation, a Nevada corporation (the "Company"). ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: The Company's principal executive offices are located at Suite J-5, 10180 S.W. Nimbus Avenue, Portland, Oregon 97223. ITEM 2(a). NAME OF PERSON FILING: This Schedule 13G relates to Mr. Richard T. Schroeder. ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: Mr. Schroeder's business address is 2701 NW Vaughn, Suite 442, Portland, OR 97210. ITEM 2(c). CITIZENSHIP: Mr. Schroeder is an American citizen. ITEM 2(d). TITLE OF CLASS OF SECURITIES: This Schedule 13G relates to the Company's common stock, $0.01 par value per share (the "Common Stock"). ITEM 2(e). CUSIP NUMBER: The CUSIP Number for the Company's Common Stock is 00105V105. ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b) OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: (a) [ ] Broker or dealer registered under Section 15 of the Act, (b) [ ] Bank as defined in Section 3(a)(6) of the Act, (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act, (d) [ ] Investment Company registered under Section 8 of the Investment Company Act; Page 3 of 6 Pages 4 (e) [ ] An Investment Advisor in accordance with Rule 13d-1(b)(1)(ii)(E); (f) [ ] An Employee Benefit Plan or Endowment Fund in accordance with Rule 13d-1(b)(1)(ii)(F); (g) [ ] Parent Holding Company or control person in accordance with Rule 13d-1(b)(1)(ii)(G); (h) [ ] A Savings Association as defined in Section 3(b) of the Federal Deposit Insurance Act; (i) [ ] A Church Plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(H). If this statement is filed pursuant to Rule 13d-1(c), check this box. NOT APPLICABLE. ITEM 4. OWNERSHIP. The following describes the ownership of Common Stock by Mr. Schroeder as of December 31, 1998: (a) Amount beneficially owned: 536,500(1)(2) (b) Percent of class: 5.5% (c) Number of shares as to which such person has: (i) Sole power to vote or direct the vote: 497,500(1) (ii) Shared power to vote or to direct the vote: 39,000(2) - ---------- (1) Includes 75,000 shares issuable upon exercise of warrants to purchase Company's Common Stock at an exercise price of $1.50 per share and 125,000 shares issuable upon exercise of warrants to purchase the Company's Common Stock at an exercise price of $2.88 per share (2) Includes 30,000 shares held by Mr. Schroeder's spouse and 9,000 shares held by two of his children Page 4 of 6 Pages 5 (iii) Sole power to dispose or to direct the disposition of: 497,500(1) (iv) Shared power to dispose or to direct the disposition of: 39,000(2) ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following: [ ] 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. CERTIFICATIONS. Not applicable. Page 5 of 6 Pages 6 SIGNATURE After reasonable inquiry and to best of my knowledge and belief, I hereby certify that the information set forth in this statement is true, complete and correct. Dated: August 11, 1999. /s/ Richard T. Schroeder ---------------------------------------- Richard T. Schroeder Page 6 of 6 Pages -----END PRIVACY-ENHANCED MESSAGE-----