0000950136-05-000979.txt : 20120629 0000950136-05-000979.hdr.sgml : 20120629 20050223172702 ACCESSION NUMBER: 0000950136-05-000979 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050223 DATE AS OF CHANGE: 20050223 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Veri-Tek International, Corp. CENTRAL INDEX KEY: 0001302028 STANDARD INDUSTRIAL CLASSIFICATION: SPECIAL INDUSTRY MACHINERY, NEC [3559] IRS NUMBER: 421628978 STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-80569 FILM NUMBER: 05635215 BUSINESS ADDRESS: STREET 1: 50120 PONTIAC TRAIL CITY: WIXOM STATE: MI ZIP: 48393 BUSINESS PHONE: 248-560-1000 MAIL ADDRESS: STREET 1: 50120 PONTIAC TRAIL CITY: WIXOM STATE: MI ZIP: 48393 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SILVER JACK CENTRAL INDEX KEY: 0000922714 IRS NUMBER: 109321745 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: BUSINESS PHONE: 2125428201 MAIL ADDRESS: STREET 1: 660 MADISON AVENUE CITY: NEW YORK STATE: NY ZIP: 10021 SC 13G 1 file001.htm FORM SC 13G

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SCHEDULE 13G

UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT ______)*

Veri-Tek International, Corp.
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(Name of Issuer)

Common Stock
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(Title of Class of Securities)

92342X101
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(CUSIP Number)

February 15, 2005
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(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)
[x] Rule 13d-1(c)
[ ] Rule 13d-1(d)

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* The remainder of this cover page shall be filled out for a reporting person's
initial filing on this 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).

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CUSIP NO. 92342X101 PAGE 2 OF 5 PAGES
--- ---
--------- ----------------------------------------------------------------------------------------------------------
1. NAMES OF REPORTING PERSONS
IRS IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
Jack Silver
--------- ------------------------------------------------------------------------------------------- --------------
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions) (a) [ ]
(b) [x]
--------- ----------------------------------------------------------------------------------------------------------
3. SEC USE ONLY

--------- ----------------------------------------------------------------------------------------------------------
4. CITIZENSHIP OR PLACE OF ORGANIZATION United States citizen
----------------------- ---------- ---------------------------------------------------------------------------------
NUMBER OF 5. SOLE VOTING POWER
SHARES 250,000
BENEFICIALLY
OWNED BY ---------- ---------------------------------------------------------------------------------
EACH 6. SHARED VOTING POWER
REPORTING 0
PERSON WITH ---------- ---------------------------------------------------------------------------------
7. SOLE DISPOSITIVE POWER
250,000
---------- ---------------------------------------------------------------------------------
8. SHARED DISPOSITIVE POWER
0
--------- ----------------------------------------------------------------------------------------------------------
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
250,000
--------- ------------------------------------------------------------------------------------------- --------------
10. CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (See
Instructions) [ ]

--------- ----------------------------------------------------------------------------------------------------------
11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
5.6%
--------- ----------------------------------------------------------------------------------------------------------
12. TYPE OF REPORTING PERSON (See Instructions)
IN
--------- ----------------------------------------------------------------------------------------------------------

Page 3 of 5 Pages
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Item 1. (a) Name of Issuer:

Veri-Tek International, Corp.

(b) Address of Issuer's Principal Executive Offices:

50120 Pontiac Trail
Wixom, MI 48393

Item 2. (a) Name of Person Filing:

Jack Silver

(b) Address of Principal Business Office or, if none,
Residence:

660 Madison Avenue
New York, NY 10021

United States citizen

(d) Title of Class of Securities:

Common Stock

(e) CUSIP Number: 92342X101

Item 3. If this statement is filed pursuant to ss.ss.240.13d-1(b) or
240.13d-2(b) or (c), 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.

(d) [ ] Investment company registered under Section 8 of the
Investment Company Act of 1940.

(e) [ ] An investment adviser in accordance with
ss.240.13d-1(b)(1)(ii)(E).

(f) [ ] An employee benefit plan or endowment fund in accordance
with ss.240.13d-1(b)(1)(ii)(F).

(g) [ ] A parent holding company or control person in accordance
with ss.240.13d-1(b)(1)(ii)(G)

(h) [ ] A savings associations 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 of 1940.

(j) [ ] Group, in accordance with ss.240.13d-1(b)(1)(ii)(J).

Page 4 of 5 Pages
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Item 4. Ownership.

As of the date hereof, Jack Silver beneficially owns
250,000 shares of common stock of the issuer (the "Shares"),
representing approximately 5.6% of the Shares outstanding.
Such Shares are held by the Sherleigh Associates Profit
Sharing Plan, a trust of which Mr. Silver is the trustee.

Mr. Silver has the sole voting and dispositive power
with respect to all of the Shares beneficially owned by him.

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 or Control Person.

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.

By signing below I certify that, to the best of my
knowledge and belief, the securities referred to above 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 that purpose or effect.

Page 5 of 5 Pages
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SIGNATURE

After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.

February 23, 2005
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(Date)

/s/ Jack Silver
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(Signature)

Jack Silver
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(Name/Title)

The original statement shall be signed by each person on whose behalf the
statement is filed or his authorized representative. If the statement is signed
on behalf of a person by his authorized representative (other than an executive
officer or general partner of the filing person), evidence of the
representative's authority to sign on behalf of such person shall be filed with
the statement, provided, however, that a power of attorney for this purpose
which is already on file with the Commission may be incorporated by reference.
The name and any title of each person who signs the statement shall be typed or
printed beneath his signature.

NOTE: Schedules filed in paper format shall include a signed original and five
copies of the schedule, including all exhibits. See ss.240.13d-7 for other
parties for whom copies are to be sent.

Attention: Intentional misstatements or omissions of fact constitute
Federal criminal violations (See 18 U.S.C. 1001)