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McStotts Phillip L · SC 13D · Zevex International Inc · On 5/29/97

Filed On 5/29/97   ·   Accession Number 827056-97-13   ·   SEC File 5-51013

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  As Of                Filer                Filing    For/On/As Docs:Size              Issuer               Agent

 5/29/97  McStotts Phillip L                SC 13D                 1:6K   Zevex International Inc           Zevex International Inc

General Statement of Beneficial Ownership   —   Schedule 13D
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: SC 13D      General Statement of Beneficial Ownership              4±    18K 


Document Table of Contents

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11st Page   -   Filing Submission
"Item 1. Security and Issuer
"Item 2. Identity and Background
"Item 3. Source and Amount of Funds of Other Consideration
"Item 4. Purpose of Transaction
"Item 5. Interest in Securities of Issuer
"Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer
"Item 7. Material to be filed as Exhibits


UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 ZEVEX International, Inc. (Name of Issuer) Common Stock $.04 par value (Title of Class of Securities) 98950E400 (CUSIP Number) Phillip L. McStotts 746 Quaking Aspen Drive Salt Lake City, UT 84123 (801) 263-1683 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) May 19, 1997 (Dates of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d- 1(b)(3) or (4), check the following box . Check the following box if a fee is being paid with the statement. SCHEDULE 13D CUSIP No. 98950E400 Page 2 of 4 Pages 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Phillip L. McStotts 528-96-5375 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) (b) 3 SEC USE ONLY 4 SOURCE OF FUNDS PF 5 CCHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) 6 CITIZENSHIP OR PLACE OF ORGANIZATION USA 7 SOLE VOTING POWER 149,400 8 SHARED VOTING POWER 9 SOLE DISPOSITIVE POWER 149,400 10 SHARED DISPOSITIVE POWER 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 149,400 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 7.49% 14 TYPE OF REPORTING PERSON* IN *SEE INSTRUCTIONS BEFORE FILLNG OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. Item 1.Security and Issuer This statement relates to shares of common stock, $.04 par value (the "Common Stock") of ZEVEX International, Inc. (ZVX). ZEVEX's principal executive office is located at 5175 Greenpine Dr., Salt Lake City, Ut. 84123. Item 2.Identity and Background This statement is being filed on behalf of Phillip L. McStotts, an Individual, who is Secretary/Treasurer and Director of ZEVEX International, Inc. Mr. McStotts principal address is 746 Quaking Aspen Dr., Salt Lake City, Ut, 84123. Mr. McStotts has not, during the last five years, been convicted in a criminal proceeding (excluding traffic violations of similar misdemeanors). Mr. McStotts has not, during the last five years, been a party to a civil proceeding of a judicial or administrative body competent jurisdiction which resulted in a judgment, decree of final order enjoining future violations of, or prohibiting of mandating activities subject to, federal or state securities laws or finding any violations with respect to such laws. Mr. McStotts is a citizen of United States of America. Item 3.Source and Amount of Funds of Other Consideration. As of the date hereof, Mr. McStotts is deemed to beneficially own 149,400 shares of Common Stock, 147,000 shares of Common Stock which were received in a stock for stock transaction in August 1987 and 2,400 which were purchased in a open market transaction. All Shares were obtained with personal funds of the Filing Person. Item 4.Purpose of Transaction. The shares of Common Stock deemed to be beneficially owned by Mr. McStotts were acquired for, and are being held for, investment purposes. Mr. McStotts has no plan or proposal which relates to, or would result in, any of the actions enumerated in Item 4 of the instructions of Schedule 13D. Item 5.Interest in Securities of Issuer. As of the date hereof, Mr. McStotts is deemed to be the beneficial owner of 149,400 shares of Common Stock. Based on ZEVEX International, Inc. filing on Schedule 10Q on May 15, 1997, as of May 12, 1997, there were 1,995,716 shares of Common Stock issued and outstanding. Therefore, Mr. McStotts is deemed to beneficially own 7.49% of the issued and outstanding shares of Common Stock. Mr. McStotts has the sole power to vote, direct to vote, dispose of direct the deposition of all the shares of Common Stock that it is currently deemed to beneficially own. Item 6.Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer. Mr. McStotts has no contracts, arrangements, understandings of relationships with respect to Common Stock. Item 7.Material to be filed as Exhibits. None Signature The undersigned, after reasonable inquiry and to the best of my knowledge and belief, certify that the Information set forth in this statement is true, correct and complete. /s/ Phillip L. McStotts

Dates Referenced Herein   and   Documents Incorporated By Reference

This SC 13D Filing   Date   Other Filings
5/12/97
5/15/9710-Q
5/19/973
Filed On / Filed As Of5/29/973, SC 13D
 
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Filing Submission 0000827056-97-000013   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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