-----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, RDXSFOP2L/3oX6u14h2+EYrda5lWqR0v/+fNTxqka5RMELiBmcfbe4L9CSonmcOo ADeOKtEZ5DVUkhs4w3/LEg== 0000904454-05-000179.txt : 20050309 0000904454-05-000179.hdr.sgml : 20050309 20050309135925 ACCESSION NUMBER: 0000904454-05-000179 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050307 FILED AS OF DATE: 20050309 DATE AS OF CHANGE: 20050309 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SPECIALIZED HEALTH PRODUCTS INTERNATIONAL INC CENTRAL INDEX KEY: 0000790228 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 930945003 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 585 WEST 500 SOUTH CITY: BOUNTIFUL STATE: UT ZIP: 84010 BUSINESS PHONE: 801-298-3360 MAIL ADDRESS: STREET 1: 585 WEST 500 SOUTH CITY: BOUNTIFUL STATE: UT ZIP: 84010 FORMER COMPANY: FORMER CONFORMED NAME: RUSSCO INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: WARE HADLEY VENTURES INC DATE OF NAME CHANGE: 19910123 FORMER COMPANY: FORMER CONFORMED NAME: SANTIAM VENTURES INC DATE OF NAME CHANGE: 19900510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GALEN PARTNERS III L P CENTRAL INDEX KEY: 0001034486 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26694 FILM NUMBER: 05668912 BUSINESS ADDRESS: STREET 1: 610 FIFTH AVE STREET 2: 5TH FL CITY: NEW YORK STATE: NY ZIP: 10020 BUSINESS PHONE: 2122184990 MAIL ADDRESS: STREET 1: 610 FIFTH AVE STREET 2: 5TH FL CITY: NEW YORK STATE: NY ZIP: 10020 4 1 edgar.xml PRIMARY DOCUMENT X0202 4 2005-03-07 0000790228 SPECIALIZED HEALTH PRODUCTS INTERNATIONAL INC SHPI 0001034486 GALEN PARTNERS III L P C/O GALEN ASSOCIATES 610 FITH AVENUE, 5TH FLOOR NEW YORK NY 10020 0 0 1 0 Warrants to Purchase Common Stock .02 2005-03-07 4 J 0 36543 A 2005-03-07 2008-03-07 Common Stock 36543 36543 D The Warrants were issued as consideration for the agreement of Galen Partners III, L.P., Galen Partners International III, L.P. and Galen Employee Fund III, L.P. to, under certain circumstances, purchase convertible promissory notes from the Issuer in the aggregate principal amount of $1,000,000. Bruce F. Wesson, Managing Member of Claudius, L.L.C., General Partner of Galen Partners, III, L.P. 2005-03-09 -----END PRIVACY-ENHANCED MESSAGE-----