/ / Check this box if no longer subject to
Section 16. Form 4 or Form 5 obligations
may continue
See Instruction 1(b).
U. S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section
17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the
Investment Company Act of 1940
<TABLE>
<CAPTION>
- ---------------------------------------------------------------------------------------------------------------------------
1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Reporting Person* Issuer (Check all applicable)
LabOne, Inc.
X Director __ 10% Owner
- -----------------------------------------------------------------------
(Last) (First) (Middle) 3. IRS or Social 4. Statement for X Officer __ Other
Security Month/Year (give title (specify below)
Number of Reporting below)
Grant II, W. Thomas Person (Voluntary) November 1999 Chairman of the Board of Directors, President,
Chief Executive Officer and Class C Director.
- ------------------------- -------------------------------------------------------------------------
(Street) 5. If Amendment, Date 7. Individual or Joint/Group Filing
of Original (Check applicable line)
(Month/Year) X Form filed by One Reporting
10101 Renner Boulevard Person
___ Form filed by More than One
Reporting Person
- ---------------------------------------------------------------------------------------------------------------------------
(City) (State) (Zip) Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned.
Lenexa, Kansas 66219
- ---------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C> <C>
1. Title of Security 2. Trans- 3. Trans- 4. Securities 5. Amount of 6. Ownership 7. Nature
(Instr. 3) action action Acquired (A) Securities Form: of Indirect
date: Code or Disposed of (D) Beneficially Direct Beneficial
(Instr.8) (Instr. 3, 4 and 5) Owned at (D) or Ownership
End of Mth Indirect (Instr. 4)
(Month/ (Instr. 3 (I)
Day/ and 4) (Instr.4)
Year)
------------------------------------
Code V Amount (A) or Price
(D)
- ---------------------------------------------------------------------------------------------------------------------------
Common Stock 11/24/99 S 94,764 D $8.00 12,793 D
- ---------------------------------------------------------------------------------------------------------------------------
128,261 I(1)
- ---------------------------------------------------------------------------------------------------------------------------
- ---------------------------------------------------------------------------------------------------------------------------
- ---------------------------------------------------------------------------------------------------------------------------
- ---------------------------------------------------------------------------------------------------------------------------
* If the Form is filed by more than one Reporting Person, see instruction 4(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
(Print or Type Responses)
PAGE 1 OF 2 PAGES
<PAGE>
<CAPTION>
(Table Continued)
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
==================================================================================================================================
1.Title of 2.Conver- 3.Trans- 4.Trans- 5.Number 6.Date Exerci- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature
Deriva- sion or action action of Deriv- sable and Amount of of of Deri- ship of In-
tive Exercise Date Code ative Expiration Underlying Deriva- vative Form of direct
Security Price of (Month/ (Instr. Securi- Date (Month/ Securities tive Securi- Deriv- Bene-
(Ins. 3) Deriv- Day/ 8) ties Day/Year) (Instr. 3 Security ties Bene- ative ficial
ative Year) Acquired and 4) (Instr. ficially Security; Owner-
Security (A) or 5) Owned at Direct ship
Disposed End of (D) or (Instr.
of (D) Month Indirect 4)
(Instr. 3, (Instr. (I)
4, and 5) 4) (Instr.
4)
---------------------------------------------------
Code V (A) (D) Date Expira-
Exer- tion
cisable Date
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------
==================================================================================================================================
</TABLE>
Explanation of Responses: (1) Includes (a) 35,923 shares of common
stock held by Mr. Grant as custodian for his children, (b) 67,500 shares held
in a family trust for which Mr. Grant serves as a co-trustee and in that
capacity shares voting and investment powers, (c) 22,365 shares of common stock
held in an individually directed account under LabOne's 401(k) profit-sharing
plan, as to which Mr. Grant has sole investment power only, and (d) 2,473
shares owned by Mr. Grant's wife as to which Mr. Grant disclaims beneficial
ownership.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ W. Thomas Grant II by attorney-in-fact Randy Shelton December 10, 1999
- -------------------------------------------------------- -----------------
W. Thomas Grant II by attorney-in-fact Randy Shelton Date
Note:File three copies of this Form, one of which must be manually signed. If
space provided is insufficient, see Instruction 6 for procedure.
