FORM 3
U.S. SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
1. Name and Address of Reporting Person
Constantine, Dean G.
756 Quaking Aspen Drive
Salt Lake City, UT 84123
2. Date of Event Requiring Statement
(Month/Day/Year)
May/19/1997
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Issuer Name and Ticker or Trading Symbol
ZEVEX, International, Inc. (ZVX)
5. Relationship of Reporting Person to Issuer (Check all
applicable)
Director x
10% Owner x
Officer x
(Title): President
Other
6. If Amendment, Date of Original (Month/Day/Year)
Table 1 -- Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4)
COMMON
2. Amount of Securities Beneficially Owned (Instr. 4)
252,100
3. Ownership Form: Direct (D) or Indirect (I) (Instr.5)
D
4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II -- Derivative Securities Beneficially Owned (e.g.,
puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4)
COMMON
2. Date Exercisable and Expiration Date
(Month/Day/Year)
Exersisable: DECEMBER/17/1992
Expiration: DECEMBER/16/1999
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
Title:
ISO-OPTION
Amount or Number of Shares:
5400
4. Conversion or Exercise Price of Derivative Security:
$5.00
5. Ownership Form of Derivative Security: Direct (D), or Indirect
(I) (Instr. 5)
D
6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)
COMMON
2. Date Exercisable and Expiration Date
(Month/Day/Year)
Exersisable: FEBRUARY/13/1997
Expiration: FEBRUARY/12/2002
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
Title:
ISO-OPTION
Amount or Number of Shares:
7000
4. Conversion or Exercise Price of Derivative Security:
$3.85
5. Ownership Form of Derivative Security: Direct (D), or Indirect
(I) (Instr. 5)
D
6. Nature of Indirect Beneficial Ownership (Instr. 5)
Explanation of Responses:
Signature of Reporting Person**
/s/ Dean G. Constantine Date:
May/28/1997
**Intentional misstatements or omissions of facts constitute
Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)
