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)
Elaine Coffey
ZEVEX International, Inc.
4314 ZEVEX Park Lane
Salt Lake City, UT 84123
(801) 264-1001, xt. 215
(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
Douglas Anderson
529 17 6626
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
NUMBER OF SHARES OWNED BY
EACH REPORTING PERSON WITH
7
SOLE VOTING POWER
130,000
8
SHARED VOTING POWER
9
SOLE DISPOSITIVE POWER
130,000
10
SHARED DISPOSITIVE POWER
11
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
130,000
12
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN
SHARES*
13
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
6.39%
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 4314 ZEVEX Park Lane, Salt Lake City, UT
84123.
Item 2. Identity and Background
This statement is being filed on behalf of Douglas
Anderson, an Individual. Mr. Anderson's principal
address is 6263 South Shenandowah Park Lane, Salt Lake
City, Ut, 84121. Mr. Anderson has not, during the last
five years, been convicted in a criminal proceeding
(excluding traffic violations or similar misdemeanors).
Mr. Anderson 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. Anderson is a citizen of United States of America.
Item 3. Source and Amount of Funds of Other Consideration.
As of the date hereof, Mr. Anderson is deemed to
beneficially own 130,000 shares of Common Stock,
130,000 shares of Common Stock which were received in a
stock for land transaction in October of 1996.
All shares were obtained with personal assets of the
filing Person.
Item 4. Purpose of Transaction.
The shares of Common Stock deemed to be beneficially
owned by Mr. Anderson were acquired for, and are being
held for, investment purposes.
Mr. Anderson 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. Anderson is deemed to be the
beneficial owner of 130,000 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. Anderson is deemed to
beneficially own 6.39% of the issued and outstanding
shares of Common Stock. Mr. Anderson has the sole
power to vote, direct to vote, dispose of, or direct
the deposition of all the shares of Common Stock that
he is currently deemed to beneficially own.
Item 6. Contracts, Arrangements, Understandings or
Relationships with Respect to Securities of the Issuer.
Mr. Anderson 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, certifies that the
information set forth in this statement is true,
correct and complete.
/s/Douglas Anderson
