U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENFICIAL OWNERSHIP
1. Name and Address of Reporting Person:
Kirk Blosch, 2081 S Lakeline Drive, Salt Lake City, UT 84109
2. Issuer Name and Ticker or Trading Symbol:
ZEVEX International, ZVXI.
3. IRS or Social Security Number of Reporting Person (Voluntary):
4. Statement for Month/Year:
06/99
5. If Amendment, Date of Original (Month/Year):
6. Relationship of Reporting Person to Issuer (Check all applicable):
(X) Director (X) Officer (give title below) ( ) 10% Owner
( ) Other (specify below)
Title: Director
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<CAPTION> TABLE I -- Non-Derivative Securities Beneficially Owned
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount 6. Owner- 7. Nature
action action or Disposed of (D) of ship of In-
Date Code Securities Form direct
(M/D/Y) Beneficially Direct Benefic-
Owned at (D) or ial
End of Indirect Owner-
Amount (A) or (D) Price Month (I) ship
- --------------------- ------------ ------------ -------------------------------- ------------ ------------ ----------
</TABLE>
<TABLE>
<CAPTION>
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<CAPTION> TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of 2. Conver- 3.Trans- 4. Trans- 5. Number of 6. Date 7. Title and 8. Price 9. Num- 10. Own- 11. Na-
Deriv- sion or action action Derivative Exer- and Am- of ber of ership ture
ative Exercise Date Code Securities cisable ount of Deriv- Deriv- Form of In-
Security Price of (M/D/Y) Acquired and Ex- Under- ative ative of De- direct
Deriv- (A) or Dis- piration lying Secur- Secur- rivative Benef-
ative posed of (D) Date Securities ity ities Security: icial
Security (M/D/Y) Bene- Direct (D) Own
--------- ---------- ficially or Indirect ership
Date Epir- Title Amount Owned (I)
Exer- ation or Number at End of
cisable Date of shares Month
- ------------- --------- -------- -------- ----------------- ------------ ------------ ------ ---------- ---------- -------
Warrant
(Right to
Buy) 3.5000 6/1/99 S* 185,000 Immed 2/19/02 Common Stock 185,000 0
</TABLE>
*All of the Warrant Shares were repurchased by the Company at $2.50 per
Warrant Share.
