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
Smith, Leonard C
3090 Fawn Drive
Park City, UT 84098
2. Date of Event Requiring Statement
(Month/Day/Year)
June/2/1999
3. IRS or Social Security Number of Reporting Person (Voluntary)
4. Issuer Name and Ticker or Trading Symbol
ZEVEX, International, Inc. (ZVXI)
5. Relationship of Reporting Person to Issuer (Check all applicable)
Director x
10% Owner
Officer x
(Title): President JTech Medical Industries, Inc. (Subsidiary)
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)
7,500
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: JANUARY/5/2000*
Expiration: DECEMBER/16/2004
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)
Title:
ISO-OPTION
Amount or Number of Shares:
40000
4. Conversion or Exercise Price of Derivative Security:
$4.875
5. Ownership Form of Derivative Security: Direct (D), or Indirect (I) (Instr. 5)
D
6. Nature of Indirect Beneficial Ownership (Instr. 5)
*Grant to reporting person options to buy 40,000 shares of Common Stock in
transaction exempt under Rule 16b-3. The option becomes exercisable in annual
increments of 10,000 each, beginning January 5, 2000, the first anniversary of
the original grant.
Explanation of Responses:
Signature of Reporting Person
/s/ Leonard C. Smith Date: July/12/1999
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a)