--------------
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
<TABLE>
<CAPTION>
------------------------------------------------------------------------------------------------------------------------------------
1. Name and Address of 2. Date of Event Requiring 4. Issuer Name and Ticker or Trading Symbol
Reporting Person* Statement (Month/Day/Year)
November 10, 2000 LabOne, Inc.
------------------------------------------------------------------------------------------------------------------------------------
(Last) (First) (Middle) 3. IRS or Social Security Number 5. Relationship of Reporting Person to 6. If Amendment, Date of
of Reporting Person Issuer (Check all applicable) Original
Asselta, Michael J. (Voluntary) (Month/Day/Year)
__Director __10% Owner
X Officer __Other
(give title below) (specify below)
Executive Vice President, Operations
----------------------------- ------------------------
(Street) 7. Individual or Joint/
Group Filing (Check
12906 Carter Street applicable Line)
X Form filed by One
Reporting Person
__ Form filed by More
than One Reporting
Person
------------------------------------------------------------------------------------------------------------------------------------
(City) (State) (Zip) Table 1 - Non-Derivative Securities Beneficially Owned
Overland Park, Kansas 66213
------------------------------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C>
1. Title of Security 2. Amount of 3. Ownership 4. Nature of Indirect
Securities Form: Direct Beneficial Ownership
Beneficially Owned (D) or Indirect (Instr. 5)
(Inst. 4) (I) (Instr. 5)
------------------------------------------------------------------------------------------------------------------------------------
Common Stock 1,314 D(1)
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
* If the Form is filed by more than one Reporting Person, see instruction 5(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 3 (cont'd.) Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
------------------------------------------------------------------------------------------------------------------------------------
1. Title of 2. Date exer- 3. Title and 4. Conver- 5. Ownership 6. Nature of
Derivative cisable and Amount of sion or Form of Indirect
Security Expiration Securities Exercise Derivative Beneficial
(Inst. 4) Date (Month/ Underlying Price of Security: Ownership
Day/Year) Derivative Derivative Direct (d) (Instr. 5)
Security Security or Indirect
(Inst. 4) (I) (Instr.
5)
--------------------------------------------------
Date Expira- Amount
Exer- Tion Title or Number
cisable Date of Shares
------------------------------------------------------------------------------------------------------------------------------------
Employee Longterm Incentive 05/12/2000 05/12/2005 Common Stock 2,500 $13.7500 D
Stock Plan (05/10/95)
------------------------------ ----------------------------------------------------
Employee Longterm Incentive 11/10/2000 11/10/2005 Common Stock 17,500 $11.6250 D
Stock Plan (11/10/95)
------------------------------ ----------------------------------------------------
Employee Longterm Incentive 05/14/2004 05/14/2009 Common Stock 10,000 $12.1719
Stock Plan (05/14/99)
------------------------------ ----------------------------------------------------
------------------------------ ----------------------------------------------------
------------------------------ ----------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------
</TABLE>
Explanation of Responses: (1) All of which are held in an individually directed
account under LabOne's 401(k) profit-sharing plan, as to which Mr. Asselta has
sole investment power only.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Michael J. Asselta 11/21/00
-------------------------- -------------------
Michael J. Asselta by Randy Date
Shelton as attorney-in-fact
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient, See Instruction 6 for procedure.
PAGE 2 OF 2 PAGES
