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U. S. SECURITIES AND EXCHANGE COMMISSION
FORM 5
[ ] Check box if no longer subject to Section 16.
Form 4 or Form 5 obligations may continue. Washington, D.C. 20549
See instruction 1(b).
[ ] Form 3 Holdings Reported. ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
[ ] Form 4 Transactions Reported.
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
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1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Reporting Person* Issuer (Check all applicable)
LabOne, Inc. (LABS)
X Director ___ 10% Owner
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(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for Officer ___ Other
Number of Reporting Month/Year ___ (give title (specify
Seward, James R. Person (Voluntary) 12/1999 below) below)
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(Street) 5. If Amendment, Date of 7. Individual or Joint/Group Filing
Original (Month/Year (Check applicable line)
X Form filed by One Reporting
4915 West 79th Street --- Person
___ Form filed by More than One
Reporting Person
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(City) (State) (Zip) Table 1 - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned.
Prairie Village Kansas 66208
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<S> <C> <C> <C> <C> <C> <C>
1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of
(Instr. 3) action action or Disposed of (D) Securities Form: Indirect
date: Code (Instr. 3, 4 and 5) Beneficially Direct Beneficial
(Month/ (Instr. 8) Owned at (D) or Ownership
Day/ End of Issuer's Indirect (Instr. 4)
Year) Fiscal Year. (I)
(Instr. 3 (Instr. 4)
and 4)
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Amount (A) or Price
(D)
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Common Stock 6/1/99 A 823 A 10,379 D
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* If the Form is filed by more than one Reporting Person, see instruction 4(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
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FORM 5 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants,
options, convertible securities)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
1.Title of 2.Conver- 3.Trans- 4.Transac- 5.Number of 6.Date 7.Title 8.Price of 9.Number 10.Owner- 11.Nature
Derivative sion or action tion Code Derivative Exercisable and Amount Derivative of Deriv- ship of In-
Security Exercise Date (Instr. 8) Securities and of Security ative Form of direct
(Inst. 3) Price of (Month/ Acquired Expiration Underlying (Instr. 5) Securities Deriv- Bene-
Deriv- Day/ (A) or Date Securities Beneficial- ative ficial
ative Year) Disposed (Month/Day/ (Instr. 3 ly Owned at Security; Owner-
Security of (D) Year) and 4) End of Direct ship
(Instr.3, Month (D) or (Instr
4, and 5) (Instr. 4) Indirect 4)
(I)
(Instr. 4)
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(A) (D) Date Expira- Title Amount or
Exer- tion Date Number of
cisable Shares
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Explanation of Responses:
/s/ James R. Seward by Randy Shelton as attorney-in-fact February 14, 2000
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** James R. Seward by Randy Shelton as attorney-in-fact Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
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