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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. __)*
Zonagen, Inc.
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(Name of Issuer)
Common Stock, $0.001 par value
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(Title of Class of Securities)
98975L108
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(CUSIP Number)
December 27, 1999
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[X] Rule 13d-1(c)
[ ] Rule 13d-1(d)
*The remainder of this cover page shall be filled out for a reporting person's
initial filing on this form with respect to the subject class of securities, and
for any subsequent amendment containing information which would alter the
disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed
to be "filed" for the purpose of Section 18 of the Securities Exchange Act of
1934 ("Act") or otherwise subject to the liabilities of that section of the Act
but shall be subject to all other provisions of the Act.
(Continued on following page(s))
Page 1 of 6 Pages
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CUSIP No. 98975L108 Page 2 of 6 Pages
1. NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Samuel G. Rose
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2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) [ ]
(b) [ ]
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3. SEC USE ONLY
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4. CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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5. SOLE VOTING POWER
NUMBER OF 626,900
SHARES --------------------------------------------------------
BENEFICIALLY 6. SHARED VOTING POWER
OWNED BY
EACH
REPORTING -0-
PERSON --------------------------------------------------------
WITH 7. SOLE DISPOSITIVE POWER
626,900
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8. SHARED DISPOSITIVE POWER
-0-
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9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
626,900 (See Item 4)
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10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES [ ]
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11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
5.56%*
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12. TYPE OF REPORTING PERSON
IN
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CUSIP No. 98975L108 Page 3 of 6 Pages
Item 1.
Item 1(a): Name of Issuer:
Zonagen, Inc.
Item 1(b): Address of Issuer's Principal Executive Offices:
2408 Timberloch Place
B-4
Woodlands, TX 77380
Item 2.
Item 2(a): Name of Person Filing:
Samuel G. Rose
Item 2(b): Address of Principal Business Office or, if None,
Residence:
5301 Wisconsin Avenue, NW
Suite 510
Washington, DC 20015
Item 2(c): Citizenship:
United States
Item 2(d): Title of Class of Securities:
Common Stock, $ 0.001 par value
Item 2(e): CUSIP Number:
98975L108
Item 3. If this statement is filed pursuant to Rules 13d-1(b), or
13d-2(b), check whether the person filing is a:
Not applicable
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CUSIP No. 98975L108 Page 4 of 6 Pages
Item 4. Ownership:
Item 4 (a) Amount Beneficially Owned:
626,900 shares
Item 4 (b) Percent of Class:
5.56%*
Item 4 (c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
626,900
(ii) Shared power to vote or direct the vote:
-0-
(iii) Sole power to dispose or direct the
disposition of:
626,900
(iv) Shared power to dispose or to direct the
disposition of:
-0-
Of the 626,900 shares, 300,000 shares are
held directly by Mr. Rose, 320,000 shares
are held in a retirement account for the
benefit of Mr. Rose and the remaining 6,900
shares are held in the Rose Family Trust, of
which Mr. Rose is the sole trustee.
Item 5. Ownership of Five Percent or Less of a Class.
Not Applicable.
Item 6. Ownership of More Than Five Percent on Behalf of Another Person.
Not Applicable.
Item 7. Identification and Classification of the Subsidiary Which Acquired
the Security Being Reported on By the Parent Holding Company.
Not Applicable.
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CUSIP No. 98975L108 Page 5 of 6 Pages
Item 8. Identification and Classification of Members of the Group.
Not Applicable.
Item 9. Notice of Dissolution of Group:
Not Applicable.
Item 10. Certification.
By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were not acquired and are
not being held for the purpose of or with the effect of changing
or influencing the control of the issuer of the securities and
were not acquired and are not held in connection with or as a
participant in any transaction having that purpose or effect.
* Computed on the basis of 11,266,024 shares outstanding as reported in
the Issuer's Quarterly Report on Form 10-Q for the Quarter Ended
September 30, 1999 (as filed with the Securities and Exchange
Commission on November 12, 1999) (the Issuer's most recent quarterly or
annual report or subsequent current report filed with the Commission).
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CUSIP No. 98975L108 Page 6 of 6 Pages
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete and
correct.
Date: January 6, 2000
/s/ Samuel G. Rose
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Samuel G. Rose
