FORM 3 |
UNITED STATES SECURITIES
AND EXCHANGE COMMISSION |
OMB APPROVAL |
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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(h) of the Investment Company Act of 1940 |
OMB
Number: 3235-0104 Filed By |
1. Name and Address of Reporting Person* Principal Financial Group, Inc. |
2. Date of Event |
4. Issuer Name and
Ticker or Trading Symbol |
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(Last) (First) (Middle) 711 High Street |
3. I.R.S. Identification
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5. Relationship of
Reporting Person(s)
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6. If Amendment, Date of Original (Month/Day/Year) April 14, 2003 |
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(Street) Des Moines, IA 50392 |
7. Individual
or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person X Form filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I Non-Derivative Securities Beneficially Owned |
1. Title of Security |
2. Amount of |
3. Ownership Form: |
4. Nature of Indirect
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Reminder:
Report on a separate line for each class of securities beneficially owned
directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 5(b)(v). Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number |
FORM 3 (continued) |
Table II -
Derivative Securities Beneficially Owned |
1. Title of Derivative
Security |
2. Date Exercisable |
3. Title and Amount
of Securities |
4. Conversion or
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5. Ownership Form |
6. Nature of Indirect
Beneficial Ownership |
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Date |
Expiration |
Title |
Amount or |
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Series B Convertible Preferred Stock | Immediately |
None |
Common Stock |
333,334(1) |
$3.00(1) |
I |
By Subsidiary |
Series C Convertible Preferred Stock | Immediately |
None |
Common Stock |
400,000(1) |
$5.00(1) |
I |
By Subsidiary |
Explanation of Responses: (1) The number of underlying shares of Common Stock and conversion price are subject to adjustment for anti-dilution and other matters. |
By: /s/ Principal Financial Group, Inc. /s/ Joyce N. Hoffman, Senior Vice President and Corporate Secretary **Signature of Reporting Person |
April 21, 2003 Date |
**Intentional misstatements
or omissions of facts constitute Federal Criminal Violations. Note: File three
copies of this Form, one of which must be manually signed. Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
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JOINT FILER INFORMATION Amount of Securities Ownership Form: Nature of Indirect Name and Address Beneficially Owned (D) or (I) Beneficial Ownership Principal Financial Group, Inc. 333,334 shares of I By Principal Life Insurance 711 High Street Series B Convertible Company Des Moines, Iowa 50392 Preferred Stock 400,000 shares of I By Principal Life Insurance Series C Convertible Company Preferred Stock Principal Financial Services, Inc. 333,334 shares of I By Principal Life Insurance 711 High Street Series B Convertible Company Des Moines, Iowa 50392 Preferred Stock 400,000 shares of I By Principal Life Insurance Series C Convertible Company Preferred Stock Principal Life Insurance Company 333,334 shares of D 711 High Street Series B Convertible Des Moines, Iowa 50392 Preferred Stock 400,000 shares of D Series C Convertible Preferred Stock Signature Page for Joint Filers PRINCIPAL FINANCIAL SERVICES, INC. By: _/s/ Joyce N. Hoffman________________________ Joyce N. Hoffman Senior Vice President & Corporate Secretary PRINCIPAL LIFE INSURANCE COMPANY By: _/s/ Joyce N. Hoffman_________________________ Joyce N. Hoffman Senior Vice President & Corporate Secretary Page 4 of 4 Principal Financial Group, Inc. Allion Healthcare, Inc. Form 3 Page 2