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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Halifax Corporation
Common Stock, $0.24 Par Value
405805 10 2
October 18, 2004
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
o Rule 13d-1 (b)
þ Rule 13d-1 (c)
o Rule 13d-1 (d)
*The remainder of this cover page shall be filled out for a reporting persons 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 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the notes).
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.
13G | ||||||
CUSIP No. 405805 10 2 | Page 2 of 4 | |||||
1. | Name of Reporting Person: Nancy M. Scurlock Trust |
I.R.S. Identification Nos. of above persons (entities only): |
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2. | Check the Appropriate Box if a Member of a Group: | |||||
(a) | o | |||||
(b) | o | |||||
3. | SEC Use Only: | |||||
4. | Citizenship or Place of Organization: Virginia |
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Number of Shares Beneficially Owned by Each Reporting Person With | ||||||
5. | Sole Voting
Power: 457,8101 | |||||
6. | Shared Voting Power: 0 | |||||
7. | Sole Dispositive Power: 457,810 | |||||
8. | Shared Dispositive Power: 0 | |||||
9. | Aggregate Amount Beneficially Owned by Each Reporting Person: 457,810 |
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10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares: o |
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11. | Percent
of Class Represented by Amount in Row (9): 14.1%2 | |||||
12. | Type of Reporting Person: OO | |||||
1 | Consisting of 392,961 shares of Common Stock and 64,849 shares of Common Stock underlying a convertible subordinated debenture plus interest thereon (the Debenture) at October 18, 2004, convertible at $3.19 a share. The Debenture was paid in full on July 15, 2005. | |
2 | Percent of class based on 3,172,206 shares of Common Stock outstanding as of August 10, 2005, as indicated in the Halifax Corporation Form 10-Q for the quarterly period ended June 30, 2005, plus 64,849 shares of Common Stock underlying the Debenture beneficially owned by the reporting person. The percent of class increases to 15.3% if the percent of class is based on 2,930,412 shares of Common Stock outstanding as of August 10, 2004, as indicated in the Halifax Corporation Form 10-Q for the quarterly period ended June 30, 2004, plus 64,849 shares of Common Stock underlying the Debenture beneficially owned by the reporting person. |
2
Item 1. | ||||||||||||
(a) | Name of Issuer: Halifax Corporation | |||||||||||
(b) | Address of Issuers Principal Executive Offices: 5250 Cherokee Avenue, Alexandria, Virginia 22312 | |||||||||||
Item 2. | ||||||||||||
(a) | Name of Person Filing: Nancy M. Scurlock Trust | |||||||||||
(b) | Address of Principal Business Office or, if none, Residence: | |||||||||||
10575 NW Skyline Boulevard, Portland, Oregon 97231-2616 | ||||||||||||
(c) | Citizenship: Virginia | |||||||||||
(d) | Title of Class of Securities: Common Stock | |||||||||||
(e) | CUSIP Number: 405805 10 2 | |||||||||||
Item 3. | If this statement is filed pursuant to §§240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a: | |||||||||||
Not Applicable | ||||||||||||
(a) | ¨ | Broker or Dealer registered under Section 15 of the Act (15 U.S.C. 78o); | ||||||||||
(b) | ¨ | Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); | ||||||||||
(c) | ¨ | Insurance company as defined in section 3(a)19) of the Act (15 U.S.C. 78c); | ||||||||||
(d) | ¨ | An investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); | ||||||||||
(e) | ¨ | An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E); | ||||||||||
(f) | ¨ | An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F); | ||||||||||
(g) | ¨ | A parent holding company or control person in accordance with §240.13d-1(b)(ii)(G); | ||||||||||
(h) | ¨ | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | ||||||||||
(i) | ¨ | A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); | ||||||||||
(j) | ¨ | Group, in accordance with §240.13d-1(b)(1)(ii)(J) | ||||||||||
Item 4. | Ownership | |||||||||||
Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. | ||||||||||||
(a) | Amount Beneficially Owned: 457,810 shares of Halifax Corporation Common Stock, $0.24 Par Value3 | |||||||||||
(b) | Percent of Class: | 14.1%4 | ||||||||||
(c) | Number of shares as to which such person has: | |||||||||||
(i) | Sole power to vote or to direct the vote:
|
457,810 | ||||||||||
(ii) | Shared power to vote or to direct the vote:
|
0 | ||||||||||
(iii) | Sole power to dispose or to direct the disposition of:
|
457,810 | ||||||||||
(iv) | Shared power to dispose or to direct the disposition of:
|
0 |
Item 5.
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Ownership of Five Percent or Less of a Class |
Item 6.
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Ownership of More than Five Percent on Behalf of Another Person |
Item 7.
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Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person |
3 | See footnote 1. | |
4 | See footnote 2. |
Page 3 of 4
Item 8.
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Identification and Classification of Members of the Group |
Item 9.
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Notice of Dissolution of a Group |
Item 10.
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Certification |
October 3, 2005
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/s/ Nancy M. Scurlock
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/s/ Arch C. Scurlock, Jr.
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/s/ Mary Scurlock Adamson
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/s/ John H. Grover
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Page 4 of 4