HemaCare Corporation
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(Name of Issuer)
Common Stock, No Par Value
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(Title Class of Securities)
423498104
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(CUSIP Number)
September 15, 2011
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CUSIP No. 423498104
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13G
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Page 2 of 9 Pages
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1
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NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Terry Van Der Tuuk
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2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a)o
(b)o
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
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SOLE VOTING POWER
193,750
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6
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SHARED VOTING POWER
682,000
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7
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SOLE DISPOSITIVE POWER
193,750
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8
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SHARED DISPOSITIVE POWER
682,000
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
875,750
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10
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
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11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
8.3%
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12
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TYPE OF REPORTING PERSON*
IN
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CUSIP No. 423498104
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13G
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Page 3 of 9 Pages
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1
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NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Diane Van Der Tuuk
|
||||
2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a)o
(b)o
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||||
3
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SEC USE ONLY
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||||
4
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CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
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||||
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5
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SOLE VOTING POWER
0
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|||
6
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SHARED VOTING POWER
682,000
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||||
7
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SOLE DISPOSITIVE POWER
0
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||||
8
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SHARED DISPOSITIVE POWER
682,000
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||||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
682,000
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||||
10
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
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||||
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.6%
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12
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TYPE OF REPORTING PERSON*
IN
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CUSIP No. 423498104
|
13G
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Page 4 of 9 Pages
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1
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NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11
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||||
2
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a)o
(b)o
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||||
3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
Nevada
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
|
5
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SOLE VOTING POWER
0
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|||
6
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SHARED VOTING POWER
682,000
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||||
7
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SOLE DISPOSITIVE POWER
0
|
||||
8
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SHARED DISPOSITIVE POWER
682,000
|
||||
9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
682,000
|
||||
10
|
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
|
||||
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.6%
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12
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TYPE OF REPORTING PERSON*
OO
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EXPLANATORY NOTE
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Item 1(a).
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Name of Issuer:
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HemaCare Corporation
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Item 1(b).
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Address of Issuer's Principal Executive Offices:
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15350 Sherman Way, Suite 350
Van Nuys, California, 91406
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Item 2(a).
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Name of Person Filing:
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Terry Van Der Tuuk
Diane Van Der Tuuk
Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11
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Item 2(b).
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Address of Principal Business Office or, if None, Residence:
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c/o HemaCare Corporation
15350 Sherman Way, Suite 350
Van Nuys, CA, 91406
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Item 2(c).
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Citizenship:
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Terry Van Der Tuuk – United States of America
Diane Van Der Tuuk – United States of America
Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11 – Nevada
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Item 2(d).
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Title of Class of Securities:
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Common Stock, no par value
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Item 2(e).
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CUSIP Number:
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423498104
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Item 3.
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If this statement is filed pursuant to Rule 13d-1(b), or Rule 13d-2(b) or (c), check whether the person filing is a:
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Not Applicable
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(a)
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o Broker or dealer registered under section 15 of the Act;
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(b)
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o Bank as defined in section 3(a)(6) of the Act;
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(c)
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o Insurance company as defined in section 3(a)(19) of the Act;
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(d)
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o Investment company registered under Section 8 of the Investment Company Act;
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(e)
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o An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);
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(f)
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o An employee benefit plan or endowment fund in accordance with 13d-1(b)(1)(ii)(F).
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(g)
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o A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G);
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(h)
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o A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;
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(i)
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o A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company
Act;
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(j)
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o A non-U.S. institution in accordance with Rule 13d-1(b)(1)(ii)(J);
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(k)
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o Group, in accordance with Rule 13d-1(b)(1)(ii)(K).
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Item 4.
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Ownership.
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Terry Van Der Tuuk -- Included in rows 5 through 9 and 11 on page 2.
Diane Van Der Tuuk -- Included in rows 5 through 9 and 11 on page 3.
Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11-- Included in rows 5 through 9 and 11 on page
4.
Terry Van Der Tuuk has the right to acquire
193,750 shares of Common Stock upon the exercise of stock options that are exercisable on or before November 22, 2011.
Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11 owns 682,000 shares of Common Stock.
Each Reporting Person disclaims ownership of all shares of Common Stock in which such Reporting Person does not have a pecuniary interest.
As the trustees of the Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11, Terry Van Der Tuuk and Diane Van Der Tuuk may be deemed to have beneficial ownership of the shares of Common Stock owned by that trust. Accordingly, Terry Van Der Tuuk has the sole voting and dispositive power with respect to 193,750 shares, and each of the Reporting Persons may be deemed to have shared voting and dispositive power with respect to 682,000 shares.
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Item 5.
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Ownership of Five Percent or Less of a Class.
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Not Applicable
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Item 6.
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Ownership of More than Five Percent on Behalf of Another Person.
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Not Applicable
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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.
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Not Applicable
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Item 8.
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Identification and Classification of Members of the Group.
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Not Applicable
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Item 9.
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Notice of Dissolution of Group.
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Not Applicable
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Item 10.
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Certifications.
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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 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.
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September 23, 2011 | ||
(Date) | ||
/s/ Terry Van Der Tuuk | ||
Terry Van Der Tuuk | ||
/s/ Diane Van Der Tuuk | ||
Diane Van Der Tuuk | ||
/s/ Terry Van Der Tuuk | ||
Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11 | ||
By: Terry Van Der Tuuk, Trustee |
(1)
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Pursuant to a Joint Filing Agreement among Terry Van Der Tuuk, Diane Van Der Tuuk, and the Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11, a copy of which is attached hereto as Exhibit A, this Schedule 13G is filed on behalf of each of the Reporting Persons.
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/s/ Terry Van Der Tuuk | ||
Terry Van Der Tuuk | ||
/s/ Diane Van Der Tuuk | ||
Diane Van Der Tuuk | ||
/s/ Terry Van Der Tuuk | ||
Terry and Diana Van Der Tuuk Living Trust, UTD 7/28/11 | ||
By: Terry Van Der Tuuk, Trustee |