-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ja6BrzpEceJsjol8HFw16Rio10hu7HFnmEOKfuTkX48/mcLcH4s900hQBTVwZDYM pmthLVqJFCFUv3ZtFAYmXw== 0000950128-97-000586.txt : 19970222 0000950128-97-000586.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950128-97-000586 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970220 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TOLLGRADE COMMUNICATIONS INC \PA\ CENTRAL INDEX KEY: 0001002531 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TELEPHONE INTERCONNECT SYSTEMS [7385] IRS NUMBER: 251537134 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-50381 FILM NUMBER: 97539725 BUSINESS ADDRESS: STREET 1: 493 NIXON RD CITY: CHESWICK STATE: PA ZIP: 15024 BUSINESS PHONE: 4122742156 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ANDERSON GORDON P MD CENTRAL INDEX KEY: 0001009093 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 615 ELIZABETH LANE CITY: ERIE STATE: PA ZIP: 16505 SC 13G/A 1 TOLLGRADE COMMUNICATIONS/GORDON ANDERSON 1 THIS DOCUMENT IS A COPY OF THE SCHEDULE 13G FILED ON FEBRUARY 18, 1997 PURSUANT TO A RULE 201 TEMPORARY HARDSHIP EXEMPTION. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. 1 )* ------ Tollgrade Communications, Inc. ----------------------------------------- (Name of Issuer) Common Stock ----------------------------------------- (Title of Class of Securities) 889542 10 6 ----------------------------------------- (CUSIP Number) Check the following box if a fee is being paid with this statement / /. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) *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 purposes 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 (however, see the Notes). Page 1 of 5 2 CUSIP No. 889542 10 6 --------------------- (1) NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Gordon P. Anderson, M.D. --------------------------------------------------------------------- (2) CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] Not applicable --------------------------------------------------------------------- (3) SEC USE ONLY --------------------------------------------------------------------- (4) CITIZENSHIP OR PLACE OF ORGANIZATION United States --------------------------------------------------------------------- (5) SOLE VOTING POWER NUMBER OF 131,294 SHARES -------------------------------------------------------- BENEFICIALLY (6) SHARED VOTING POWER OWNED BY not applicable EACH -------------------------------------------------------- REPORTING (7) SOLE DISPOSITIVE POWER PERSON WITH 131,294 -------------------------------------------------------- (8) SHARED DISPOSITIVE POWER not applicable -------------------------------------------------------- (9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 180,570 --------------------------------------------------------------------- (10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* Not applicable --------------------------------------------------------------------- (11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 3.2% --------------------------------------------------------------------- (12) TYPE OF REPORTING PERSON* IN --------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! Page 2 of 5 3 ITEM 1(a). NAME OF ISSUER: Tollgrade Communications, Inc. ITEM 1(b). ADDRESS OF ISSUER'S EXECUTIVE OFFICES: 493 Nixon Road Cheswick, PA 15024 ITEM 2(a). NAME OF PERSON FILING: Gordon P. Anderson, M.D. ITEM 2(b). RESIDENCE: 615 Elizabeth Lane Erie, PA 16505 ITEM 2(c). CITIZENSHIP: United States ITEM 2(d). TITLE OF CLASS SECURITIES: Common Stock ITEM 2(e). CUSIP NUMBER: 889542 10 6 ITEM 3. NOT APPLICABLE ITEM 4. OWNERSHIP: (a) Number of Shares Beneficially Owned: As calculated under Rule 13d-3, as of December 31, 1996, 180,570 (includes (i) 120,269 shares owned by Dr. Anderson, of which Dr. Anderson has sole voting and dispositive power; and (ii) 11,025 shares which may be acquired pursuant to currently exercisable options, as to which shares Dr. Anderson has sole voting and dispositive power; and (iii) 49,276 shares held in trust for Dr. Anderson's wife, as to which Dr. Anderson's wife is trustee and as to which shares Dr. Anderson has no voting or dispositive power and disclaims beneficial ownership). Page 3 of 5 4 (b) PERCENT OF CLASS: 3.2% (c) POWERS: NO. OF SHARES Sole voting power 131,294 Shared voting power not applicable Sole dispositive power 131,294 Shared dispositive power not applicable ITEM 5. OWNERSHIP OF 5% OR LESS OF A CLASS: This statement is being filed to report the fact that the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities. ITEM 6. OWNERSHIP OF MORE THAN 5% ON BEHALF OF ANOTHER PERSON: Not applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE ULTIMATE PARENT COMPANY: Not applicable ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP: Not applicable ITEM 9. NOTICE OF DISSOLUTION OF GROUP: Not applicable Page 4 of 5 5 ITEM 10. CERTIFICATION By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. 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. /s/ GORDON P. ANDERSON -------------------------------------- Gordon P. Anderson, M.D. Date: February 10, 1997 --------------------------------- Page 5 of 5 -----END PRIVACY-ENHANCED MESSAGE-----