-----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, LP3lAEFUC4jk+Zf+L7cvAtHWzfDMuuNyEjf8GAlaS+CYtt6LvHIM7cphiFPHaT3X ETplv5spHWftmuxZqTjTeQ== 0001019687-00-000008.txt : 20000106 0001019687-00-000008.hdr.sgml : 20000106 ACCESSION NUMBER: 0001019687-00-000008 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000105 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CASINOVATIONS INC CENTRAL INDEX KEY: 0001004673 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DURABLE GOODS, NEC [5099] IRS NUMBER: 911696010 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: SEC FILE NUMBER: 005-56183 FILM NUMBER: 501917 BUSINESS ADDRESS: STREET 1: 6744 S SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 BUSINESS PHONE: 7027337195 MAIL ADDRESS: STREET 1: 6744 S SPENCER STREET CITY: LAS VEGAS STATE: NV ZIP: 89119 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: JASLOW RICHARD S CENTRAL INDEX KEY: 0001093346 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 300 C FAUNCE CENTER ROAD CITY: NORTH DARTMOUTH STATE: MA ZIP: 02747 BUSINESS PHONE: 7027337195 MAIL ADDRESS: STREET 1: 300 FAUNCE CENTER ROAD CITY: NORTH DARTMOUTH STATE: MA ZIP: 02747 SC 13D/A 1 RICHARD S. JASLOW, AMENDMENT NO. 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 1) CASINOVATIONS INCORPORATED - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock $.001 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 14761P 10 4 - -------------------------------------------------------------------------------- (CUSIP Number) Stacie L. Brown, 6830 Spencer Street, Las Vegas, Nevada 89119; Tel (702) 733-7195 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) December 29, 1999 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of This Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition that is the subject of this Schedule 13D, and is filing this schedule because of ss. 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box [ ] NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7 for other parties to whom copies are to be sent. *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 disclosures provided in a prior cover page. The information required on 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 (however, see the Notes). SCHEDULE 13D CUSIP NO. 14761P 10 4 PAGE 2 OF 4 PAGES ________________________________________________________________________________ 1 NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Richard S. Jaslow ________________________________________________________________________________ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_] (b) [_] ________________________________________________________________________________ 3 SEC USE ONLY ________________________________________________________________________________ 4 SOURCE OF FUNDS* Personal Funds ________________________________________________________________________________ 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [_] Not Applicable ________________________________________________________________________________ 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States ________________________________________________________________________________ 7 SOLE VOTING POWER NUMBER OF 386,620 shares SHARES _________________________________________________________________ 8 SHARED VOTING POWER BENEFICIALLY OWNED BY 150,000 shares _________________________________________________________________ EACH 9 SOLE DISPOSITIVE POWER REPORTING 386,620 shares PERSON _________________________________________________________________ 10 SHARED DISPOSITIVE POWER WITH 150,000 shares ________________________________________________________________________________ 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 536,620 ________________________________________________________________________________ 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [_] ________________________________________________________________________________ 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 4.99% ________________________________________________________________________________ 14 TYPE OF REPORTING PERSON* IN ________________________________________________________________________________ *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. This Amendment No. 1 amends the Schedule 13D dated September 22, 1999 ("Schedule 13D") of Richard S. Jaslow with respect to his ownership of the common stock, $.001 par value, ("Common Stock") of Casinovations Incorporated, a Nevada corporation ("Issuer"). Except as specifically provided herein, this Amendment No. 1 does not modify any of the information previously reported on the Schedule 13D. ITEM 3. SOURCE OF FUNDS OR OTHER CONSIDERATIONS Personal funds. ITEM 4. PURPOSE OF TRANSACTION The purpose of this Amendment No. 1 to Schedule 13D is to report Dr. Jaslow's beneficial ownership of Common Stock, including Dr. Jaslow's exercise of certain options granted by the Issuer to Dr. Jaslow for the purchase of 83,333 shares of Common Stock. Through an exercise agreement dated December 29, 1999, the Issuer will issue 40,000 shares of Common Stock to Dr. Jaslow. As the exercise price under the terms of the option was $2.50 per underlying share, Dr. Jaslow provided payment of $50,000 to the Issuer in the form of a check, as well as payment of an additional $50,000 to the Issuer in the form of a Promissory Note secured by a Pledge Agreement. The remaining options to purchase 43,333 shares of Common Stock expired on December 31, 1999. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER Richard S. Jaslow Presently Owned Percentage(3) ----------------- --------------- ------------- Sole Voting Power 386,620(1) 3.59 % Shared Voting Power 150,000(2) 1.39 % Sole Dispositive Power 386,620(1) 3.59 % Shared Dispositive Power 150,000(2) 1.39 % Total Beneficial Power 536,620 4.99 % - -------- (1) This amount represents 217,084 shares of Common Stock issued directly to Dr. Jaslow, 100,000 shares of Common Stock issued to the Richard S. Jaslow IRA, 50,336 shares of Common Stock issuable to Dr. Jaslow upon exercise of Class A Warrants, 18,200 shares of Common Stock issuable to Dr. Jaslow upon exercise of certain warrants, and 1,000 shares of Common Stock issuable to Dr. Jaslow upon exercise of options granted pursuant to the 1999 Directors' Stock Option Plan. (2) This amount represents 50,000 shares of Common Stock issued to Dr. Jaslow's spouse, 50,000 shares of Common Stock issued to Dr. Jaslow's daughter, and 50,000 shares of Common Stock issued to the trust of Dr. Jaslow's daughter. (3) These percentages reflect the percentage share ownership with respect to 10,745,944 shares, the number of shares of Common Stock outstanding as of December 31, 1999. -3- 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. Dated: January 4, 2000 /s/ Stacie L. Brown, Attorney-In-Fact For ----------------------------------------- Richard S. Jaslow -4- -----END PRIVACY-ENHANCED MESSAGE-----