-----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, GqO3YhojdNHf66WdMKptWTZZ+bRRFGsVzaSJeJcnZENjKA5JB94tc+/i8Iv1TvJa 4kj7OTFplzHrHd2FUDDOVQ== 0000897101-97-000171.txt : 19970222 0000897101-97-000171.hdr.sgml : 19970222 ACCESSION NUMBER: 0000897101-97-000171 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970214 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: EP MEDSYSTEMS INC CENTRAL INDEX KEY: 0001012394 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 223212190 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-48865 FILM NUMBER: 97535218 BUSINESS ADDRESS: STREET 1: 58 ROUTE 46 WEST CITY: BUDD LAKE STATE: NJ ZIP: 07828 BUSINESS PHONE: 2016916400 MAIL ADDRESS: STREET 1: 58 ROUTE 46 WEST CITY: BUDD LAKE STATE: NJ ZIP: 07828 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MEDTRONIC INC CENTRAL INDEX KEY: 0000064670 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 410793183 STATE OF INCORPORATION: MN FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 7000 CENTRAL AVE NE STREET 2: MS 316 CITY: MINNEAPOLIS STATE: MN ZIP: 55432 BUSINESS PHONE: 6125744000 SC 13G 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* EP MEDSYSTEMS, INC. (Name of Issuer) COMMON (Title of Class of Securities) 26881P103 (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 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). (Continued on following page(s)) Page 1 of 4 Pages CUSIP No. 26881P103 13G Page 2 of 4 Pages 1. NAME OF REPORTING PERSON SS OR IRS IDENTIFICATION NO. OF ABOVE PERSON Medtronic, Inc. 41-0793183 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION MN NUMBER 5. SOLE VOTING POWER 608,000 OF SHARES BENEFICIALLY 6. SHARED VOTING POWER NONE OWNED BY EACH REPORTING 7. SOLE DISPOSITIVE POWER 608,000 PERSON WITH 8. SHARED DISPOSITIVE POWER NONE 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 608,000 (Includes an option to purchase 60,000 shares of EP MEDSYSTEMS Common Stock at a price of $2.00 per share, which option was granted to Lester J. Swenson in payment for services as a director of EP MEDSYSTEMS, and was subsequently transferred to Medtronic by Mr. Swenson. The option expires November 29, 2005 and vests at the rate of 1,000 shares per month, for a period of 60 months, commencing December 1, 1995.) 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 8.0% 12. TYPE OF REPORTING PERSON* CO *SEE INSTRUCTIONS BEFORE FILLING OUT! Item 1(a) Name of Issuer EP MEDSYSTEMS, INC. Item 1(b) Address of Issuer's Principal Executive Offices: 58 Route 46 West Budd Lake, NJ 07828 Item 2(a) Name of Person Filing: Medtronic, Inc. Item 2(b) Address of Principal Business Office or, if none, residence: 7000 Central Avenue N.E. Minneapolis, MN 55432 Item 2(c) Citizenship MN Item 2(d) Title of Class of Securities Common Stock Item 2(e) CUSIP No. 26881P103 Item 3 Statement Filed Pursuant to Rules 13d-1(b) or 13d-2(b): N/A Item 4(a) Amount Beneficially Owned: See Item 9, pg. 2 Item 4(b) Percent of Class: See item 11, pg. 2 Item 4(c) Number of Shares as to Which Such Person has: (i) sole power to vote or direct the vote See Item 5, pg. 2 (ii) shared power to vote or to direct the vote None (iii) sole power to dispose or to direct the disposition of See Item 7, pg. 2 (iv) shared power to dispose or to direct the disposition of None Item 5 Ownership of Five Percent or Less of a Class: N/A Page 3 of 4 Pages Item 6 Ownership of More than Five Percent on Behalf of Another Person: N/A Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company: N/A Item 8 Identification and Classification of Members of the Group: N/A Item 9 Notice of Dissolution of Group: N/A 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 purpose 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. Date: February 14, 1997 /s/ Robert L. Ryan Robert L. Ryan Chief Financial Officer Page 4 of 4 Pages -----END PRIVACY-ENHANCED MESSAGE-----