-----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, I00d/Sptuc7vT8m4Q5BPKzOqtFta/O0EQif4UjeUSNKt99ptgwudHi69rte7aM5b oIgtr4QeoCAs4EeKF1T6KQ== 0000950144-99-001859.txt : 19990217 0000950144-99-001859.hdr.sgml : 19990217 ACCESSION NUMBER: 0000950144-99-001859 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HORIZON MEDICAL PRODUCTS INC CENTRAL INDEX KEY: 0001052958 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 581882343 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-53927 FILM NUMBER: 99540832 BUSINESS ADDRESS: STREET 1: ONE HORIZON WAY STREET 2: PO BOX 627 CITY: MANCHESTER STATE: GA ZIP: 31816 BUSINESS PHONE: 7068463126 MAIL ADDRESS: STREET 1: ONE HORIZON WAY STREET 2: POST OFFICE BOX 627 CITY: MANCHESTER STATE: GA ZIP: 31816 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PETERSON WILLIAM E JR CENTRAL INDEX KEY: 0001079244 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: SEVEN NORTH PARKWAY SQUARE STREET 2: 4200 NORTHSIDE PARKWAY N W CITY: ATLANTA STATE: GA ZIP: 30327 BUSINESS PHONE: 4042642600 SC 13G 1 HORIZON MEDICAL PRODUCTS INC/WILLIAM F PETERSON 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ---------- SCHEDULE 13G (RULE 13D-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13D-1(B) (C), AND (D) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13D-2(B) (AMENDMENT NO.________)(1) HORIZON MEDICAL PRODUCTS, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, PAR VALUE $0.001 PER SHARE - -------------------------------------------------------------------------------- (Title of Class of Securities) 439903 10 5 - -------------------------------------------------------------------------------- (CUSIP Number) APRIL 14, 1998 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1 (b) [ ] Rule 13d-1 (c) [X] Rule 13d-1 (d) - -------- (1)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 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). 2 CUSIP NO. 439903 10 5 PAGE 2 OF 6 PAGES ----------- ---- ---- 13G - ------- ----------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) WILLIAM E. PETERSON, JR. - ------- ----------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------- ----------------------------------------------------------------------- 3. SEC USE ONLY - ------- ----------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. - ------- ----------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER 2,921,890 SHARES ------------ ------------------------------------------------ BENEFICIALLY 6. SHARED VOTING POWER -0- OWNED BY ------------ ------------------------------------------------ EACH 7. SOLE DISPOSITIVE POWER 2,921,890 REPORTING ------------ ------------------------------------------------ PERSON WITH 8. SHARED DISPOSITIVE POWER -0- - ------- ----------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,921,890 - ------- ----------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - ------- ----------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 21.9% - ------- ----------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* IN - ------- ----------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 3 CUSIP NO. 439903 10 5 PAGE 3 OF 6 PAGES ----------- ---- ---- ITEM 1(A). NAME OF ISSUER: Horizon Medical Products, Inc. ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: One Horizon Way P.O. Drawer 627 Manchester, GA 31816 ITEM 2(A). NAME OF PERSON FILING: William E. Peterson, Jr. ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: Seven North Parkway Square 4200 Northside Parkway, N.W. Atlanta, GA 30327 ITEM 2(C). CITIZENSHIP: U.S.A. ITEM 2(D). TITLE OF CLASS OF SECURITIES: Common Stock, par value $0.001 per share ITEM 2(E). CUSIP NUMBER: 439903 10 5 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13D-1(B), OR 13D-2(B) OR (C), CHECK WHETHER THE PERSON FILING IS A: 4 CUSIP NO. 439903 10 5 PAGE 4 OF 6 PAGES ----------- ---- ---- Not Applicable. 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: 2,921,890 ----------------------------------------------------------------------- (b) Percent of class: 21.9% ----------------------------------------------------------------------- (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 2,921,890 --------------------------- (ii) Shared power to vote or to direct the vote -0- ------------------------ (iii) Sole power to dispose or to direct the disposition of 2,921,890 ------------ (iv) Shared power to dispose or to direct the disposition of -0- ----------- ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not Applicable. ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not Applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not Applicable. 5 CUSIP NO. 439903 10 5 PAGE 5 OF 6 PAGES ----------- ---- ---- ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not Applicable. ITEM 10. CERTIFICATIONS. Not Applicable. 6 CUSIP NO. 439903 10 5 PAGE 6 OF 6 PAGES ----------- ---- ---- 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. February 12, 1999 ----------------------------------- (Date) /s/ William E. Peterson, Jr. ----------------------------------- William E. Peterson, Jr. -----END PRIVACY-ENHANCED MESSAGE-----