0001144204-12-010152.txt : 20120221 0001144204-12-010152.hdr.sgml : 20120220 20120221155048 ACCESSION NUMBER: 0001144204-12-010152 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20120221 DATE AS OF CHANGE: 20120221 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HYPERTENSION DIAGNOSTICS INC /MN CENTRAL INDEX KEY: 0001058828 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411618036 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-56927 FILM NUMBER: 12626801 BUSINESS ADDRESS: STREET 1: 10275 WAYZATA BLVD STREET 2: SUITE 310 CITY: MINNETONKA STATE: MN ZIP: 55305 BUSINESS PHONE: 952-545-2457 MAIL ADDRESS: STREET 1: 10275 WAYZATA BLVD STREET 2: SUITE 310 CITY: MINNETONKA STATE: MN ZIP: 55305 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BRIMMER KENNETH WILLIAM CENTRAL INDEX KEY: 0001051700 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D MAIL ADDRESS: STREET 1: 11505 WEST LAKEVIEW LANE CITY: MINNETONKA STATE: MN ZIP: 55305 SC 13D 1 v303294_sc13d.htm FORM SC 13D

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, DC 20549

 

SCHEDULE 13D

(Rule 13d-101)

 

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT

TO ' 240.13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO ' 240.13d-2(a)

 

(Amendment No. )*

 

Hypertension Diagnostics, Inc.

 

(Name of Issuer)

 

Common Stock, $.01 par value

 

(Title of Class of Securities)

 

 

44914V 10 4

 

(CUSIP Number)

 

Kenneth W. Brimmer

Hypertension Diagnostics, Inc.

10275 Wayzata Blvd Suite 310
Minnetonka, MN 55305

Phone: (651-687-9999)

 

With a copy to:

Douglas T. Holod, Esq.

Maslon Edelman Borman & Brand, LLP

3300 Wells Fargo Center

90 South Seventh Street

Minneapolis, MN 55402-4140

Phone: (612) 672-8200

 

(Name, Address and Telephone Number of Person Authorized to

Receive Notices and Communications)

 

 

February 10, 2012

 

(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 Sections 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 Section 240.13d-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).

 

 
 

  

CUSIP No. 44914V 10 4  Page 2 of 5

 

 

1 NAMES OF REPORTING PERSONS

 

Kenneth W. Brimmer 

 

2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)

 

(a) £

(b) £

 

3 SEC USE ONLY

 

 

 

4 SOURCE OF FUNDS (See Instructions)

 

Not applicable

 

5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e)

 

£ 

 

6 CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States

 

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY EACH

REPORTING

PERSON

WITH

 

7   SOLE VOTING POWER
 
10,240,428
8   SHARED VOTING POWER
 
0
9   SOLE DISPOSITIVE POWER
 
10,240,428
10   SHARED DISPOSITIVE POWER
 
0
 

11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

10,240,428 (see explanation in Item 5)

 

12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (See Instructions) S

 

(See exhibit 99.1)

 

13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

 

16.7%

 

14 TYPE OF REPORTING PERSON (See Instructions)

 

IN

 

 

 
 

   

ITEM 1. SECURITY AND ISSUER

This statement relates to the common stock, $.01 par value, of Hypertension Diagnostics, Inc., a Minnesota corporation (the "Company" or the “Issuer”). The address of the Company’s principal executive offices is 10275 Wayzata Blvd., Suite 310, Minnetonka, MN 55305.

 

ITEM 2. IDENTITY AND BACKGROUND

 

(a) This Schedule 13D is being filed by Kenneth W. Brimmer.

 

(b) The principal office of Mr. Brimmer is 10275 Wayzata Blvd., Suite 310, Minnetonka, MN 55305.

 

(c) Mr. Brimmer is Chief Executive Officer, Chief Financial Officer and a director of the Issuer.

 

(d) - (e) During the last five years, Mr. Brimmer has not been convicted in a criminal proceeding, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction as a result of which such individual was or is subject to a judgment, decree, or final order enjoining future violations of, or prohibiting, or mandating activity subject to, federal or state securities laws or finding any violation with respect to such laws.

 

(f) The Reporting Person is a citizen of the United States.

 

ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION

 

NOT APPLICABLE.

 

ITEM 4. PURPOSE OF TRANSACTION

 

The Reporting Person has no present plans or proposal or specific knowledge that relates to or would result in any of the actions specified in clauses (a) through (j) of Item 4 of Schedule 13D.

 

ITEM 5. INTEREST IN THE SECURITIES OF THE ISSUER

 

(a) Mr. Brimmer beneficially owns 10,240,428 shares of common stock on as “as converted basis”, representing approximately 16.7% of the outstanding and convertible shares of Common Stock of the Issuer. The calculation of the foregoing percentage is based on a total of 52,388,750 shares of Common Stock outstanding and 611,390 shares of convertible preferred stock (convertible at the rate of 12 for one) of the Issuer outstanding on February 10, 2012.

 

(b) Mr. Brimmer has sole voting and dispositive power with respect to 10,057,644 shares of the Common Stock (including 1,303,745 shares issuable upon exercise of options and warrants to purchase common stock) and 15,232 shares of Preferred Stock (convertible to common stock at the rate of 12 for one) (including warrants to purchase 6,272 shares of preferred stock) of the Issuer.

 

 
 

  

(c) TRANSACTIONS WITHIN THE LAST 60 DAYS OR SINCE THE LAST FILING.

 

On February 10, 2012, the Board of Directors of the Issuer granted to the Reporting Person 9,062,907 shares of restricted stock, 500,000 shares of which were simultaneously gifted. The restrictions lapse on February 10, 2015.

 

(d) Not applicable.

 

(e) Not applicable.

 

ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS WITH RESPECT TO

SECURITIES OF THE ISSUER

 

None

 

ITEM 7. MATERIAL TO BE FILED AS EXHIBITS

 

Exhibit 99.1 – Excluded Shares

 

 

 

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: February 21, 2012  
   
   
  /s/ Kenneth W. Brimmer

 

 

 

 

EX-99.1 2 v303294_ex99-1.htm EXHIBIT 99.1

 

Exhibit 99.1

 

Excluded Shares

 

 

 

The filing of this report shall not be construed as an admission by the person identified in Item 2(a) that, for the purpose of Section 13(d) or 13(g) of the Securities Exchange Act, he is the "beneficial owner" of any equity securities listed below; and such person expressly disclaims that he is part of a "group" with the person listed below:

 

 

Record Owner's Relationship   Record Owner's      Number
To Reporting Person     Type of Ownership   of shares
IRA for the benefit of the        
Reporting Person’s Spouse   Indirect   6,000 shares

 

These shares are not reported in Item 4(a) and are noted here for information only.