-----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, ViQ5yKFr/UkA+qegKW9Jya6siOmou0n1bYPtU0SKxDhIqYUhkkioPfhmEXdi8Yt4 UCs9UiDJG6jDIFD5QJK0gQ== 0001193125-08-030219.txt : 20080214 0001193125-08-030219.hdr.sgml : 20080214 20080214080054 ACCESSION NUMBER: 0001193125-08-030219 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20080214 DATE AS OF CHANGE: 20080214 GROUP MEMBERS: KENT A. KIRK, M.D. GROUP MEMBERS: KENT KIRK FAMILY LLC GROUP MEMBERS: KIRK EYE CENTER, S.C. GROUP MEMBERS: SCOTT H. KIRK, M.D. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NOVAMED INC CENTRAL INDEX KEY: 0001086939 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 364116193 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-58295 FILM NUMBER: 08608398 BUSINESS ADDRESS: STREET 1: 980 N MICHIGAN AVENUE STREET 2: SUITE 1620 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 3126644100 MAIL ADDRESS: STREET 1: 980 N MICHIGAN AVENUE STREET 2: SUITE 1620 CITY: CHICAGO STATE: IL ZIP: 60611 FORMER COMPANY: FORMER CONFORMED NAME: NOVAMED EYECARE INC DATE OF NAME CHANGE: 19990521 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KIRK FAMILY LP CENTRAL INDEX KEY: 0001106482 IRS NUMBER: 364088572 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 7427 LAKE STREET CITY: RIVER FOREST STATE: IL ZIP: 60305 BUSINESS PHONE: 3126644100 MAIL ADDRESS: STREET 1: 7427 LAKE STREET CITY: RIVER FOREST STATE: IL ZIP: 60305 SC 13G/A 1 dsc13ga.htm AMENDMENT NO. 5 TO SCHEDULE 13G Amendment No. 5 to Schedule 13G

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 29549

 

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 13d-2(b)

(Amendment No. 5)*

 

 

 

 

NOVAMED, INC.

(Name of Issuer)

 

 

COMMON STOCK, par value $.01 per share

(Title of Class of Securities)

 

 

66986W 10 8

(CUSIP Number)

 

 

December 31, 2007

(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)

 

 

* 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 13G

CUSIP No. 66986W 10 8       Page 2 of 15 Pages

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

            SCOTT KIRK FAMILY LLC

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  ¨

(b)  x

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            DELAWARE

   

 

NUMBER OF  

SHARES  

BENEFICIALLY  

OWNED BY  

EACH  

REPORTING  

PERSON WITH  

 

 

  5.    SOLE VOTING POWER

 

            695,360

 

  6.    SHARED VOTING POWER

 

            -0-

 

  7.    SOLE DISPOSITIVE POWER

 

            695,360

 

  8.    SHARED DISPOSITIVE POWER

 

            -0-

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            695,360

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

 

 

¨

 

11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

            2.8%

   
12.  

TYPE OF REPORTING PERSON*

 

            PN

   

*SEE INSTRUCTIONS BEFORE FILLING OUT!


SCHEDULE 13G

CUSIP No. 66986W 10 8       Page 3 of 15 Pages

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

            KENT KIRK FAMILY LLC

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  ¨

(b)  x

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            DELAWARE

   

 

NUMBER OF  

SHARES  

BENEFICIALLY  

OWNED BY  

EACH  

REPORTING  

PERSON WITH  

 

 

  5.    SOLE VOTING POWER

 

            800,182

 

  6.    SHARED VOTING POWER

 

            -0-

 

  7.    SOLE DISPOSITIVE POWER

 

            800,182

 

  8.    SHARED DISPOSITIVE POWER

 

            -0-

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            800,182

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

 

 

¨

 

11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

            3.3%

   
12.  

TYPE OF REPORTING PERSON*

 

            PN

   

*SEE INSTRUCTIONS BEFORE FILLING OUT!


SCHEDULE 13G

CUSIP NO. 66986W 10 8       Page 4 of 15 Pages

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

            KIRK EYE CENTER, S.C.

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  ¨

(b)  x

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            ILLINOIS

   

 

NUMBER OF  

SHARES  

BENEFICIALLY  

OWNED BY  

EACH  

REPORTING  

PERSON WITH  

 

 

  5.    SOLE VOTING POWER

 

            633,435

 

  6.    SHARED VOTING POWER

 

            -0-

 

  7.    SOLE DISPOSITIVE POWER

 

            633,435

 

  8.    SHARED DISPOSITIVE POWER

 

            -0-

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            633,435

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

 

 

¨

 

11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

            2.6%

   
12.  

TYPE OF REPORTING PERSON*

 

            CO

   

*SEE INSTRUCTIONS BEFORE FILLING OUT!


SCHEDULE 13G

CUSIP No. 66986W 10 8       Page 5 of 15 Pages

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

            SCOTT H. KIRK, M.D.

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  ¨

(b)  x

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            U.S.A.

   

 

NUMBER OF  

SHARES  

BENEFICIALLY  

OWNED BY  

EACH  

REPORTING  

PERSON WITH  

 

 

  5.    SOLE VOTING POWER

 

            189,676

 

  6.    SHARED VOTING POWER

 

            1,328,795

 

  7.    SOLE DISPOSITIVE POWER

 

            189,676

 

  8.    SHARED DISPOSITIVE POWER

 

            1,328,795

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            1,518,471

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

 

 

¨

 

11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

            6.1%

   
12.  

TYPE OF REPORTING PERSON*

 

            IN

   

*SEE INSTRUCTIONS BEFORE FILLING OUT!


SCHEDULE 13G

CUSIP No. 66986W 10 8       Page 6 of 15 Pages

 

  1.  

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

            KENT A. KIRK, M.D.

   
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*

(a)  ¨

(b)  x

   
  3.  

SEC USE ONLY

 

   
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            U.S.A.

   

 

NUMBER OF  

SHARES  

BENEFICIALLY  

OWNED BY  

EACH  

REPORTING  

PERSON WITH  

 

 

  5.    SOLE VOTING POWER

 

            52,805

 

  6.    SHARED VOTING POWER

 

            1,433,617

 

  7.    SOLE DISPOSITIVE POWER

 

            52,805

 

  8.    SHARED DISPOSITIVE POWER

 

            1,433,617

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            1,486,422

   
10.  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*

 

 

 

¨

 

11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

            6.0%

   
12.  

TYPE OF REPORTING PERSON*

 

            IN

   

*SEE INSTRUCTIONS BEFORE FILLING OUT!


CUSIP No. 66986W 10 8       Page 7 of 15 Pages

 

Item 1  

(a)

   Name of Issuer:   
     NovaMed, Inc.   

Item 1

 

(b)

   Address of Issuer’s Principal Executive Offices:   
    

980 North Michigan Avenue

Suite 1620

Chicago, Illinois 60611

  
Item 2  

(a)

   Name of Person Filing:   
    

Scott Kirk Family LLC

Kent Kirk Family LLC

Kirk Eye Center, S.C.

Scott H. Kirk, M.D

Kent A. Kirk, M.D.

  

Item 2

 

(b)

   Address of Principal Business Office or, if None, Residence:   
    

Scott Kirk Family LLC

7427 Lake Street

River Forest, Illinois 60305

 

Kent Kirk Family LLC

7427 Lake Street

River Forest, Illinois 60305

 

Kirk Eye Center, S.C.

7427 Lake Street

River Forest, Illinois 60305

 

Scott H. Kirk, M.D.

7427 Lake Street

River Forest, Illinois 60305

 

Kent A. Kirk, M.D.

7427 Lake Street

River Forest, Illinois 60305

  

Item 2

 

(c)

   Citizenship:   
     Scott Kirk Family LLC:    Delaware         
     Kent Kirk Family LLC:    Delaware         
     Kirk Eye Center, S.C.:    Illinois         
     Scott H. Kirk, M.D.:    U.S.A.         
     Kent A. Kirk, M.D.:    U.S.A.         

Item 2

 

(d)

   Title of Class of Securities:   
     Common Stock, par value $.01 per share   

Item 2

 

(e)

   CUSIP Number:   
     66986W 10 8   
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:
    

Not Applicable.


CUSIP No. 66986W 10 8       Page 8 of 15 Pages

 

Item 4.    Ownership:          
   (a)    Amount Beneficially Owned:          
      Scott Kirk Family LLC:    695,360  (1)        
      Kent Kirk Family LLC:    800,182  (2)        
      Kirk Eye Center, S.C.:    633,435  (3)        
      Scott H. Kirk, M.D.:    1,518,471 (4) (5)        
      Kent A. Kirk, M.D.:    1,486,422  (6)        
   (b)    Percent of Class:          
      Scott Kirk Family LLC:    2.8 % (1)        
      Kent Kirk Family LLC:    3.3 % (2)        
      Kirk Eye Center, S.C.:    2.6 % (3)        
      Scott H. Kirk, M.D.:    6.1 (4) (5)        
      Kent A. Kirk, M.D.:    6.0 % (6)        
   (c)    Number of shares as to which person has:          
      Scott Kirk Family LLC:      
      (i)    sole power to vote or to direct the vote:      
         695,360 (1)      
      (ii)    shared power to vote or to direct the vote:      
         -0-      
      (iii)    sole power to dispose or to direct the disposition of:      
         695,360 (1)      
      (iv)    shared power to dispose or to direct the disposition of:      
         -0-      
      Kent Kirk Family LLC:      
      (i)    sole power to vote or to direct the vote:      
         800,182 (2)      
      (ii)    shared power to vote or to direct the vote:      
         -0-      
      (iii)    sole power to dispose or to direct the disposition of:      
         800,182 (2)      
      (iv)    shared power to dispose or to direct the disposition of:      
         -0-      
      Kirk Eye Center, S.C.:      
      (i)    sole power to vote or to direct the vote:      
         633,435 (3)      
      (ii)    shared power to vote or to direct the vote:      
         -0-      
      (iii)    sole power to dispose or to direct the disposition of:      
         633,435 (3)      
      (iv)    shared power to dispose or to direct the disposition of:      
         -0-      
      Scott H. Kirk, M.D.:      
      (i)    sole power to vote or to direct the vote:      
         189,676 (5)      
      (ii)    shared power to vote or to direct the vote:      
         1,328,795 (4)      
      (iii)    sole power to dispose or to direct the disposition of:      
         189,676 (5)      
      (iv)    shared power to dispose or to direct the disposition of:      
         1,328,795 (4)      
      Kent A. Kirk, M.D.:      
      (i)    sole power to vote or to direct the vote:      
         52,805      
      (ii)    shared power to vote or to direct the vote:      
         1,433,617 (6)      
      (iii)    sole power to dispose or to direct the disposition of:      
         52,805      
      (iv)    shared power to dispose or to direct the disposition of:      
         1,433,617 (6)      

 

(1) These shares were previously held by Kirk Family Limited Partnership prior to the limited partnership being dissolved and Scott Kirk Family LLC receiving its pro rata portion of the shares of common stock.
(2) These shares were previously held by Kirk Family Limited Partnership prior to the limited partnership being dissolved and Kent Kirk Family LLC receiving its pro rata portion of the shares of common stock.
(3) These shares were previously held by Kirk Family Limited Partnership prior to the limited partnership being dissolved and Kirk Eye Center, S.C. receiving its pro rata portion of the shares of common stock.
(4) Dr. Scott Kirk is an officer, director and 50% shareholder of Kirk Eye Center, S.C. In addition, Dr. Scott Kirk is the manager and a member of Scott Kirk Family, LLC. In such capacities, Dr. Scott Kirk may be deemed to be the beneficial owner of the shares directly held by such entities.
(5) Includes 3,250 restricted shares of common stock and 134,479 shares of common stock issuable upon exercise of options that are exercisable within 60 days of December 31, 2007.
(6) Dr. Kent Kirk is an officer, director and 50% shareholder of Kirk Eye Center, S.C. In addition, Dr. Kent Kirk is the manager and a member of Kent Kirk Family, LLC. In such capacities, Dr. Kent Kirk may be deemed to be the beneficial owner of the shares directly held by such entities.

 

Item 5.    Ownership of Five Percent or less of a Class:   
   Not Applicable.   
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.      
Item 9.    Notice of Dissolution of Group:      
   Not Applicable.      
Item 10.    Certification:      
   Not Applicable.      


CUSIP No. 66986W 10 8       Page 9 of 15 Pages

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, 2008

 

KIRK EYE CENTER, S.C.
By:  

/s/ SCOTT H. KIRK, M.D.

Its:   President


CUSIP No. 66986W 10 8       Page 10 of 15 Pages

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, 2008

 

SCOTT KIRK FAMILY LLC
By:  

/s/ SCOTT H. KIRK, M.D.

Its:   Manager


CUSIP No. 66986W 10 8       Page 11 of 15 Pages

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, 2008

 

KENT KIRK FAMILY LLC
By:  

/s/ KENT A. KIRK, M.D.

Its:   Manager


CUSIP No. 66986W 10 8       Page 12 of 15 Pages

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, 2008

 

By:  

/s/ SCOTT H. KIRK, M.D.

 

Scott H. Kirk, M.D.


CUSIP No. 66986W 10 8       Page 13 of 15 Pages

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, 2008

 

By:  

/s/ KENT A. KIRK, M.D.

  Kent A. Kirk, M.D.


CUSIP No. 66986W 10 8       Page 14 of 15 Pages

Exhibit Index

 

1. Joint Filing Agreement dated February 14, 2008 by and among Scott Kirk Family LLC, Kent Kirk Family LLC, Kirk Eye Center, S.C., Scott H. Kirk, M.D., and Kent A. Kirk, M.D.


CUSIP No. 66986W 10 8       Page 15 of 15 Pages

EXHIBIT 1

JOINT FILING

Scott Kirk Family LLC, Kent Kirk Family LLC, Kirk Eye Center, S.C., Scott H. Kirk, M.D. and Kent A. Kirk, M.D. agree that the Schedule 13G to which this Agreement is attached is being filed on behalf of each of Scott Kirk Family LLC, Kent Kirk Family LLC, Kirk Eye Center, S.C., Scott H. Kirk, M.D. and Kent A. Kirk, M.D.

Date: February 14, 2008

 

SCOTT KIRK FAMILY LLC
By:  

/s/ SCOTT H. KIRK, M.D.

Its:   Manager
KENT KIRK FAMILY LLC
By:  

/s/ KENT A. KIRK, M.D.

Its:   Manager
KIRK EYE CENTER, S.C.
By:  

/s/ SCOTT H. KIRK, M.D.

Its:   President
By:  

/s/ SCOTT H. KIRK, M.D.

  Scott H. Kirk, M.D.
By:  

/s/ KENT A. KIRK, M.D.

  Kent A. Kirk, M.D.
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