-----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, QlL5gdCG3UEODL3pCutZvwv93rITA/cf37xaf+x71MT83H3b7WAuDyWYkiOSJ2RK 3PRxBxkA7f3vby0bD66htA== 0001013816-04-000155.txt : 20040220 0001013816-04-000155.hdr.sgml : 20040220 20040220102632 ACCESSION NUMBER: 0001013816-04-000155 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040220 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDIS TECHNOLOGIES LTD CENTRAL INDEX KEY: 0001090507 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 133669062 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-62051 FILM NUMBER: 04617956 BUSINESS ADDRESS: STREET 1: 805 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2129358484 MAIL ADDRESS: STREET 1: 805 THIRD AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LIFTON ROBERT K CENTRAL INDEX KEY: 0001112004 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: MEDIS TECHNOLOGIES LTD STREET 2: 805 THIRD AVE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2129358484 MAIL ADDRESS: STREET 1: MEDIS TECHNOLOGIES LTD STREET 2: 805 THIRD AVE CITY: NEW YORK STATE: NY ZIP: 10022 SC 13G/A 1 sch13g1_lifton-21904.txt SCHEDULE 13G/A 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) MEDIS TECHNOLOGIES LTD. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - -------------------------------------------------------------------------------- (Title of Class of Securities) 58500P 10 7 - -------------------------------------------------------------------------------- (CUSIP Number) DECEMBER 31, 2003 - -------------------------------------------------------------------------------- (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) CUSIP No. 58500P 10 7 13G Page 2 of 7 Pages ========= ====================================================================== 1 Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). ---------------------------------------------------------------------- Robert K. Lifton - --------- ---------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group* (a) [ ] (b) |X| - --------- ---------------------------------------------------------------------- 3 SEC Use Only - --------- ---------------------------------------------------------------------- 4 Citizenship or Place of Organization USA - ----------------- ----- -------------------------------------------------------- Number of 5 Sole Voting Power 3,050,978 shares of common stock Shares ----- -------------------------------------------------------- Beneficially 6 Shared Voting Power 925,491 shares of common stock Owned By ----- -------------------------------------------------------- Each 7 Sole Dispositive Power 3,050,978 shares of common stock Reporting ----- -------------------------------------------------------- Person 8 Shared Dispositive Power 925,491 shares of common stock With - --------- ---------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person 3,976,469 - --------- ---------------------------------------------------------------------- 10 Check if the Aggregate Amount in Row (9) Excludes Certain Shares* [ ] - --------- ---------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row (9) 15.26% of aggregate voting power - --------- ---------------------------------------------------------------------- 12 Type of Reporting Person* IN ========= ====================================================================== * SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No. 58500P 10 7 13G Page 3 of 7 Pages Item 1(a). Name of Issuer: Medis Technologies Ltd. ----------------------------------------------------------------- Item 1(b). Address of Issuer's Principal Executive Offices: 805 Third Avenue, New York, New York 10022 ----------------------------------------------------------------- Item 2(a). Name of Person Filing: Robert K. Lifton ----------------------------------------------------------------- Item 2(b). Address of Principal Business Office or, if none, Residence: 805 Third Avenue, New York, New York 10022 ----------------------------------------------------------------- Item 2(c). Citizenship: USA ----------------------------------------------------------------- Item 2(d). Title of Class of Securities: Common Stock ----------------------------------------------------------------- Item 2(e). CUSIP Number: 58500P 10 7 ----------------------------------------------------------------- CUSIP No. 58500P 10 7 13G Page 4 of 7 Pages Item 3. If this statement is filed pursuant to Rules 13D-1(b) or 13D-2(b) or (c), check whether the person filing is a: (a) [ ] Broker or dealer registered under Section 15 of the Exchange Act. (b) [ ] Bank as defined in Section 3(a)(6) of the Exchange Act. (c) [ ] Insurance company as defined in Section 3(a)(19) of the Exchange Act. (d) [ ] Investment company registered under Section 8 of the Investment Company Act. (e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E). (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F). (g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G). (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act. (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act. (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). CUSIP No. 58500P 10 7 13G Page 5 of 7 Pages Item 4. Ownership: (a) Amount Beneficially Owned: 3,976,469 shares of common stock*+ ------------------------------------------------------------ (b) Percent of Class: 15.26% of aggregate voting power ------------------------------------------------------------ (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote 3,050,978 shares of common stock*. ------------------------------------------------------- (ii) Shared power to vote or to direct the vote 925,491 shares of common stock+. ------------------------------------------------------- (iii)Sole power to dispose or to direct the disposition of 3,050,978 shares of common stock*. ------------------------------------------------------- (iv) Shared power to dispose or to direct the disposition of 925,491 shares of common stock+. ------------------------------------------------------- - ---------- * Includes an aggregate of 568,550 shares of common stock underlying options granted pursuant to the Issuer's 1999 Stock Option Plan, as amended, and an aggregate of 184,762 shares of common stock underlying warrants granted to Mr. Lifton, all of which are exercisable as of December 31, 2003 or exercisable within 60 days of December 31, 2003. + Includes an aggregate of 758,457 shares of common stock and 167,034 shares of common stock underlying warrants held by the Stanoff Corporation, of which Mr. Lifton is a beneficial owner. All of such warrants are exercisable as of December 31, 2003 or exercisable within 60 days of December 31, 2003. CUSIP No. 58500P 10 7 13G Page 6 of 7 Pages 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. Item 9. Notice of Dissolution of Group: Not Applicable. Item 10. Certification. Not Applicable. CUSIP No. 58500P 10 7 13G Page 7 of 7 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. February 19, 2004 ------------------------------------------- (Date) /s/ Robert K. Lifton ------------------------------------------- (Signature) Robert K. Lifton Chairman and Chief Executive Officer ------------------------------------------- (Name/Title) -----END PRIVACY-ENHANCED MESSAGE-----