-----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, GApk2jhYnuyjXMcih/KJXnFIjCL9Ez3O2pozuxwbi2egCo/wHQpVEPPembl3OaVn jM2JsOZPSCxukiVZ1IYnPA== 0001095811-00-000214.txt : 20000214 0001095811-00-000214.hdr.sgml : 20000214 ACCESSION NUMBER: 0001095811-00-000214 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WATER PIK TECHNOLOGIES INC CENTRAL INDEX KEY: 0001094286 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC HOUSEWARES & FANS [3634] IRS NUMBER: 251843384 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-57247 FILM NUMBER: 533972 BUSINESS ADDRESS: STREET 1: 660 NEWPORT CENTER DRIVE STREET 2: STE 470 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 9497193700 MAIL ADDRESS: STREET 1: 660 NEWPORT CENTER DRIVE CITY: NEWPORT BEACH STATE: CA ZIP: 92660 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SINGLETON CAROLINE W CENTRAL INDEX KEY: 0001093740 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 335 N MAPLE DR STREET 2: STE 177 CITY: BEVERLY HILLS STATE: CA ZIP: 90210 BUSINESS PHONE: 3102781177 MAIL ADDRESS: STREET 1: 335 N MAPLE DR STREET 2: STE 177 CITY: BEVERLY HILLS STATE: CA ZIP: 90210 SC 13G 1 SCHEDULE 13G FOR CAROLINE SINGLETON 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 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)(1) Water Pik Technologies, Inc. ---------------------------------------------------------------- (Name of Issuer) Common Stock ------------------------------------------------- (Title of Class of Securities) 94113U 10 0 ---------------------------------------------------------------- (CUSIP Number) November 29, 1999 ---------------------------------------------------------------- (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) [ X ] Rule 13d-1(c) [ ] Rule 13d-1(d) (Continued on following pages) Page 1 of 4 Pages - ---------- (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 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). 2 CUSIP No. 94113U 10 0 13G Page 2 of 4 Pages - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Caroline W. Singleton, Sole Trustee of the Singleton Family Trust, SS# ###-##-#### - ------------------------------------------------------------------------------- 2 CHECK APPROPRIATE BOX IF A MEMBER OF A GROUP* (A)[ ] (B)[ ] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZEN OR PLACE OF ORGANIZATION United States - ------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 699,966 BENEFICIALLY ---------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH 0 REPORTING ---------------------------------------------------------- PERSON WITH 7 SOLE DISPOSITIVE POWER 699,966 ---------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 699,966 - ------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] Not Applicable - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 7.5% of outstanding shares - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON IN - ------------------------------------------------------------------------------- 3 CUSIP No. 94113U 10 0 13G Page 3 of 4 Pages ITEM 1(a). NAME OF ISSUER. Water Pik Technologies, Inc. ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES. 660 Newport Beach Drive, Suite 420 Newport Beach, California 92660 ITEMS 2(a) NAME OF PERSON FILING; ADDRESS OF AND 2(b). PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE. Caroline W. Singleton Sole Trustee of the Singleton Family Trust 335 N. Maple Drive, Suite 177 Beverly Hills, California 90210 ITEM 2(c). CITIZENSHIP. I am a United States citizen. The Singleton Family Trust is a revocable trust administered under the laws of the State of California. ITEM 2(d). TITLE OF CLASS OF SECURITIES. Common Stock, $.01 par value per share. ITEM 2(e). CUSIP NUMBER. 94113U 10 0 ITEM 3. FILINGS PURSUANT TO RULES 13d-1(b) OR 13d-2(b): N/A. ITEM 4. OWNERSHIP. I am the sole trustee of the Singleton Family Trust. I have sole investment and dispositive powers with respect to the 699,966 shares (the "SHARES") of the common stock, $.01 par value per share (the "COMMON STOCK"), of Water Pik Technologies, Inc. (the "COMPANY") held by the Singleton Family Trust. The Shares represent 7.5% of the Company's outstanding shares of Common Stock as of November 29, 1999. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. N/A. 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. 4 CUSIP No. 94113U 10 0 13G Page 4 of 4 Pages 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 not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that 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. Dated: February 10, 2000 /s/ CAROLINE W. SINGLETON -------------------------------------------- Caroline W. Singleton, as Sole Trustee of the Singleton Family Trust -----END PRIVACY-ENHANCED MESSAGE-----