-----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, EfCFXie1wgCXYOYaKkRLQCqfYocdGYhr4apXzb5WcZwPYufLkNQZeMH4mNDI6ZH9 AsZT/UNIIIQuJJMgjQKpng== 0000912057-01-541068.txt : 20020412 0000912057-01-541068.hdr.sgml : 20020412 ACCESSION NUMBER: 0000912057-01-541068 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20011127 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDICALCV INC CENTRAL INDEX KEY: 0001144284 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 411717208 STATE OF INCORPORATION: MN FISCAL YEAR END: 0430 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-62263 FILM NUMBER: 1800219 BUSINESS ADDRESS: STREET 1: 9725 SOUTH ROBERT TRAIL CITY: INVER GROVE HEIGHTS STATE: MN ZIP: 55077 BUSINESS PHONE: 6514523000 MAIL ADDRESS: STREET 1: 9725 SOUTH ROBERT TRAIL CITY: INVER GROVE HEIGHTS STATE: MN ZIP: 55077 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: VIVES SALVADOR MERCE CENTRAL INDEX KEY: 0001162667 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: PLAZA AMERICA CITY: 5 VALENCIA STATE: U3 ZIP: 00000 BUSINESS PHONE: 01134963516642 MAIL ADDRESS: STREET 1: PLAZA AMERICA CITY: 5 VALENCIA STATE: U3 ZIP: 00000 SC 13G 1 a2064339zsc13g.txt SC 13G 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) (AMENDMENT NO. )(1) MedicalCV, Inc. - ------------------------------------------------------------------------------- (Name of Issuer) Common Stock - ------------------------------------------------------------------------------- (Title of Class of Securities) 584639 10 8 - ------------------------------------------------------------------------------- (CUSIP Number) November 20, 2001 - ------------------------------------------------------------------------------- (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) - -------- (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 on the remainder of the 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). CUSIP No. 584639 10 8 13G Page 2 of 4 Pages ----------- - ------------------------------------------------------------------------------- (1) Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). SALVADOR MERCE VIVES - ------------------------------------------------------------------------------- (2) Check the Appropriate Box if a Member (a) / / of a Group (See Instructions) (b) / / - ------------------------------------------------------------------------------- (3) SEC Use Only - ------------------------------------------------------------------------------- (4) Citizenship or Place of Organization SPAIN - ------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power Beneficially 503,020 Owned by -------------------------------------------------- Each Reporting (6) Shared Voting Power Person With: 16,212* -------------------------------------------------- (7) Sole Dispositive Power 503,020 -------------------------------------------------- (8) Shared Dispositive Power 16,212* - ------------------------------------------------------------------------------- (9) Aggregate Amount Beneficially Owned by Each Reporting Person 519,232 - ------------------------------------------------------------------------------- (10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) / / - ------------------------------------------------------------------------------- (11) Percent of Class Represented by Amount in Row (9) 6.6% - ------------------------------------------------------------------------------- (12) Type of Reporting Person (See Instructions) IN - ------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! * Represents shares owned by Merce V. Electromedicina, S.L., which Mr. Merce Vives founded. ITEM 1 (a) NAME OF ISSUER: MedicalCV, Inc. ITEM 1 (b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 9725 South Robert Trail Inver Grove Heights, Minnesota 55077 ITEM 2 (a) NAME OF PERSON FILING: Salvadore Merce Vives ITEM 2 (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: Plaza America, 5 Valencia, Spain ITEM 2 (c) CITIZENSHIP: Spain ITEM 2(d) TITLE OF CLASS OF SECURITIES: Common Stock, $0.01 par value ITEM 2 (e) CUSIP NUMBER: 584639 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 IS FILING AS A: Not applicable ITEM 4 OWNERSHIP: (a) Amount beneficially owned: 519,232 (b) Percent of class: 6.6% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 503,020 (ii) Shared power to vote or to direct the vote 16,212 (iii) Sole power to dispose or to direct the disposition of 503,020 (iv) Shared power to dispose or to direct the disposition of 16,212 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 3 ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY OR CONTROL PERSON. 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 CERTIFICATIONS. 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. November 20, 2001 ----------------------------- (Date) /s/ Salvador Merce Vives ----------------------------- (Signature) Salvador Merce Vives Founder Merce V. Electromedicina, S.L. ----------------------------- (Name/Title) 4 -----END PRIVACY-ENHANCED MESSAGE-----