0000919574-12-006150.txt : 20121114 0000919574-12-006150.hdr.sgml : 20121114 20121113190143 ACCESSION NUMBER: 0000919574-12-006150 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120930 FILED AS OF DATE: 20121114 DATE AS OF CHANGE: 20121113 EFFECTIVENESS DATE: 20121114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BROADWOOD CAPITAL INC CENTRAL INDEX KEY: 0001278387 IRS NUMBER: 000000000 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-13773 FILM NUMBER: 121200468 BUSINESS ADDRESS: STREET 1: C/O BROADWOOD CAPITALS INC STREET 2: 767 FIFTH AVENUE 5OTH FL CITY: NEW YORK STATE: NY ZIP: 10153 13F-HR 1 d1331788_13f-hr.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 13F FORM 13F Cover Page Report for the Calendar Year or Quarter Ended September 30, 2012 Check here if Amendment: | |; Amendment Number: This Amendment (Check only one): | | is a restatement |_| adds new holding entries. Institutional Manager Filing this Report: Name: Broadwood Capital, Inc. Address: 724 Fifth Avenue, 9th Floor New York, New York 10019 13F File Number: 028-13773 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables, are considered integral parts of this form. Person Signing this Report on Behalf of Reporting Manager: Name: Neal C. Bradsher Title: President Phone: 212-508-5735 Signature, Place and Date of Signing: /s/ Neal C. Bradsher New York, New York November 13, 2012 ----------------------- -------------------------- ---------------------- [Signature] [City, State] [Date] Report Type: (Check only one): [X] 13F HOLDINGS REPORT. (Check here if all holdings of this reporting manager are reported in this report). [_] 13F NOTICE. (Check here if no holdings reported are in this report, and all holdings are reported by other reporting managers(s).) [_] 13F COMBINATION REPORT. (Check here if a portion of the holdings for this reporting manager are reported in this report and a portion are reported by other reporting manager(s).) List of Other Managers Reporting for this Manager: NONE Form 13F SUMMARY PAGE Report Summary: Number of Other Included Managers: 1 Form 13F Information Table Entry Total: 9 Form 13F Information Table Value Total: $311,116 (in thousands) List of Other Included Managers: Provide a numbered list of the name(s) and Form 13F file number(s) of all institutional investment managers with respect to which this report is filed, other than the manager filing this report. No. Form 13F File Number Name 1. 028-13770 Broadwood Partners, L.P. ------------------------- --------------------------------------- FORM 13F INFORMATION TABLE September 30, 2012 COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8 TITLE VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY NAME OF ISSUER OF CLASS CUSIP (X1000) PRN AMT PRN CALL DISCRETION MANGRS SOLE SHARED NONE ALERE INC PERP PFD CONV SE 01449J204 12,729 62,747 SH Shared-Defined 1 62,747 BIOTIME INC COM 09066L105 34,765 8,277,392 SH Shared-Defined 1 8,277,392 MONSTER BEVERAGE CORP COM 611740101 88,612 1,639,136 SH Shared-Defined 1 1,639,136 MONSTER BEVERAGE CORP COM 611740101 29,306 542,100 PUT Shared-Defined 1 542,100 PALOMAR MED TECHNOLOGIES INC COM NEW 697529303 27,207 2,885,178 SH Shared-Defined 1 2,885,178 QUESTCOR PHARMACEUTICALS INC COM 74835Y101 66,098 3,578,660 SH Shared-Defined 1 3,578,660 SOLTA MED INC COM 83438K103 3,349 1,066,587 SH Shared-Defined 1 1,066,587 STAAR SURGICAL CO COM PAR $0.01 852312305 48,206 6,376,449 SH Shared-Defined 1 6,376,449 ZEBRA TECHNOLOGIES CORP CL A 989207105 844 22,500 SH Shared-Defined 1 22,500
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