0001193125-05-032789.txt : 20120703 0001193125-05-032789.hdr.sgml : 20120703 20050218124843 ACCESSION NUMBER: 0001193125-05-032789 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20050218 DATE AS OF CHANGE: 20050218 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: Lifeline Systems, Inc. CENTRAL INDEX KEY: 0001302676 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 201591429 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-80552 FILM NUMBER: 05626508 BUSINESS ADDRESS: STREET 1: 111 LAWRENCE STREET CITY: FRAMINGHAM STATE: MA ZIP: 01702 BUSINESS PHONE: 508-988-1000 MAIL ADDRESS: STREET 1: 111 LAWRENCE STREET CITY: FRAMINGHAM STATE: MA ZIP: 01702 FORMER COMPANY: FORMER CONFORMED NAME: Lifeline Holdings, Inc. DATE OF NAME CHANGE: 20040909 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SHAPIRO L DENNIS CENTRAL INDEX KEY: 0000903404 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: BUSINESS PHONE: 617-277-6886 MAIL ADDRESS: STREET 1: 24 ESSEX ROAD CITY: CHESTNUT HILL STATE: MA ZIP: 02167 SC 13G/A 1 dsc13ga.htm AMENDMENT NO. 14 TO SCHEDULE 13G Amendment No. 14 to Schedule 13G

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

(Rule 13d-102)

 

Under the Exchange Act of 1934

(Amendment No. 14)

 

 

 

LIFELINE SYSTEMS, INC.

(Name of Issuer)

 

Common Stock, $.02 par value

(Title of Class of Securities)

 

 

532192 10 1

                                (CUSIP Number)                                

 

December 31, 2004

(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)

 

 

CUSIP No. 532192 10 1

   13G   Page 1 of 6 Pages

 

 

  1.  

NAMES OF REPORTING PERSONS

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

 

            L. Dennis Shapiro

    
  2.  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)  ¨

(b)  x

    
  3.  

SEC USE ONLY

 

    
  4.  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

            United States

    

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

  

  5.    SOLE VOTING POWER

 

                901,453 (beneficial interest disclaimed in 8,248)

  6.    SHARED VOTING POWER

 

                448,088 (beneficial interest disclaimed in 448,088)

  7.    SOLE DISPOSITIVE POWER

 

                901,453 (beneficial interest disclaimed in 8,248)

  8.    SHARED DISPOSITIVE POWER

 

                448,088 (beneficial interest disclaimed in 448,088)

  9.  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

            1,349,541

    
10.  

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

 

  

¨

 

11.  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

            9.7%

    
12.  

TYPE OF REPORTING PERSON

 

            IN

    

 

 

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AMENDMENT NO. 14 TO SCHEDULE 13G

 

Item 1

  

(a).

    Name of Issuer:          
         Lifeline Systems, Inc.          

Item 1

  

(b).

    Address of Issuer’s Principal Executive Offices:          
         111 Lawrence Street          
         Framingham, MA 01702-8156          

Item 2

  

(a).

    Name of Person Filing:          
         L. Dennis Shapiro          

Item 2

  

(b).

    Address of Residence:          
         24 Essex Road          
         Chestnut Hill, MA 02467          

Item 2

  

(c).

    Citizenship:          
         United States          

Item 2

  

(d).

    Title of Class of Securities:          
         Common Stock, Par Value $.02          

Item 2

  

(e).

    CUSIP Number:          
         532192 10 1          

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:     
    This item is not applicable     

 

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Item 4.

    Ownership:          
     a.    Amount beneficially owned as of December 31, 2004: 1,349,541 shares, except as this amount may be limited by the explanations contained in paragraphs 2 through 5 below:          
          1.    893,205 shares are owned directly by Mr. Shapiro (includes 48,001 shares which Mr. Shapiro had the right to acquire within sixty days of December 31, 2004).          
          2.    8,248 shares are in the name of Mr. Shapiro as custodian for his children. Mr. Shapiro has sole voting and dispositive power over such shares, but he disclaims any beneficial interest.          
          3.    53,714 shares are in the name of Mr. Shapiro’s children. Mr. Shapiro has shared voting and shared dispositive power over such shares, but he disclaims any beneficial interest.          
          4.    71,624 shares are held by Mr. Shapiro’s wife. Mr. Shapiro has shared voting and shared dispositive power over such shares, but he disclaims any beneficial interest.          
          5.    322,750 shares are held in various trusts of which Mr. Shapiro and/ or his wife are trustees for various family members. Mr. Shapiro has shared voting and shared dispositive power over such shares, but he disclaims any beneficial interest.          
     b.    Percent of class: 9.7%
     c.    Number of shares as to which such person has:
          (i)    sole power to vote or direct the vote: 901,453 shares (which includes 48,001 shares which Mr. Shapiro has the right to acquire within sixty days after December 31, 2004);          
          (ii)    shared power to vote or direct the vote: 448,088 shares;          
          (iii)    sole power to dispose of or to direct the disposition of: 901,453 shares (which includes 48,001 shares which Mr. Shapiro has the right to acquire within sixty days after December 31, 2004); and          
          (iv)    shared power to dispose of or to direct the disposition of: 448,088 shares.          

Item 5.

    Ownership of Five Percent or Less of a Class:     
     This Item is inapplicable.     

 

- 4 -

Item 6.

    Ownership of More than Five Percent on Behalf of Another Person:          
     Mr. Shapiro holds 8,248 shares as custodian for his children. These children have the right to receive any dividends which may be declared and any proceeds from the sale of these securities.          
     Mr. Shapiro’s children own 53,714 shares and have the right to receive any dividends which may be declared and any proceeds from the sale of these securities.          
     Mr. Shapiro’s wife owns 71,624 shares and has the right to receive any dividends which may be declared and any proceeds from the sale of these securities.          
     Mr. Shapiro and/or his wife hold 322,750 shares as trustees of various trusts for various family members. The trusts, in which Mr. Shapiro holds no interest, have the right to receive any dividends which may be declared and any proceeds from the sale of these securities.          

Item 7.

    Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company or Control Person:
     This Item is inapplicable.

Item 8.

    Identification and Classification of Members of the Group:          
     This Item is inapplicable.          

Item 9.

    Notice of Dissolution of Group:          
     This Item is inapplicable.          

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.          

 

- 5 -

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.

 

/s/ L. Dennis Shapiro

L. Dennis Shapiro

 

Dated: February 18, 2005

 

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