-----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, HkZW3/nQIIPnEJwCK1ra+iESGT8k4UTXsb+jl1hnMwUoezsepCS9bwN6QhOaReom Inrp1jR4G8G1kTPrt9/irA== 0000950144-09-001371.txt : 20090217 0000950144-09-001371.hdr.sgml : 20090216 20090217160319 ACCESSION NUMBER: 0000950144-09-001371 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20090217 DATE AS OF CHANGE: 20090217 GROUP MEMBERS: ESTATE OF ROBERT SALEM FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Salem Judy CENTRAL INDEX KEY: 0001375828 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: BUSINESS PHONE: (203) 448-8817 MAIL ADDRESS: STREET 1: 15 EQUESTRIAN RIDGE CITY: NEWTOWN STATE: CT ZIP: 06470 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HOME DIAGNOSTICS INC CENTRAL INDEX KEY: 0000884909 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 222594392 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-82416 FILM NUMBER: 09613630 BUSINESS ADDRESS: STREET 1: 2400 NW 55TH COURT CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 BUSINESS PHONE: 9546779201 MAIL ADDRESS: STREET 1: 2400 NW 55TH COURT CITY: FORT LAUDERDALE STATE: FL ZIP: 33309 SC 13G/A 1 g17695jssc13gza.htm SC 13G/A SC 13G/A
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 2)*
Home Diagnostics, Inc.
 
(Name of Issuer)
Common Stock
 
(Title of Class of Securities)
437080104
 
(CUSIP Number)
December 31, 2008
 
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
          o Rule 13d-1 (b)
          o Rule 13d-1 (c)
          x Rule 13d-1 (d)
* 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 in 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 (the “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).
(Page 1 of 7 Pages)


 

                     
CUSIP No.
 
437080104 
  Page  
  of   

 

           
1   NAMES OF REPORTING PERSONS
   
  Estate of Robert Salem
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

  (a)   o
  (b)   o
     
3   SEC USE ONLY
   
   
     
4   CITIZENSHIP OR PLACE OF ORGANIZATION
   
  Connecticut
       
  5   SOLE VOTING POWER
     
NUMBER OF   None
       
SHARES 6   SHARED VOTING POWER
BENEFICIALLY    
OWNED BY   None
       
EACH 7   SOLE DISPOSITIVE POWER
REPORTING    
PERSON   None
       
WITH: 8   SHARED DISPOSITIVE POWER
     
    None
     
9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
  None
     
10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
  o
     
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
  N/A
     
12   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
  OO (Estate)

(Page 2 of 7 Pages)


 

                     
CUSIP No.
 
437080104 
  Page  
  of   

 

           
1   NAMES OF REPORTING PERSONS
   
  Judy Salem
     
2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

  (a)   o
  (b)   o
     
3   SEC USE ONLY
   
   
     
4   CITIZENSHIP OR PLACE OF ORGANIZATION
   
  United States
       
  5   SOLE VOTING POWER
     
NUMBER OF   2,201,386 shares of Common Stock
       
SHARES 6   SHARED VOTING POWER
BENEFICIALLY    
OWNED BY   None
       
EACH 7   SOLE DISPOSITIVE POWER
REPORTING    
PERSON   2,201,386 shares of Common Stock
       
WITH: 8   SHARED DISPOSITIVE POWER
     
    None
     
9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
   
  2,201,386 shares of Common Stock
     
10   CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)
   
  o
     
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
   
  12.6%
     
12   TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)
   
  IN

(Page 3 of 7 Pages)


 

     
   
 
Item 1(a).  
Name of Issuer:
   
 
   
Home Diagnostics, Inc.
   
 
   
 
Item 1(b).  
Address of Issuer’s Principal Executive Offices:
   
 
   
2400 NW 55th Court, Fort Lauderdale, FL 33309
   
 
Item 2(a).  
Name of Person Filing:
   
 
   
Estate of Robert Salem (the “Estate”) and Judy Salem, Executrix of the Estate; Judy Salem, Individually
   
 
   
 
Item 2(b).  
Address of Principal Business Office or, if None, Residence:
   
 
   
Estate: 437 Tee Shot Drive, Oxford, CT 06478
   
 
   
Judy Salem: 437 Tee Shot Drive, Oxford, CT 06478
   
 
Item 2(c).  
Citizenship:
   
 
   
Estate: Connecticut
   
 
   
Judy Salem: United States
   
 
   
 
Item 2(d).  
Title of Class of Securities:
   
 
   
Common Stock
   
 
Item 2(e).  
CUSIP Number:
   
 
   
437080104
   
 
Item 3.  
If This Statement is Filed Pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
             
    (a)   o  
Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o);
           
 
    (b)   o  
Bank as defined in Section 3 (a) (6) of the Act (15 U.S.C. 78c);
           
 
    (c)   o  
Insurance company as defined in Section 3 (a) (19) of the Act (15 U.S.C. 78c);
           
 
    (d)   o  
Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8);
           
 
    (e)   o  
An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);
           
 
    (f)   o  
An employee benefit plan or endowment fund in accordance with §240.13d-1(b) (1) (ii) (F);
(Page 4 of 7 Pages)

 


 

             
    (g)   o  
A parent holding company or control person in accordance with §240.13d-1(b) (ii)(G);
           
 
    (h)   o  
A savings association as defined in Section 3 (b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);
           
 
    (i)   o  
A church plan that is excluded from the definition of an investment company under Section 3 (c) (14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);
           
 
    (j)   o  
A non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J);
           
 
    (k)   o  
Group, in accordance with §240.13d-1(b)(1)(ii)(K).
           
 
    If filing as a non-U.S. institution in accordance with §240.13d-1(b)(1)(ii)(J), please specify the type of institution:                                            
           
 
        N/A
     
Item 4.  
Ownership.
         
    (a)  
Amount Beneficially Owned:
       
 
    Estate: None
       
 
    Judy Salem: 2,201,386 shares of Common Stock
       
 
    (b)  
Percent of Class:
       
 
    Estate: N/A
       
 
    Judy Salem: 12.6%
       
 
    This percentage is based upon 17,482,144 shares of Common Stock issued and outstanding as of November 5, 2008, as set forth in the Form 10-Q of the Company for the quarterly period ended September 30, 2008, filed with the Securities and Exchange Commission (the “Commission”) on November 10, 2008.
       
 
    (c)  
Number of shares as to which such person has:
             
        (i)  
sole power to vote or to direct the vote:
           
 
        Estate: None
           
 
        Judy Salem: 2,201,386 shares of Common Stock
           
 
        (ii)  
shared power to vote or direct the vote:
           
 
        Estate: None
           
 
        Judy Salem: None
(Page 5 of 7 Pages)

 


 

             
        (iii)  
sole power to dispose or to direct the disposition of:
           
 
        Estate: None
           
 
        Judy Salem: 2,201,386 shares of Common Stock
           
 
        (iv)  
shared power to dispose or to direct the disposition of:
           
 
        Estate: None
           
 
        Judy Salem: None
     
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 x.
In connection with the closing of the Estate, on November 20, 2008, all shares of Common Stock owned directly by the Estate (and indirectly by Judy Salem, as Executrix of the Estate) were transferred by the Estate to Ms. Salem individually. So, as of November 20, 2008, the Estate ceased to be the beneficial owner of any shares of Common Stock and Ms. Salem became the direct owner of the shares of Common Stock that previously were owned by her indirectly.
     
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 or Control Person.
   
 
   
N/A
   
 
Item 8.  
Identification and Classification of Members of the Group.
   
 
   
N/A
   
 
Item 9.  
Notice of Dissolution of Group.
   
 
   
N/A
   
 
Item 10.  
Certifications.
   
 
   
N/A
(Page 6 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.
         
     
Date: February 16, 2009  /s/ JUDY SALEM    
  Name:   Judy Salem, Individually   
     
 
Date: February 16, 2009  ESTATE OF ROBERT SALEM
 
 
  By:   /s/ JUDY SALEM    
    Name:   Judy Salem   
    Title:   Executrix   
 
(Page 7 of 7 Pages)

 

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