-----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, Ean/zoY6J0gz69/IbKS75ab+X8oNFRVorTR9zTP1DOcVFOy2zQekm39X5ANjUbci GYY7vE8bvIOOWSty4Kb+AQ== 0000904793-02-000006.txt : 20020719 0000904793-02-000006.hdr.sgml : 20020719 20020717160313 ACCESSION NUMBER: 0000904793-02-000006 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020717 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SPAN AMERICA MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000718924 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 570525804 STATE OF INCORPORATION: SC FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-37196 FILM NUMBER: 02704834 BUSINESS ADDRESS: STREET 1: 70 COMMERCE DR STREET 2: P O BOX 5231 CITY: GREENVILLE STATE: SC ZIP: 29615 BUSINESS PHONE: 8642888877 MAIL ADDRESS: STREET 1: 70 COMMERCE DR STREET 2: PO BOX 5231 CITY: GREENVILLE STATE: SC ZIP: 29606 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SANTA MONICA PARTNERS LP CENTRAL INDEX KEY: 0000904793 IRS NUMBER: 133100474 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 1865 PALMER AVENUE CITY: LARCHMONT STATE: NY ZIP: 10538 BUSINESS PHONE: 9148330875 MAIL ADDRESS: STREET 1: 1865 PALMER AVENUE CITY: LARCHMONT STATE: NY ZIP: 10538 SC 13D/A 1 spanamer.txt SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SPAN-AMERICA MEDICAL SYSTEMS,INC. CENTRAL INDEX KEY: STANDARD INDUSTRIAL CLASSIFICATION: IRS NUMBER: 57-0525804 STATE OF INCORPORATION: SC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: SEC FILE NUMBER: FILM NUMBER: BUSINESS ADDRESS: STREET 1: 70 COMMERCE CENTER STREET 2: CITY: GREENVILLE STATE: SC ZIP: 29615 BUSINESS PHONE: 864-288-8877 MAIL ADDRESS: STREET 1: 70 COMMERCE CENTER STREET 2: CITY: GREENVILLE STATE: SC ZIP: 29615 BUSINESS PHONE: 864-288-8877 E-MAIL ADDRESS: LJGSMP@AOL.COM APPLICANT IS A: FILER [X] INITIAL FILER IRS NUMBER: 13-3100474 TELEPHONE NUMBER: 914-833-0875 PERSON TO RECEIVE EDGAR INFORMATION, INQUIRIES & CODES: LAWRENCE J. GOLDSTEIN PERSON TO RECEIVE SEC ACCOUNT INFORMATION & BILLING INVOICES: LAWRENCE J. GOLDSTEIN SIGNATURE: LAWRENCE J. GOLDSTEIN POSITION OR TITLE: GENERAL PARTNER DATE: 07/17/02 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASINGTON, D.C. 20549 SCHEDULE 13D/A UNDER THE SECURITIES EXCHANGE ACT OF 1934 NAME OF ISSUER: SPAN-AMERICA MEDICAL SYSTEMS, INC. TITLE OF CLASS OF SECURITIES: COMMON STOCK, $1 PAR VALUE CUSIP NUMBER: 84639610 AUTHORIZED TO RECEIVE NOTICES & COMMUNICATIONS: LAWRENCE J. GOLDSTEIN 1865 PALMER AVENUE LARCHMONT, NY 10538 (914) 833-0875 DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT: JULY 17, 2002 - ---------------------------------------------------------------- CUSIP NUMBER: 846396109 - ---------------------------------------------------------------- 1. NAME OF REPORTING PERSONS. IRS IDENTIFICATION NUMBERS: SANTA MONICA PARTNERS LP 13-3100474 - ---------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP - ---------------------------------------------------------------- 3. SEC USE ONLY - ---------------------------------------------------------------- 4. SOURCE OF FUNDS: WC - ---------------------------------------------------------------- 5. CHECK IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED TO ITEMS 2(d) OR 2 (e) - ---------------------------------------------------------------- - -------------------------------------------- 6. CITIZONSHIP OR PLACE OF ORGANIZATION NEW YORK - ---------------------------------------------------------------- NUMBER OF 7. SOLE VOTING POWER SHARES 150,432 BENEFICIALLY ------------------------------------------------- OWNED BY 8. SHARE VOTING POWER EACH 0 REPORTING ------------------------------------------------- PERSON 9. SOLE DISPOSITIVE POWER 150,432 WITH ------------------------------------------------- 10. SHARED DISPOSITIVE POWER 0 - ---------------------------------------------------------------- 11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 150,432 - ---------------------------------------------------------------- 12. CHECK IF THE AFFREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES - ---------------------------------------------------------------- 13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 5.9% - ---------------------------------------------------------------- 14. TYPE OF REPORTING PERSON PN - ---------------------------------------------------------------- Item 1. Security and Issuer Common Stock, no par value, of Span-America Systems, Inc., which has its principal executive offices at 70 Commerce Center, Greenville, South Carolina 2951. This Statement on Schedule 13D/A (this "Statement") relates to Item 2. Identity and Background Santa Monica Partners, L.P.("Santa Monica"). Santa Monica is organized under the laws of New York, its principal business is investments and the address of its principal place of business and principal office is 1865 Palmer Avenue, Larchmont, New York 10538. Santa Monica has not during the last five years been convicted in a criminal proceeding and was not a party to a civil proceeding of a judicial or administrative body of competent jurisdiction as a result of which it was or is subject to a judgment, decree or final order enjoining future violations of or prohibiting or mandating activities subject to federal or state securities laws of finding any violation with respect to such laws. The following information is provided as to the sole General Partner of Santa Monica: (a) Lawrence J. Goldstein (b) 1865 Palmer Avenue, Larchmont, N.Y. 10538 (c) General Partner, Santa Monica Partners, Inc., 1865 Palmer Avenue, Larchmont, N.Y. 10538. (d) During the last five years, such person has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). (e) During the last five years, such person was not a party to a civil proceeding or a judicial or administrative body of competent jurisdiction as a result of which he was or is subject to a judgment, decree or final order enjoining future violations of, or prohibition or mandating activities subject to, Federal of State Securities laws or finding any violation with respect to such laws. (f) U.S. Citizenship. Item 3. Source and Amount of Funds or Other Consideration N/A Item 4. Purpose of the Transaction In the past sixty days the following trade(s) were made: 07/16/02 sold 1,000 shares @ $8.0018 per share. The purpose of Santa Monica's acquisition is to hold the shares for investment purposes. Santa Monica may from time to time purchase or sell additional shares. Item 5. Interest in Securities of the Issuer 150,432 shares 5.9%. Item 6. Contracts, Arrangements, Understandings or Relationship to Securities of the Issuer Neither Santa Monica nor Mr. Goldstein has any contract, arrangement, understanding or relationship with any other person with respect to any securities of the issuer, including, but not limited to the transfer or voting of any such securities, finder's fees, joint ventures, loan or option arrangements, puts or calls, guarantees or profits, loans division of profits or loss or the or the giving or withholding of proxies. Item 7. Material to be filed as Exhibits None. SIGNATURE After reasonable inquiry and to the best of my knowledge I certify that the information Set forth in this statement is correct. JULY 17, 2002 SANTA MONICA PARTNERS LP By: /s/ Lawrence J. Goldstein Lawrence J.Goldstein General Partner SCHEDULE I DIRECTORS AND EXECUTIVE OFFICERS OF SANTA MONICA PARTNERS LP -----END PRIVACY-ENHANCED MESSAGE-----