-----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, MYc9uTaMwSKoLudyMUnY7ubNss366exSR8iXbZHzqhMwljm05omiERnJa6rrZyeO hrvKp67KTJmIq28nJRTQIg== 0000927016-01-000180.txt : 20010123 0000927016-01-000180.hdr.sgml : 20010123 ACCESSION NUMBER: 0000927016-01-000180 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010119 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LIFELINE SYSTEMS INC CENTRAL INDEX KEY: 0000720195 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 042537528 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-35787 FILM NUMBER: 1511610 BUSINESS ADDRESS: STREET 1: 111 LAWRENCE ST CITY: FRAMINGHAM STATE: MA ZIP: 02139 BUSINESS PHONE: 6176791000 MAIL ADDRESS: STREET 1: 111 LAWRENCE ST CITY: FRAMINGHAM STATE: MA ZIP: 02139 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SHAPIRO L DENNIS CENTRAL INDEX KEY: 0000903404 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 24 ESSEX ROAD CITY: CHESTNUT HILL STATE: MA ZIP: 02167 BUSINESS PHONE: 617-277-6886 MAIL ADDRESS: STREET 1: 24 ESSEX ROAD CITY: CHESTNUT HILL STATE: MA ZIP: 02167 SC 13G 1 0001.txt SCHEDULE 13G UNITED STATES 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. 9)* LIFELINE SYSTEMS, INC. ----------------------- (Name of Issuer) Common Stock, $.02 par value ----------------------- (Title of Class of Securities) 532192 10 1 ---------------- (CUSIP Number) December 31, 2000 ------------------------------------------------ (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) *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). CUSIP No. 532192 10 1 13G Page 1 of 5 Pages - -------------------------------------------------------------------------------- NAME OF REPORTING PERSONS 1. I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) L. Dennis Shapiro - -------------------------------------------------------------------------------- CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP 2. (a) [_] (b) [X] - ------------------------------------------------------------------------------ SEC USE ONLY 3. - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4. United States - ------------------------------------------------------------------------------ SOLE VOTING POWER 5. NUMBER OF 581,099 (beneficial interest disclaimed in 4,124) SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6. 130,734 (beneficial interest disclaimed in 130,734) OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7. REPORTING 581,099 (beneficial interest disclaimed in 4,124) PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8. 130,734 (beneficial interest disclaimed in 130,734) - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9. 576,975 - ------------------------------------------------------------------------------ CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10. [X] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11. 9.6% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON 12. IN - ------------------------------------------------------------------------------ -2- AMENDMENT NO. 9 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: (a) [_] Broker or dealer registered under Section 15 of the Exchange Act. (b) [_] Bank as defined in Section 3(a)(6) of the Exchange Act. (c) [_] Insurance company as defined in Section 3(a)(19) of the Exchange Act. -3- (d) [_] Investment company registered under Section 8 of the Investment Company Act. (e) [_] An investment advisor in accordance with Rule 13d- 1(b)(1)(ii)(E). (f) [_] An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F). (g) [_] A parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G). (h) [_] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act. (i) [_] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act. (j) [_] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). Item 4. Ownership: a. Amount beneficially owned as of December 31, 2000: 711,833 shares, except as this amount may be limited by the explanations contained in paragraphs 2 through 6 below: 1. 576,975 shares are owned directly by Mr. Shapiro (includes 3,000 shares which Mr. Shapiro had the right to acquire within sixty days of December 31, 2000). 2. 4,124 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. 17,062 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. 12,360 shares are in the name of Mr. Shapiro's wife, as custodian for their children. Mr. Shapiro has shared voting and shared dispositive power over such shares, but he disclaims any beneficial interest. 5. 66,000 shares are in the name of Mr. Shapiro's wife as a co- trustee of three trusts. Mr. Shapiro has shared voting and shared -4- dispositive power over such shares, but he disclaims any beneficial interest. 6. 35,312 shares are in the name of Mr. Shapiro's wife. Mr. Shapiro has shared voting and shared dispositive power over such shares, but he disclaims any beneficial interest. b. Percent of class: 9.6% c. Number of shares as to which such person has: (i) sole power to vote or direct the vote: 581,099 shares (which includes 3,000 shares which Mr. Shapiro has the right to acquire within sixty days after December 31, 2000); (ii) shared power to vote or direct the vote: 130,734 shares; (iii) sole power to dispose of or to direct the disposition of: 581,099 shares (which includes 3,000 shares which Mr. Shapiro has the right to acquire within sixty days after December 31, 2000); and (iv) shared power to dispose of or to direct the disposition of: 130,734 shares. Item 5. Ownership of Five Percent or Less of a Class: This Item is inapplicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person: Mr. Shapiro holds 4,124 shares as custodian for his children. Mr. Shapiro's wife holds 12,360 shares for their 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 wife holds 66,000 shares as a co-trustee of three trusts. 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. Mr. Shapiro's children own 17,062 shares and have the right to receive any dividends which may be declared and any proceeds from the sale of these securities. -5- Mr. Shapiro's wife owns 35,312 shares and has 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: 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. 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 Chairman of the Board Dated: January 16, 2001 -6- -----END PRIVACY-ENHANCED MESSAGE-----