-----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, UlzTTRW4IOqeH56m7nqNVydU1rHxB/yhPfnD3yK1wvadJrwhiYcVGbHD361FgpHh F5GtuZLIUgTV8x8mjZfHzQ== 0000737561-00-000004.txt : 20000211 0000737561-00-000004.hdr.sgml : 20000211 ACCESSION NUMBER: 0000737561-00-000004 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: UCI MEDICAL AFFILIATES INC CENTRAL INDEX KEY: 0000737561 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 592225346 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-36925 FILM NUMBER: 531386 BUSINESS ADDRESS: STREET 1: 1901 MAIN ST MAIL CODE 1105 STREET 2: STE 1200 CITY: COLUMBIA STATE: SC ZIP: 29201 BUSINESS PHONE: 8032523661 MAIL ADDRESS: STREET 1: 1901 MAIN ST MAIL CODE 1105 STREET 2: SUITE 1200 CITY: COLUMBIA STATE: SC ZIP: 29201 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MCFARLAND MARION F III MD CENTRAL INDEX KEY: 0000925431 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1901 MAIN ST #1200 (MAIL CODE 1105) STREET 2: C/O UCI MEDICAL AFFILIATES CITY: COLUMBIA STATE: SC ZIP: 29201 MAIL ADDRESS: STREET 1: C/O UCI MEDICAL AFFILIATES STREET 2: 1901 MAIN ST #1200 (MAIL CODE 1105) CITY: COLUMBIA STATE: SC ZIP: 29201 SC 13G/A 1 FORM 13G/A FOR MARION FLETCHER MCFARLAND, III, MD SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3) UCI MEDICAL AFFILIATES, INC. (Name of Issuer) Common Stock, Par Value $0.05 Per Share (Title of Class of Securities) 902633 10 6 (CUSIP Number) This amendment to Schedule 13G is being filed pursuant to Rule 101(a)(2)(ii) of Regulation S-T. (Continued on following pages.) CUSIP No.: 902633 10 6 13G --------------- 1. NAMES OF REPORTING PERSONS IRS IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Marion Fletcher McFarland, III 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) / / (b) 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION United States of America 5. SOLE VOTING POWER 681,294 Number of Shares 6. SHARED VOTING POWER 0 Beneficially Owned By 7. SOLE DISPOSITIVE POWER 681,294 Each Reporting Person With: 8. SHARED DISPOSITIVE POWER 0 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 681,294 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW(9)EXCLUDES CERTAIN SHARES/ / 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 6.95 % 12. TYPE OF REPORTING PERSON IN The statement on Schedule 13G ( the "Statement") filed on February 14, 1986 by Marion Fletcher McFarland, III with respect to the common stock, par value $0.05 per share (the "Common Stock"), of UCI Medical Affiliates, Inc. as amended, is hereby further amended by amendments to Item 4, Ownership. Item 4. Ownership. Items 4(a), (b), and (c) of the Statement are hereby amended by deleting the language contained under Items 4(a), (b), and (c) of the Statement and substituting in their place the following: "(a) Amount Beneficially Owned: Marion F. McFarland, III, M.D. has direct beneficial ownership of 681,294 shares of Common Stock. This amount includes 159,450 shares of Common Stock that Dr. McFarland has the right to acquire pursuant to currently exercisable options and options exercisable within 60 days following December 31, 1999, granted by the Company to Dr. McFarland. (b) Percent of Class: 6.95 % (c) Number of shares of Common Stock as to which Marion Fletcher McFarland has: (i)sole power to vote or to direct the vote: 681,294 (ii)shared power to vote or to direct the vote: -0- (iii)sole power to dispose or to direct the disposition of: 681,294 (iv) shared power to dispose or to direct the disposition of: -0-" 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/ Marion Fletcher McFarland,III, MD Marion Fletcher McFarland, III, M.D. Date: February 10, 2000 -----END PRIVACY-ENHANCED MESSAGE-----