-----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, A9pc3/n8mZyHdCvmCrp+7W832SD7PTDEKW40gsA2j1veYQdBZDUAldjqjGIebqqd 3CGLYVL4aeJ7dO0Oni8dQg== 0000737561-98-000012.txt : 19980220 0000737561-98-000012.hdr.sgml : 19980220 ACCESSION NUMBER: 0000737561-98-000012 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980219 SROS: NASD 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: 570784959 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-36925 FILM NUMBER: 98545399 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 SCHEDULE 13G SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 2) 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 589,128 Number of Shares 6. SHARED VOTING POWER 0 Beneficially Owned By 7. SOLE DISPOSITIVE POWER 589,128 Each Reporting Person With: 8. SHARED DISPOSITIVE POWER 0 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 589,128 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES / / 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 9.65 % 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. Items 1-3 and 5-10 are restated herein in compliance with Rule 101(a)(2)(ii) of Regulation S-T, but are not amended hereby. Item 1(a). Name of Issuer: UCI Medical Affiliates, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 1901 Main Street, Suite 1200, Mail Code 1105, Columbia, SC 29201 Item 2(a). Name of Person Filing: Marion Fletcher McFarland, III Item 2(b). Address of Principal Business Office, or, if None, Residence: 1901 Main Street, Suite 1200, Mail Code 1105, Columbia, SC 29201 Item 2(c). Citizenship: United States of America Item 2(d). Title of Class of Securities: Common Stock, Par Value $0.05 Per Share Item 2(e). CUSIP Number: 902633 10 6 Item 3. This statement on Schedule 13G is filed pursuant to Rule 13d-1(c) and not pursuant to Rule 13d-1(b) or Rule 13d-2(b). 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 589,128 shares of Common Stock. This amount includes 50,000 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, 1997, granted by the Company to Dr. McFarland. This amount does not include 156,675 shares of Common Stock that Dr. McFarland has the right to acquire pursuant to options that are not currently exercisable or exercisable within 60 days following December 31, 1997. (b) Percent of Class: 9.65 % (c) Number of shares of Common Stock as to which Marion Fletcher McFarland has: (i) sole power to vote or to direct the vote: 589,128 (ii) shared power to vote or to direct the vote: -0- (iii) sole power to dispose or to direct the disposition of: 589,128 (iv) shared power to dispose or to direct the disposition of: -0-" 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 / /. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certification. Not applicable. 13G 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. Marion Fletcher McFarland, III, M.D. Date: February 17, 1998 -----END PRIVACY-ENHANCED MESSAGE-----