-----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, CjkjYiqimswKSJsBOzYIoK8XHMLmooP2Em3J+H4jnJ62gYXzDbBi0h7wLiP33yl1 rq5tPPfOGcYHjlMxJhgneg== /in/edgar/work/20000918/0000891092-00-000834/0000891092-00-000834.txt : 20000923 0000891092-00-000834.hdr.sgml : 20000923 ACCESSION NUMBER: 0000891092-00-000834 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000918 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH OUTCOMES MANAGEMENT INC CENTRAL INDEX KEY: 0000804157 STANDARD INDUSTRIAL CLASSIFICATION: [7372 ] IRS NUMBER: 411546471 STATE OF INCORPORATION: MN FISCAL YEAR END: 0228 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-39281 FILM NUMBER: 724430 BUSINESS ADDRESS: STREET 1: 2331 UNIVERSITY AVE SE CITY: MINNEAPOLIS STATE: MN ZIP: 55414 BUSINESS PHONE: 6123783053 MAIL ADDRESS: STREET 1: 2331 UNIVERSITY AVENUE SE CITY: MINNEAPOLIS STATE: MN ZIP: 55414 FORMER COMPANY: FORMER CONFORMED NAME: DATA MED CLINICAL SUPPORT SERVICES INC /MN/ DATE OF NAME CHANGE: 19920703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PESSIN NORMAN H CENTRAL INDEX KEY: 0000923666 STANDARD INDUSTRIAL CLASSIFICATION: [ ] FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: C/O NEUBERGER & BERMAN LLC STREET 2: 605 THIRD AVE CITY: NEW YORK STATE: NY ZIP: 10158 BUSINESS PHONE: 2124765654 MAIL ADDRESS: STREET 1: C/O NEUBERGER & BERMAN LLC STREET 2: 605 THIRD AVE CITY: NEW YORK STATE: NY ZIP: 10158 SC 13D 1 0001.txt SCHEDULE 13D UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No......... )* Health Outcomes Management Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 42219F105 ---------------------------------------------------- (CUSIP Number) Norman H. Pessin, 605 Third Ave., 19th Floor, New York, NY 10158 (tel: 212-476-5654) - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) 8/21/98 ---------------------------------------------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of the Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ]. Check the following box if a fee is being paid with the statement [ ]. (A fee is not required only if the reporting person: (has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.)(See Rule 13d-7). - -------------------------------------------------------------------------------- Note: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13-d(a) for other parties to whom copies are to be sent. *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 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 putpose of Section 18 of the Securities Exchange Act of 1934 ("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 2 of 5 Pages - -------------------------------------------------------------------------------- 1) Names of Reporting Persons, S.S or I.R.S. Identification Nos of Above Persons: Norman H. Pessin IRA Rollover F/B/O Norman H. Pessin - -------------------------------------------------------------------------------- 2) Check the Appropriate Box if a Member of a Group (See Instructions) (a) N/A (b) - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Source of Funds (See Instructions) PF - -------------------------------------------------------------------------------- 5) Check if Disclosure of Legal Proceedings is Required Pursuant to Item 2(d) of 2(e) [ ] - -------------------------------------------------------------------------------- 6) Citizenship or Place of Organization: USA - -------------------------------------------------------------------------------- Number of 7) Sole Voting Power: 670,000 Shares 375,000 Beneficially -------------------------------------------------------- owned by each 8) Shared Voting Power: ------------ Reporting Person -------------------------------------------------------- with 8) 9)Sole Dispositive Power: 670,000 375,000 ------------------------------------------------------- 10) Shared Dispositive Power: ------------ - -------------------------------------------------------------------------------- 11) Aggregate Amount Beneficially Owned by Each Reporting Person 1,045,000 - -------------------------------------------------------------------------------- 12) Check if the Aggregate Amount in Row (11) Excludes certain shares: N/A - -------------------------------------------------------------------------------- 13) Percent of Class Represented by Amount in Row (11): 11.77% - -------------------------------------------------------------------------------- 14) Type of Reporting Person (See Instructions): IN - -------------------------------------------------------------------------------- Page 3 of 5 Pages ITEM 1: IDENTITY AND BACKROUND (a) Norman H. Pessin (b) Norman H. Pessin, 605 Third Ave., 19th Floor, New York, NY 10158 (c) Retired (d) None (e) None (f) USA ITEM 3: SOURCE AND AMOUNT OF FUNDS A total of 670,000 shares were purchased with $374,206 of personal funds by Mr. Pessin. A total of 375,000 shares were purchased for $46,875 with funds in the IRA Rollover Account F/B/O Norman Pessin. ITEM 4: PURPOSE OF TRANSACTION The shares were purchased for investment. The filer reserves the right to seek changes in the management of the issuer in the future or in its business. No such plans currently exist. ITEM 5: INTEREST IN SECURITIES OF THE ISSUER Norman H. Pessin personally owns 670,000 shares of the Issuer's Common Stock, constituting 7.55% thereof. (a) The IRA Rollover Account beneficially owns 375,000 or 4.22% of the outstanding shares of Common Stock of the issuer. (b) Norman Pessin has sole power of disposition over 670,000 shares and sole power to vote the 670,000 shares. The IRA Rollover Account has sole power of disposition over the 375,000 shares and sole power to vote the 375,000 shares. (c) Norman Pessin purchased the 670,000 shares from December 22, 1997 through January 13, 2000 at various prices. The IRA Rollover Account F/B/O Norman Pessin purchased the 375,000 shares on August 1, 2000, August 7, 2000 and August 9, 2000 for a total purchase price of $46,875. (d) Not Applicable (e) Not Applicable Page 4 of 5 Pages ITEM 6: CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO THE SECURITIES OF THE ISSUER. N/A ITEM 7. MATERIAL TO BE FILED AS EXHIBITS N/A 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. Signature: /s/ Norman H. Pessin -------------------- Norman Pessin IRA ROLLOVER ACCOUNT F/B/O NORMAN PESSIN By: Norman H. Pessin ----------------- Norman Pessin August , 2000 Norman Pessin Norman Pessin - ---------------------------- Name/Title -----END PRIVACY-ENHANCED MESSAGE-----