-----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, M3rVpa+UpTTM07wukUjpldS9jdWE+iPUR5zM6cVzn4bAW6wtu0YOwasjW1QSPN+T SQ9lMRhRivx2Mr8aDqOh2Q== 0000939825-97-000002.txt : 19970728 0000939825-97-000002.hdr.sgml : 19970728 ACCESSION NUMBER: 0000939825-97-000002 CONFORMED SUBMISSION TYPE: SC 13G CONFIRMING COPY: PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970725 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH OUTCOMES MANAGEMENT INC CENTRAL INDEX KEY: 0000804157 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 411546471 STATE OF INCORPORATION: MN FISCAL YEAR END: 0228 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-39281 FILM NUMBER: 00000000 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: GREEBERG DANIEL CENTRAL INDEX KEY: 0000939825 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-EQUIPMENT RENTAL & LEASING, NEC [7359] STATE OF INCORPORATION: CA FISCAL YEAR END: 0531 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 6060 SEPULVEDA BLVD CITY: VAN NUYS STATE: CA ZIP: 91411 BUSINESS PHONE: 818-374-6161 MAIL ADDRESS: STREET 2: 6060 SEPULVEDA BLVD CITY: VAN NUYS STATE: CA ZIP: 91411 SC 13G 1 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. ____)* HEALTH OUTCOMES MANAGEMENT INC. ------------------------------------------------------ (Name of Issuer) Common Stock, $.01 Par Value Per Share ----------------------------------------------------------- (Title of Class of Securities) 42219F 10 5 ----------------------------------------------- (CUSIP Number) Check the following box if a fee is being paid with this statement [ ]. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) *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 ("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 1 of 3 2 CUSIP No. 42219F 10 5 13G Page 2 - --------------------------------------------------------------------------- NAME OF REPORTING PERSON 1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON DANIEL GREENBERG ###-##-#### - ---------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* A [ ] B [ ] - ---------------------------------------------------------------------------- SEC USE ONLY 3 - --------------------------------------------------------------------------- CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States - -------------------------------------------------------------------------- SOLE VOTING POWER NUMBER OF 5 510,000 SHARES --------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 NONE OWNED BY ---------------------------------------------- SOLE DISPOSITIVE POWER EACH 7 510,000 REPORTING ---------------------------------------------- SHARED DISPOSITIVE POWER PERSON 8 WITH NONE - --------------------------------------------------------------------------- AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 510,000 - --------------------------------------------------------------------------- CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10 - --------------------------------------------------------------------------- PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11 6.0% - --------------------------------------------------------------------------- TYPE OF REPORTING PERSON* 12 IN - --------------------------------------------------------------------------- 3 Item 1(a) Name of Issuer: Health Outcomes Management Inc. Item 1(b) Address of Issuer's Principal Executive Offices 2331 University Ave. SE Minneapolis, MN 55414 Item 2(a) Name of Person(s) Filing: Daniel Greenberg Item 2(b) Address of Principal Office, Or If None, Residence: 6060 Sepulveda Boulevard Van Nuys, California 91411-2512 Item 2(c) Citizenship: United States Item 2(d) Title of Class of Securities: Common Stock, $.01 par value per share Item 2(e) CUSIP Number: 42219F 10 5 Item 3 If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b), check whether the person filing is a: (a) [ ] Broker or Dealer registered under Section 15 of the Act (b) [ ] Bank as defined in Section 3(a)(6) of the Act. (c) [ ] Insurance Company as defined in section 3(a)(19) of the Act (d) [ ] Investment Company registered under section 8 of the Investment Company Act (e) [ ] Investment Adviser registered under section 203 of the Investment Advisers Act of 1940 (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund (g) [ ] Parent Holding Company, in accordance with Section 240.13d-1 (b) (1) (ii) (G). (h) [ ] Group in accordance with Section 240.13d- 1(b)(1)(ii)(H) Not Applicable Item 4 Ownership (a) Amount Beneficially Owned: 510,000 are owned by Daniel Greenberg. 4 (b) Percent of Class: Approximately 6.0% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 510,000 (ii) shared power to vote or to direct the vote: NONE (iii) sole power to dispose or to direct the disposition of: 510,000 (iv) shared power to dispose or to direct the disposition of: NONE Item (5) Ownership of Five Percent or Less of Class: Not Applicable 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 Signature After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in the statement is true, complete and correct. Date: July 24, 1997 Signature: /s/ Daniel Greenberg ---------------------------------- Name: Daniel Greenberg ---------------------------------- ATTENTION: INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT CONSTITUTE FEDERAL CRIMINAL VIOLATIONS (SEE 18 U.S.C. 1001). -----END PRIVACY-ENHANCED MESSAGE-----