-----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, QZXcPouIDNxn+Hq99VLwYSpbTvAFmFzvfYFiPiBSVqMNpoPSJ1MwSW6vTpJCs1Rj GFtq3ERpVXkYp2IvZ3k/Mg== 0000897069-00-000073.txt : 20000215 0000897069-00-000073.hdr.sgml : 20000215 ACCESSION NUMBER: 0000897069-00-000073 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: LASERSIGHT INC /DE CENTRAL INDEX KEY: 0000879301 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 650273162 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-46828 FILM NUMBER: 539895 BUSINESS ADDRESS: STREET 1: 3300 UNIVERSITY BLVD STREET 2: SUITE 140 CITY: WINTER PARK STATE: FL ZIP: 32792 BUSINESS PHONE: 4076789900 MAIL ADDRESS: STREET 1: 3300 UNIVERSITY BLVD STREET 2: SUITE 140 CITY: WINTER PARK STATE: FL ZIP: 32792 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CORNELIUSON WILLIAM D CENTRAL INDEX KEY: 0000918224 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 777 EAST WISCONSIN AVENUE SUITE 3020 CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 414-291-7400 MAIL ADDRESS: STREET 2: 777 EAST WISCONSIN AVENUE, SUITE 3020 CITY: MILWAUKEE STATE: WI ZIP: 53202 SC 13G/A 1 SCHEDULE 13G AMENDMENT SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* LASERSIGHT INCORPORATED - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.001 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 517924106 ------------------------------------------------------------ (CUSIP Number) December 31, 1999 - -------------------------------------------------------------------------------- (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 disclosures provided in a prior cover page. The information required on 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). (Continued on following page(s)) Page 1 of 6 Pages - --------------------------------- --------------------------- CUSIP No. 517924106 Page 2 of 6 Pages - --------------------------------- --------------------------- ========= ====================================================================== 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON William D. Corneliuson (###-##-####) ========= ====================================================================== 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 ======================= ====== ================================================= 5 NUMBER OF SOLE VOTING POWER 447,500 SHARES ====== ================================================= 6 SHARED VOTING POWER BENEFICIALLY 0 OWNED BY ====== ================================================= 7 SOLE DISPOSITIVE POWER EACH 447,500 REPORTING ====== ================================================= 8 SHARED DISPOSITIVE POWER PERSON 0 WITH ========= ====================================================================== 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 447,500 ========= ====================================================================== 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] ========= ====================================================================== 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 2.5% ========= ====================================================================== 12 TYPE OF REPORTING PERSON* IN ========= ====================================================================== *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. ================================================================================ - --------------------------------- --------------------------- CUSIP No. 517924106 Page 3 of 6 Pages - --------------------------------- --------------------------- Item 1(a). Name of Issuer: Lasersight Incorporated Item 1(b). Address of Issuer's Principal Executive Offices: 3300 University Boulevard, Suite 104 Orlando, Florida 32792 Item 2(a). Name of Person Filing: William D. Corneliuson Item 2(b). Address of Principal Business Office or, if none, Residence: 777 East Wisconsin Avenue Suite 3020 Milwaukee, Wisconsin 53202 Item 2(c). Citizenship: United States Item 2(d). Title of Class or Securities: Common Stock, $.001 par value Item 2(e). CUSIP Number: 517924106 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: Not applicable - --------------------------------- --------------------------- CUSIP No. 517924106 Page 4 of 6 Pages - --------------------------------- --------------------------- Item 4. Ownership: (a) Amount Beneficially Owned: 447,500 (b) Percent of Class: 2.5% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 447,500* (ii) shared power to vote or to direct the vote: 0 (iii) sole power to dispose or to direct the disposition of: 447,500* (iv) shared power to dispose or to direct the disposition of: 0 - --------------- * Includes warrants to acquire 30,000 shares of Common Stock. Item 5. Ownership of Five Percent or Less of a Class. |X| 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 - --------------------------------- --------------------------- CUSIP No. 517924106 Page 5 of 6 Pages - --------------------------------- --------------------------- Item 8. Identification and Classification of Members of the Group. Not applicable Item 9. Notice of Dissolution of Group. Not applicable Item 10. Certification. (a) Not applicable (b) 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. Page 6 of 6 Pages 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. February 14, 2000 /s/ William D. Corneliuson Date ---------------------------- [Signature] [Name/Title] William D. Corneliuson ---------------------------- -----END PRIVACY-ENHANCED MESSAGE-----