-----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, WfrHVT0hYsFS1kDWWPFMXB0s5knagVjn1ot1s2qxLV8PWTmBQftGQ90qVrKM8Ber VrDzbriz4s/uybVcvZ1Hkg== 0000914190-98-000086.txt : 19980218 0000914190-98-000086.hdr.sgml : 19980218 ACCESSION NUMBER: 0000914190-98-000086 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980217 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH FITNESS PHYSICAL THERAPY INC CENTRAL INDEX KEY: 0000886432 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 411580506 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-46567 FILM NUMBER: 98541033 BUSINESS ADDRESS: STREET 1: 3500 W 80TH ST STREET 2: STE 130 CITY: BLOOMINGTON STATE: MN ZIP: 55431 BUSINESS PHONE: 6128316830 MAIL ADDRESS: STREET 2: 3500 WEST 80TH STREET CITY: BLOOMINGTON STATE: MN ZIP: 55431 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BRINK LOREN S CENTRAL INDEX KEY: 0001008558 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 3500 WEST 80TH STREET STREET 2: SUITE 130 CITY: BLOOMINGTON STATE: MN ZIP: 55431 SC 13G 1 SCHEDULE 13G FOR LOREN S. BRINK SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 2)* Health Fitness Corporation - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 42217V 10 2 ---------------------------------------------------- (CUSIP Number) *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 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 4 Pages SCHEDULE 13G - -------------------------------------------------------------------------------- CUSIP No. 42217V 10 2 Page 2 of 4 Pages - -------------------------------------------------------------------------------- - ------------- ------------------------------------------------------------------ 1 NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Loren S. Brink - ------------- ------------------------------------------------------------------ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------- ------------------------------------------------------------------ 3 SEC USE ONLY - ------------- ------------------------------------------------------------------ 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. - ------------- ------------------------------------------------------------------ NUMBER OF 5 SOLE VOTING POWER SHARES 844,033 (includes 83,333 shares which may be BENEFICIALLY purchased upon exercise of options which OWNED BY are exercisable currently or within 60 days) EACH REPORTING PERSON WITH --------- ------------------------------------------------- 6 SHARED VOTING POWER 0 --------- ------------------------------------------------- 7 SOLE DISPOSITIVE POWER 844,033 (includes 83,333 shares which may be purchased upon exercise of options which are exercisable currently or within 60 days) --------- ------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - ------------- ------------------------------------------------------------------ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 844,033 (includes 83,333 shares which may be purchased upon exercise of options which are exercisable currently or within 60 days) - ------------- ------------------------------------------------------------------ 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - ------------- ------------------------------------------------------------------ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 10.3% - ------------- ------------------------------------------------------------------ 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - ------------- ------------------------------------------------------------------ Item 1(a) Name of Issuer: Health Fitness Corporation Item 1(b) Address of Issuer's Principal Executive Offices: 3500 W. 80th Street Minneapolis, MN 55401 Item 2(a) Name of Person Filing: See Cover Page Item 1 Item 2(b) Address of Principal Business Office or, if none, residence: 3500 W. 80th Street Minneapolis, MN 55401 Item 2(c) Citizenship: See Cover Page Item 4 Item 2(d) Title of Class of Securities: Common Stock, $.01 par value Item 2(e) CUSIP No.: See Cover Page Item 3 Statement Filed Pursuant to Rules 13d-1(b) or 13d-2(b): Not applicable Item 4(a) Amount Beneficially Owned: See Cover Page Item 9 Item 4(b) Percent of Class: See Cover Page Item 11 Item 4(c) Number of Shares as to Which Such Person Has: (i) sole power to vote or to direct the vote: See Cover Page Item 5 (ii) shared power to vote or to direct the vote: See Cover Page Item 6 (iii) sole power to dispose or to direct the disposition of: See Cover Page Item 7 (iv) shared power to dispose or to direct the disposition of: See Cover Page Item 8 Item 5 Ownership of Five Percent or Less of a 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 Item 10 Certification: Not applicable 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 as of December 31, 1997. Dated: February 13, 1998 /s/ Loren S. Brink Loren S. Brink -----END PRIVACY-ENHANCED MESSAGE-----