-----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, AYG92+AD1QUO1xpRrerUci+zeXuVLS1eIxqUr5tJ6j4Xri+vG+oynnW8nAD6gaDw fegXk4SCHrRE0iTts/LtTQ== 0001045969-02-000252.txt : 20020414 0001045969-02-000252.hdr.sgml : 20020414 ACCESSION NUMBER: 0001045969-02-000252 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020214 GROUP MEMBERS: RONALD E. EZERSKI FLITE TRUST 11/22/00 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PATTERSON DENTAL CO CENTRAL INDEX KEY: 0000891024 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 410886515 STATE OF INCORPORATION: MN FISCAL YEAR END: 0429 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-43812 FILM NUMBER: 02547842 BUSINESS ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 BUSINESS PHONE: 6126861600 MAIL ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: EZERSKI RONALD E CENTRAL INDEX KEY: 0000901714 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS ROAD CITY: ST PAUL STATE: MN ZIP: 55120 BUSINESS PHONE: 6126861776 MAIL ADDRESS: STREET 1: 1031 MENDOTA HEIGHT ROAD CITY: ST PAUL STATE: MN ZIP: 55120 SC 13G/A 1 dsc13ga.txt AMENDMENT NO. 9 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. 9 )1 Patterson Dental Company - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 703412 10 6 - -------------------------------------------------------------------------------- (CUSIP Number) December 31, 2001 - -------------------------------------------------------------------------------- (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) [ ] Rule 13d-1(c) [ ] Rule 13d-1(d) - ------------------ /1/ 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 (the "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). 13G CUSIP No. 703412 10 6 - -------------------------------------------------------------------------------- 1) Name of Reporting Persons I.R.S. Identification No. of Above Persons (Entities Only) Ronald E. Ezerski - -------------------------------------------------------------------------------- 2) Check the Appropriate Box if a Member of a Group* (a) [X] (b) [ ] - -------------------------------------------------------------------------------- 3) SEC Use only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization U.S.A. - -------------------------------------------------------------------------------- Number 5) Sole Voting Power of Shares 500 Beneficially -------------------------------------------------------------- Owned 6) Shared Voting Power by Each 2,798 Reporting -------------------------------------------------------------- Person 7) Sole Dispositive Power With 500 -------------------------------------------------------------- 8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 1,791,898 - -------------------------------------------------------------------------------- 10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* [ ] - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 2.6% - -------------------------------------------------------------------------------- 12) Type of Reporting Person* IN - -------------------------------------------------------------------------------- * See Instructions Before Filling Out Page 2 of 8 13G CUSIP No. 703412 10 6 - -------------------------------------------------------------------------------- 1) Name of Reporting Persons S.S. or I.R.S. Identification No. of Above Persons Ronald E. Ezerski Flite Trust dated November 22, 2000 - -------------------------------------------------------------------------------- 2) Check the Appropriate Box if a Member of a Group* (a) [X] (b) [ ] - -------------------------------------------------------------------------------- 3) SEC Use only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization -------------------- - -------------------------------------------------------------------------------- Number 5) Sole Voting Power of Shares 1,788,600 Beneficially -------------------------------------------------------------- Owned 6) Shared Voting Power by Each 0 Reporting -------------------------------------------------------------- Person 7) Sole Dispositive Power With 1,788,600 -------------------------------------------------------------- 8) Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 1,788,600 - -------------------------------------------------------------------------------- 10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* [ ] - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 2.6% - -------------------------------------------------------------------------------- 12) Type of Reporting Person* OO - -------------------------------------------------------------------------------- * See Instructions Before Filling Out Page 3 of 8 Item 1. (a) Name of Issuer: Patterson Dental Company (b) Address of Issuer's Principal Executive Office: 1031 Mendota Heights Road St. Paul, Minnesota 55120 Item 2. (a) Name of Person Filing: Ronald E. Ezerski ("Ezerski") Leslie D. Ezerski as trustee of the Ronald E. Ezerski Flite Trust dated November 22, 2000 ("Trust") (b) Address of Residence: Ezerski: 26531 Rookery Lake Drive, Bonita Springs, FL 34134 Trust: 26531 Rookery Lake Drive, Bonita Springs, FL 34134 (c) Citizenship: Ezerski: U.S.A. Trust: Florida (d) Title of Class of Securities: Common Stock, $.01 par value (e) CUSIP Number: 703412 10 6 Item 3. Not Applicable Item 4. Not Applicable Page 4 of 8 Item 5. As of the date hereof the reporting persons have ceased to be the beneficial owner of more than five percent of any class of securities of the issuer. Item 6. Not applicable Item 7. Not applicable Item 8. Not applicable Item 9. Not applicable Item 10. Not applicable Page 5 of 8 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. Dated: February 13, 2002 /s/ Ronald E. Ezerski -------------------------------------- Ronald E. Ezerski Page 6 of 8 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. Dated: February 13, 2002 RONALD E. EZERSKI FLITE TRUST DATED NOVEMBER 22, 2000 By /s/ Leslie D. Ezerski --------------------------------------- Leslie D. Ezerski Trustee Page 7 of 8 AGREEMENT TO FILE JOINT STATEMENT ON SCHEDULE 13G The undersigned hereby agree to file a joint statement on Schedule 13G on behalf of each of the undersigned pursuant to Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended. Dated: February 13, 2002 /s/ Ronald E. Ezerski ----------------------------------------- Ronald E. Ezerski Dated: February 13, 2002 RONALD E. EZERSKI FLITE TRUST DATED NOVEMBER 22, 2000 By /s/ Leslie D. Ezerski --------------------------------------- Leslie D. Ezerski Trustee Page 8 of 8 -----END PRIVACY-ENHANCED MESSAGE-----