-----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, H6sWdSZfrL6pzf9K+FXJJpZpFwV5GMEj5FImteDT6JDCOYTGbgAXYRJ58T+Qt0W3 LG8ys/hLfYn5zdsV7b5hvA== 0000936392-98-000122.txt : 19980209 0000936392-98-000122.hdr.sgml : 19980209 ACCESSION NUMBER: 0000936392-98-000122 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980206 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PLANET POLYMER TECHNOLOGIES INC CENTRAL INDEX KEY: 0000896861 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS, MATERIALS, SYNTH RESINS & NONVULCAN ELASTOMERS [2821] IRS NUMBER: 330502606 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: SEC FILE NUMBER: 005-49423 FILM NUMBER: 98524428 BUSINESS ADDRESS: STREET 1: 9985 BUSINESS PARK WAY STE A CITY: SAN DIEGO STATE: CA ZIP: 92131 BUSINESS PHONE: 6195495130 MAIL ADDRESS: STREET 1: 9985 BUSINESSPARK AVE STREET 2: STE A CITY: SAN DIEGO STATE: CA ZIP: 92131 FORMER COMPANY: FORMER CONFORMED NAME: PLANET POLYMER TECHNOLOGY INC DATE OF NAME CHANGE: 19950511 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PETCAVICH REBECCA A CENTRAL INDEX KEY: 0001010194 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 432250217 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 9985 BUSINESS PARK AVENUE STREET 2: SUITE A CITY: SAN DIEGO STATE: CA ZIP: 92131 BUSINESS PHONE: 6195495130 MAIL ADDRESS: STREET 1: 9985 BUSINESS PARK AVENUE STREET 2: SUITE A CITY: SAN DIEGO STATE: CA ZIP: 92131 SC 13D/A 1 AMENDMENT #2 TO SCHEDULE 13D 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 2) PLANET POLYMER TECHNOLOGIES, INC. - -------------------------------------------------------------------------------- (NAME OF ISSUER) COMMON STOCK - -------------------------------------------------------------------------------- (TITLE OF CLASS OF SECURITIES) 727044 10 9 - -------------------------------------------------------------------------------- (CUSIP NUMBER) REBECCA A. PETCAVICH 6832 TOWN VIEW LANE SAN DIEGO, CA 92120 (619) 582-1025 - -------------------------------------------------------------------------------- (NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON AUTHORIZED TO RECEIVE NOTICES AND COMMUNICATIONS) OCTOBER 30, 1997 - -------------------------------------------------------------------------------- (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 this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box |_|. (Continued on following pages) (Page 1 of 5 Pages) - ------------------------------------- ------------------------------------ CUSIP NO. 727044 10 9 13D Page 1 of 5 Pages - ------------------------------------- ------------------------------------ 2
- ----------- -------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Rebecca A. Petcavich - ----------- -------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_|(b) |_| - ----------- -------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ----------- -------------------------------------------------------------------------------------------------------- 4 SOURCE OF FUNDS (See Instructions) OO - ----------- -------------------------------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) |_| - ----------- -------------------------------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States - ----------------------------- --------- ---------------------------------------------------------------------------- NUMBER 7 SOLE VOTING POWER OF SHARES 743,599 BENEFICIALLY OWNED BY REPORTING PERSON WITH --------- ---------------------------------------------------------------------------- 8 SHARED VOTING POWER -0- --------- ---------------------------------------------------------------------------- 9 SOLE DISPOSITIVE POWER 743,599 --------- ---------------------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER -0- - ----------- -------------------------------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON: 743,599 ---------- -------------------------------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 11 EXCLUDES CERTAIN SHARES* |_| - ----------- -------------------------------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 11 14.02% - ----------- -------------------------------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN - ----------- --------------------------------------------------------------------------------------------------------
(Page 2 of 5 Pages) 3 ITEM 1. SECURITY AND ISSUER This Amendment No. 2 (the "Amendment") to the Schedule 13D dated as of November 29, 1995, and filed with the Securities and Exchange Commission on March 6, 1996, as amended on February 14, 1997, relates to the beneficial ownership of shares of the Common Stock (the "Common Stock") of Planet Polymer Technologies, Inc., a California corporation (the "Issuer"). The principal executive offices of the Issuer are located at 9985 Businesspark Avenue, Suite A, San Diego, CA 92131. This Amendment is being filed pursuant to Section 13(d)(2) of the Securities Exchange Act of 1934, as amended, and Rule 13d-2 thereunder to disclose the decrease in beneficial ownership by 121,000 shares of Common Stock pursuant to the cancellation of an option to purchase 121,000 shares of Common Stock. ITEM 2. IDENTITY AND BACKGROUND (A) Rebecca A. Petcavich (B) 6832 Town View Lane San Diego, CA 92120 (C) Student San Diego State University San Diego, CA (D) Not Applicable (E) Not Applicable (F) United States ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION A decrease in the beneficial ownership of 121,000 shares of Common Stock was caused by the cancellation of a Nonstatutory Stock Option to purchase 121,000 shares of Common Stock at an exercise price of $8.938 per share. Such option was cancelled on October 30, 1997. (Page 3 of 5 Pages) 4 ITEM 4. PURPOSE OF THE TRANSACTION Decreased beneficial ownership of shares of Common Stock occurred in connection with the cancellation of a Nonstatutory Stock Option. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER (a) Beneficial Ownership: 743,599 including 25,000 shares issuable upon exercise of options held by Ms. Petcavich within 60 days of December 31, 1997. Percentage Ownership: 14.02% (b) Sole Voting Power: 743,599 Shared Voting Power: -0- Sole Dispositive Power: 743,599 Shared Dispositive Power: -0- (c) Recent Transactions: None. (d) Right to Receive Dividends: Not applicable (e) Ownership below 5%: Not applicable ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER Not applicable. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS Not applicable. (Page 4 of 5 Pages) 5 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 3, 1998 /s/ Rebecca A. Petcavich ----------------------------------- Rebecca A. Petacavich (Page 5 of 5 Pages) -----END PRIVACY-ENHANCED MESSAGE-----