-----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, UgtryVGw8TL9iv6bti1EuQeVR69jQ34MhFeFnx9dZTH3eOZqXktsGFY8ngeOUfM6 fq1KafB8Uqn/exHWxf+gmw== 0000927016-98-001243.txt : 19980331 0000927016-98-001243.hdr.sgml : 19980331 ACCESSION NUMBER: 0000927016-98-001243 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980330 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CAMBRIDGE HEART INC CENTRAL INDEX KEY: 0000913443 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 133679946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-46607 FILM NUMBER: 98579502 BUSINESS ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 6172711200 MAIL ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ARNOLD JEFFREY M CENTRAL INDEX KEY: 0001058528 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O CAMBRIDGE HEART INC STREET 2: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 7812711200 MAIL ADDRESS: STREET 1: C/O CAMBRIDGE HEART INC STREET 2: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 SC 13G 1 SCHEDULE 13G 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) AND (c) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. __) Cambridge Heart, Inc. --------------------- (Name of Issuer) Common Stock, $.001 par value per share --------------------------------------- (Title of Class of Securities) 131910101 --------- (CUSIP Number) SCHEDULE 13G CUSIP No. 131910101 Page 2 of 7 --------- ____________________________________________________________________________ 1. Name of Reporting Persons I.R.S. Identification Number of Above Persons (Entities only) Jeffrey M. Arnold ____________________________________________________________________________ 2. Check the Appropriate Box if a Member of a Group - Not Applicable ____________________________________________________________________________ 3. SEC Use Only ____________________________________________________________________________ 4. Citizenship or Place of Organization United States of America ____________________________________________________________________________ Number of Shares Beneficially Owned By Each Reporting Person With: 5. Sole Voting Power 557,032 shares (Includes 458,369 shares issuable within 60 days of December 31, 1997 upon the exercise of vested stock options.) ____________________________________________________________________________ 6. Shared Voting Power 0 Shares CUSIP No. 131910101 Page 3 of 7 --------- ____________________________________________________________________________ 7. Sole Dispositive Power 557,032 shares (Includes 458,369 shares issuable within 60 days of December 31, 1997 upon the exercise of vested stock options.) ____________________________________________________________________________ 8. Shared Dispositive Power 0 Shares ____________________________________________________________________________ 9. Aggregate Amount Beneficially Owned by Each Reporting Person 557,032 shares (Includes 458,369 shares issuable within 60 days of December 31, 1997 upon the exercise of vested stock options.) ____________________________________________________________________________ 10. Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares Not Applicable ____________________________________________________________________________ 11. Percent of Class Represented by Amount in Row 9 5.0% ____________________________________________________________________________ 12. Type of Reporting Person IN ____________________________________________________________________________ CUSIP No. 131910101 Page 4 of 7 --------- SCHEDULE 13G Item 1(a). Name of Issuer: - --------------------------- Cambridge Heart, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: - ------------------------------------------------------------ One Oak Park Drive Bedford, MA 01730 Item 2(a). Name of Person Filing: - ---------------------------------- Jeffrey M. Arnold Item 2(b). Address of Principal Business Office or, if None, Residence: - ------------------------------------------------- c/o Cambridge Heart, Inc. One Oak Park Drive Bedford, MA 01730 Item 2(c). Citizenship: - ------------------------ United States of America Item 2(d). Title of Class of Securities: - ----------------------------------------- Common Stock, $.001 par value per share Item 2(e). CUSIP Number: - ------------------------- 131910101 CUSIP No. 131910101 Page 5 of 7 --------- Item 3. Identity of person filing pursuant to Rules 13d-1(b) or 13d-2(b): - -------------------------------------------------------------------------- Not Applicable Item 4. Ownership: - ------------------- (a) Amount Beneficially Owned: 557,032 shares (Includes 458,369 shares issuable within 60 days of December 31, 1997 upon the exercise of vested stock options.) (b) Percent of Class: 5.0% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 557,032 shares (Includes 458,369 shares issuable within 60 days of December 31, 1997 upon the exercise of vested stock options.); (ii) shared power to vote or to direct the vote: 0 Shares; (iii) sole power to dispose or to direct the disposition of: 557,032 shares (Includes 458,369 shares issuable within 60 days of December 31, 1997 upon the exercise of vested stock options.); (iv) shared power to dispose or to direct the disposition of: 0 Shares. CUSIP No. 131910101 Page 6 of 7 --------- 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 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 CUSIP No. 131910101 Page 7 of 7 --------- 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. March 25, 1998 ------------------------------------ Date /s/Jeffrey M. Arnold ----------------------------------- Jeffrey M. Arnold -----END PRIVACY-ENHANCED MESSAGE-----