-----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, Cq+siOWUif/GRuMH7ocmgDfyMSsPZuAwBVH/f8sBCqYytJKjhNoidcSXuDe0qYp9 p26wJb4KFPmU59wU7yZbnw== /in/edgar/work/20000912/0000897101-00-000903/0000897101-00-000903.txt : 20000922 0000897101-00-000903.hdr.sgml : 20000922 ACCESSION NUMBER: 0000897101-00-000903 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000912 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RSI SYSTEMS INC/MN CENTRAL INDEX KEY: 0000936130 STANDARD INDUSTRIAL CLASSIFICATION: [3576 ] IRS NUMBER: 411767211 STATE OF INCORPORATION: MN FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-48955 FILM NUMBER: 721091 BUSINESS ADDRESS: STREET 1: 5555 W 78TH ST STREET 2: STE F CITY: MINNEAPOLIS STATE: MN ZIP: 55439 BUSINESS PHONE: 6128963020 MAIL ADDRESS: STREET 1: 5555 W 78TH ST STREET 2: STE F CITY: MINNEAPOLIS STATE: MN ZIP: 55439 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SHAFFER BYRON G CENTRAL INDEX KEY: 0001008058 STANDARD INDUSTRIAL CLASSIFICATION: [ ] FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 6124 SCOTIA DRIVE CITY: EDINA STATE: MN ZIP: 55439 BUSINESS PHONE: 6129411004 SC 13D 1 0001.txt --------------------------------- OMB APPROVAL --------------------------------- OMB Number: 3235-0145 Expires: October 31, 2002 Estimated average burden hours per response .......14.90 --------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 1)* RSI Systems, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 749927 - -------------------------------------------------------------------------------- (CUSIP Number) RSI Systems, Inc. Attn: James Hanzlik, CFO 5593 West 78th Street, Edina, MN 55439 612-896-3020 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Persons Authorized to Receive Notices and Communications) November 1, 1999 - -------------------------------------------------------------------------------- (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 that is the subject of this Schedule 13D, and is filing this schedule because of ss 240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. [ ] NOTE: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See ss 240.13d-7 for other parties to whom copies are to be sent. *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). PERSONS WHO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. SCHEDULE 13D CUSIP No. 749927 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- 1. Name of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Byron G. Shaffer - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Source of Funds (See Instructions) PF - -------------------------------------------------------------------------------- 5. Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e) [ ] - -------------------------------------------------------------------------------- 6. Citizenship or Place of Organization USA - -------------------------------------------------------------------------------- Number of 7. Sole Voting Power 469,000 Shares Bene- -------------------------------------------------------------- ficially Owned by Each 8. Shared Voting Power Reporting -------------------------------------------------------------- Person With 9. Sole Dispositive Power 469,000 -------------------------------------------------------------- 10. Shared Dispositive Power - -------------------------------------------------------------------------------- 11. Aggregate Amount Beneficially Owned by Each Reporting Person 469,000 - -------------------------------------------------------------------------------- 12. Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) [ ] - -------------------------------------------------------------------------------- 13. Percent of Class Represented by Amount in Row (11) 6.4% - -------------------------------------------------------------------------------- 14. Type of Reporting Person (See Instructions) IN ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- ----------------------------------------------------------------------- 2 SCHEDULE 13D CUSIP No. 749927 - -------------------------------------------------------------------------------- Item 1. Security and Issuer RSI Common Stock, $.01 par value RSI Systems, Inc. 5593 West 78th St. Minneapolis, MN 55439 Item 2. Identity and Background (a) Byron G. Shaffer (b) 6124 Scotia Drive Edina, MN 55439 (c) Investor (d) None (e) None (f) United States Citizen Item 3. Source and Amount of Funds and Other Consideration All funds used in making purchases in RSI Systems, Inc. Common Stock have been from personal funds of Byron G. Shaffer. Item 4. Purpose of Transaction The purpose of Mr. Shaffer's acquisitions RSI Systems, Inc. Common Stock has been for personal investment. a) None b) None c) None d) None e) None f) None g) None h) None i) None j) None Item 5. Interest in Securities of the Issuer a) Aggregate number of shares owned - 469,000 Percentage beneficially owned - 5.3% 3 SCHEDULE 13D CUSIP No. 749927 - -------------------------------------------------------------------------------- b) Sole power to vote - 469,000 shares Sole power to dispose - 469,000 shares c) Transactions summary, last 60 days: None d) None e) Not applicable Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer None Item 7. Material to be Filed as Exhibits None 4 SCHEDULE 13D CUSIP No. 749927 - -------------------------------------------------------------------------------- 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. September 6, 2000 /s/ Byron G. Shaffer Byron G. Shaffer 5 -----END PRIVACY-ENHANCED MESSAGE-----