-----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, MrFvPaVqJXfJ5qkRm7WPnJBfiwXv/asV8F5eqH66FC0e6JM/7mT4+wUc66HhDfer yCaR2w8MNw1wMI5U3sYcUg== 0000914760-96-000185.txt : 19960921 0000914760-96-000185.hdr.sgml : 19960921 ACCESSION NUMBER: 0000914760-96-000185 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960919 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ALLEGIANCE CORP CENTRAL INDEX KEY: 0001017799 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 364095179 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11885 FILM NUMBER: 96632151 BUSINESS ADDRESS: STREET 1: ONE BARTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60015 BUSINESS PHONE: 8479483781 MAIL ADDRESS: STREET 1: ONE BARTER PARKWAY CITY: DEERFIELD STATE: IL ZIP: 60015 COMPANY DATA: COMPANY CONFORMED NAME: EHLERT MARK J CENTRAL INDEX KEY: 0001023257 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 1450 WAUKEGAN ROAD STREET 2: MCGAW PARK CITY: CHICAGO STATE: IL ZIP: 60085 MAIL ADDRESS: STREET 1: 1450 WAUKEGAN ROAD STREET 2: MCGAW PARK CITY: CHICAGO STATE: IL ZIP: 60085 3 1 FORM 3 - 09/20/96(1) U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Ehlert, Mark J. 1450 Waukegan Road McGaw Park, IL 60085 USA 2. Date of Event Requiring Statement (Month/Day/Year) 09/20/96(1) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol Allegiance Corporation AEH 5. Relationship of Reporting Person to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Corporate Vice President 6. If Amendment, Date of Original (Month/Day/Year)
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect | | Securities | Form: | Beneficial Ownership | | Beneficially | Direct(D) or | | | Owned | Indirect(I) | | ___________________________________________________________________________________________________________________________________| Common Stock (and Series A Junior Participa|0 | | | ting Preferred Stock Purchase | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Rights currently attached to and trading wi| | | | th the Common Stock) (2) | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Date Exer- |3.Title and Amount | |4. Conver-|5. Owner- |6. Nature of Indirect | Security | cisable and | of Underlying | |sion or |ship: | Beneficial Ownership | | Expiration | Securities | |exercise |Form of | | | Date(Month/ |-----------------------|---------|price of |Deriv- | | | Day/Year) | |Amount |deri- |ative | | | Date | Expira- | |or |vative |Security: | | | Exer- | tion | Title |Number of|Security |Direct(D) or | | | cisable | Date | |Shares | |Indirect(I) | | ___________________________________________________________________________________________________________________________________| None | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: (1) Anticipated date of effectiveness of Form 10 for Issuer. (2) On October 1, 1996, it is expected that Allegiance Corporation will become an independent publicly-traded company following a dividend of Allegiance Corporation common shares on each outstanding share of Baxter International Inc. common stock. At such time, it is expected that the reporting person will receive Allegiance Corporation common shares. However, the amount of common stock to be received on such date is uncertain because the dividend ratio has not yet been finalized. All Allegiance Corporation shares are owned by Baxter International Inc. as of the date hereof. SIGNATURE OF REPORTING PERSON Mark J. Ehlert DATE 09/19/96 -----END PRIVACY-ENHANCED MESSAGE-----