-----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, HpVCTfRK99xe8vM1GYU4pUnKoWQcZp38ix+YgUzW0EZ4ZfZJxjZ/0j88ygjVSdtH KdBsNFzPJHeq2UjaKBlF0A== 0000950147-02-000288.txt : 20020414 0000950147-02-000288.hdr.sgml : 20020414 ACCESSION NUMBER: 0000950147-02-000288 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020219 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AVESIS INC CENTRAL INDEX KEY: 0000795574 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 860349350 STATE OF INCORPORATION: DE FISCAL YEAR END: 0531 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-39650 FILM NUMBER: 02552699 BUSINESS ADDRESS: STREET 1: 3724 NORTH THIRD ST STREET 2: STE 300 CITY: PHOENIX STATE: AZ ZIP: 85012 BUSINESS PHONE: 6029567287 MAIL ADDRESS: STREET 1: 3724 NORTH THIRD STREET STREET 2: SUITE 300 CITY: PHOENIX STATE: AZ ZIP: 85012 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL VISION SERVICES INC DATE OF NAME CHANGE: 19900117 FORMER COMPANY: FORMER CONFORMED NAME: NBS NATIONAL BENEFIT SERVICES INC DATE OF NAME CHANGE: 19910114 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BLUM KENNETH L JR CENTRAL INDEX KEY: 0000939614 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: RENT A WRECK OF AMERICA INC STREET 2: 11460 CRONRIDGE RD STE 120 CITY: OWINGS MILLS STATE: MD ZIP: 21117 BUSINESS PHONE: 4105818700 MAIL ADDRESS: STREET 1: RENT A WRECK OF AMERICA INC STREET 2: 11460 CRONRIDGE RD STE 118 CITY: OWINGS MILLS STATE: MD ZIP: 21117 SC 13D/A 1 e-8160.txt AMENDMENT NO. 5 TO SCHEDULE 13D UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No.5) AVESIS INCORPORATED ------------------------------ (Name of Issuer) COMMON STOCK ------------------------------ (Title of Class of Securities) 053650107 -------------- (CUSIP Number) Kenneth L. Blum, Jr. 10324 S. Dolfield Rd., Owings Mills, MD 21117 (410) 581-8700 with copies to: Joel H. Alperstein, Treasurer, Avesis Incorporated 10324 S. Dolfield Rd., Owings Mills, MD 21117 (410) 581-8700 -------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) ------------------------------------------------------- (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 ss.ss.240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box [ ]. Page 1 of 6 Pages - --------------------- ----------------- CUSIP NO. 053650107 SCHEDULE 13D Page 2 of 6 Pages - --------------------- ----------------- 1 NAMES OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON KENNETH L. BLUM, JR. -------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X] (b) [ ] -------------------------------------------------------------------------- 3 SEC USE ONLY -------------------------------------------------------------------------- 4 SOURCE OF FUNDS* OO -------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) [ ] -------------------------------------------------------------------------- 6 CITZENSHIP OR PLACE OF ORGANIZATION UNITED STATES -------------------------------------------------------------------------- 7 SOLE VOTING POWER 1,983,750 NUMBER OF --------------------------------------------------------- SHARES 8 SHARED VOTING POWER BENEFICIALLY 0 OWNED BY --------------------------------------------------------- EACH 9 SOLE DISPOSITIVE POWER REPORTING 1,983,750 PERSON --------------------------------------------------------- WITH 10 SHARED DISPOSITIVE POWER 0 --------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,983,750 -------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* [ ] -------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 25.5% -------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN -------------------------------------------------------------------------- ITEM 1. SECURITY AND ISSUER. This Statement relates to Common Stock of Avesis Incorporated (the "Issuer"). The principal executive offices of the Issuer are located at 3724 North Third Street, Suite 300, Phoenix, Arizona 85012. ITEM 2. IDENTITY AND BACKGROUND. (a) This statement is being filed by Kenneth L. Blum, Jr. (b) The address for Mr. Blum is 10324 S. Dolfield Rd., Owings Mills, Maryland 21117. (c) Mr. Blum has served on the Board of Directors of the Issuer since August 1998 and has been the Corporate Secretary of the Issuer since November 2000. Mr. Blum is the president and sole owner of National Health Enterprises ("NHE"), a healthcare management company; president of Rent-A-Wreck of America, Inc., a used vehicle rental system franchisor; and president of American Business Information Systems, Inc., a high-volume laser printing company and National Computer Services, Inc., a computer service bureau and division of American Business Information Systems, Inc. (d) During the last five years, the filing person has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). (e) During the last five years, the filing person has not been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction and is not subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (f) Mr. Blum is a citizen of the United States. ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. On May 14, 2001, Mr. Blum received 174,000 stock purchase options for 174,000 shares of the Issuer's Common Stock, at an exercise price of $0.48 per option. Mr. Blum received these options as a result of an agreement with NHE. The agreement called for the issuance of stock purchase options equally to Mr. Blum and Mr. Alan Cohn when stock purchase options that were previously transferred from NHE to other grantees reverted back to NHE due to the grantees cessation of providing services to the Company. Mr. Cohn is the Issuer's CEO, President and a member of its Board of Directors, as well as Mr. Blum's brother-in-law. No consideration was due from Mr. Blum to receive the stock purchase options. Under the previously mentioned agreement, NHE has the right to assign the options with no consideration from Mr. Blum to another party. Page 3 of 6 ITEM 4. PURPOSE OF TRANSACTION. The Options discussed in Item 5 were acquired for investment. The Issuer originally issued the Options to National Health Enterprises, Inc. ("NHE") in connection with the retention by the Issuer of NHE to perform management services for the Issuer pursuant to a management contract (the "Management Agreement"). To that extent, the acquisition of the options relates to a change in the management of the Issuer. NHE transferred all Issuer options to Issuer's management as incentive. All of the Issuer's shares held by Mr. Blum were acquired and are held for investment purposes only. Except as described above, Mr. Blum has no present plan or proposal that relates to or would result in any of the actions described in clauses (a) through (j) of Item 4 of Schedule 13D, although he may from time to time in the future acquire additional shares of Common Stock or securities convertible into Common Stock. At present, Mr. Blum contemplates that such additional shares, if any, would also be purchased for investment purposes only. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. (a) The aggregate number and percentage of Issuer Common Stock beneficially owned by Mr. Blum is 1,983,750 and 25.5%, respectively. (b) See Items 7 through 10 on the Cover Pages of this Schedule 13D. (c) Mr. Blum effected the following transaction since 60 days prior to the date of the event which requires filing of this statement: (i) On May 14, 2001, Mr. Blum received 174,000 stock purchase options for 174,000 shares of the Issuer's Common Stock, at an exercise price of $0.48 per option. (ii) On July 9,2001, NHE exercised its right and assigned 5,000 stock purchase options to an affiliated party. Consequently, Mr. Blum disposed of his options for 5,000 shares. (d) Not applicable. (e) Not applicable. Page 4 of 6 ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. Except as set forth above or set forth in the exhibits, there are no contracts, arrangements, understandings, or relationships between Mr. Blum and any other person with respect to any securities of the Company ITEM 7. MATERIAL TO BE FILED AS EXHIBITS. 1. Management Agreement dated March 18, 1993 between the Issuer and NHE.* 2. Stock Option Grant to NHE dated March 18, 1993 relating to options for the purchase of 4,400,000 shares of the Issuer's Common Stock.* 3. Subordinated Promissory Note dated March 18, 1993 in the amount of $80,000 payable by Issuer to Mr. and Mrs. Blum. * 4. Registration Rights Agreement dated March 18, 1993 among NHE, Mr. Blum, and Alan S. Cohn.* 5. Marketing Agreement dated March 18, 1993 between the Issuer and NHE. * 6. Option Transfer Document dated March 31, 1993** 7. Loan Agreement dated August 11, 1998***. * Incorporated by reference from Schedule 13D dated March 18, 1993 filed by NHE and Mr. and Mrs. Kenneth L. Blum, Jr. ** Incorporated by reference from Amendment No. 2 to Schedule 13D dated December 5, 1994 filed by Mr. Frank C. Cappadora. *** Incorporated by reference from Amendment No. 4 to Schedule 13D dated August 11, 1998 filed by Mr. Kenneth L. Blum, Jr. Page 5 of 6 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. February 19, 2002 /s/ Kenneth L. Blum, Jr. ---------------------------------------- Kenneth L. Blum, Jr. Page 6 of 6 -----END PRIVACY-ENHANCED MESSAGE-----