-----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, UONaXOc+2XfKdE8dxqHwS4WIRhJ2bqrDFMVhIlJrdtIUZZY7LfDOGYWbeSIL2msV 46MxLb0SJASXawqHcw5hPQ== 0000950134-02-007165.txt : 20020613 0000950134-02-007165.hdr.sgml : 20020613 20020613163226 ACCESSION NUMBER: 0000950134-02-007165 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020613 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COLLEGIATE PACIFIC INC CENTRAL INDEX KEY: 0000828747 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-CATALOG & MAIL-ORDER HOUSES [5961] IRS NUMBER: 752701168 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-40925 FILM NUMBER: 02678438 BUSINESS ADDRESS: STREET 1: 13950 SEMLAC STREET 2: SUITE 200 CITY: DALLAS STATE: TX ZIP: 75234 BUSINESS PHONE: 9722438100 MAIL ADDRESS: STREET 1: 13950 SEMLAC STREET 2: SUITE 200 CITY: DALLAS STATE: TX ZIP: 75234 FORMER COMPANY: FORMER CONFORMED NAME: DSSI CORP DATE OF NAME CHANGE: 19971031 FORMER COMPANY: FORMER CONFORMED NAME: DRUG SCREENING SYSTEMS INC DATE OF NAME CHANGE: 19920703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BLUMENFELD MICHAEL J CENTRAL INDEX KEY: 0000904289 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 13950 SEMLAC STE 200 CITY: DALLAS STATE: TX ZIP: 75235 BUSINESS PHONE: 2144849484 MAIL ADDRESS: STREET 1: 1717 MAIN STREET STREET 2: SUITE 2800 CITY: DALLAS STATE: TX ZIP: 75201 SC 13D/A 1 d97692a2sc13dza.txt AMENDMENT NO. 2 TO SCHEDULE 13D SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ---------- SCHEDULE 13D (Rule 13d-101) Information To be Included In Statements filed Pursuant to Rule 13d-1(a) and Amendments Thereto Filed Pursuant to Rule 13d-2(a) (Amendment No. 2)(1) COLLEGIATE PACIFIC INC. (Name of Issuer) Common Stock, par value $0.01 per share (Title of Class of Securities) Common Stock Purchase Warrants (Title of Class of Securities) 194589-10-7 (CUSIP NUMBER) Michael J. Blumenfeld 13950 Senlac Drive, Suite 100 Dallas, Texas 75235 (972) 243-8100 ---------------------------------------------------- (Name, Address and Telephone of Person Authorized to Receive Notices and Communications) May 4, 2002 ------------------------------------------------------- (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(e), 13d-1(f) or 13d-1(g), check the following box [ ]. - ---------- (1) 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 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). SCHEDULE 13D - -------------------------------------------------------------------------------- Cusip No. 194589-10-7 Page 2 of 5 Pages - -------------------------------------------------------------------------------- 1. Name of Reporting Person: Michael J. Blumenfeld - -------------------------------------------------------------------------------- 2. Check the appropriate box if a member of a group (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC Use Only. - -------------------------------------------------------------------------------- 4. Source of Funds PF;SC - -------------------------------------------------------------------------------- 5. Check box if disclosure of legal proceedings is required pursuant to Items 2(d) or 2(e) [ ] - -------------------------------------------------------------------------------- 6. Citizenship or Place of Organization United States - -------------------------------------------------------------------------------- Number of 7. Sole Voting Power 4,291,914 Shares ----------------------------------------------------------- Beneficially 8. Shared Voting Power -0- Owned by ----------------------------------------------------------- Each 9. Sole Dispositive Power 4,291,914 Reporting ----------------------------------------------------------- Person 10. Shared Dispositive Power -0- With - -------------------------------------------------------------------------------- 11. Aggregate amount beneficially owned by each reporting person 4,291,914 - -------------------------------------------------------------------------------- 12. Check box if the aggregate amount in row (11) excludes certain [ ] shares - -------------------------------------------------------------------------------- 13. Percent of class represented by amount in row (11) 67.0% - -------------------------------------------------------------------------------- 14. Type of Reporting Person IN - -------------------------------------------------------------------------------- Cusip No. 194589-10-7 Page 3 of 5 Pages SCHEDULE 13D ITEM 1. SECURITY AND ISSUER. This Amendment No. 2 (the "Second Amendment") to the Statement on Schedule 13D (the "Schedule 13D") originally filed on February 18, 1998, and amended on January 30, 2001 (the "First Amendment") by Michael J. Blumenfeld (the "Reporting Person"), relates to shares of the common stock of Collegiate Pacific Inc., a Delaware corporation ("Collegiate Pacific"), $0.01 par value (the "Common Stock") and common stock purchase warrants. All capitalized terms used and not otherwise defined herein shall have the meanings assigned to those terms in the Schedule 13D and the First Amendment. The principal executive offices of Collegiate Pacific are located at 13950 Senlac Drive, Suite 100, Dallas, Texas 75234. ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. The information contained in Item 3 of the Schedule 13D is hereby amended and supplemented by adding the following information: Open Market Purchases and Gifts Since the filing of the First Amendment, Mr. Blumenfeld has used personal funds to acquire approximately 18,900 shares of Common Stock and has gifted approximately 22,800 shares of Common Stock and 20,000 Warrants, and sold approximately 22,000 Warrants. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. The information contained in Item 5 of the Schedule 13D is hereby amended and supplemented by adding the following information: (a) As of June 10, 2002, Mr. Blumenfeld may be deemed to beneficially own an aggregate of 4,291,914 shares of Common Stock, or approximately 67.0% of the outstanding shares of Common Stock (based upon Collegiate Pacific's Quarterly Report on Form 10-QSB filed on May 10, 2002), and has sole voting and dispositive power with respect to all those shares. Of the shares beneficially owned by Mr. Blumenfeld, 105,000 of such shares represent options to acquire shares of Common Stock and 2,002,607 of such shares represent Common Stock purchase warrants (the "Warrants") to acquire shares of Common Stock, none of which have been exercised by Mr. Blumenfeld as of the date of this report. The 2,002,607 Warrants held by Mr. Blumenfeld represent approximately 47.2% of the 4,244,607 outstanding Warrants. (b) Items 7-11 and 13 of the cover page of this Second Amendment, which relate to the beneficial ownership of shares of Common Stock and common stock purchase warrants by Mr. Blumenfeld, are incorporated by reference in response to this item. Cusip No. 194589-10-7 Page 4 of 5 Pages (c) The following sets forth certain information concerning transactions involving the Warrants effected by Mr. Blumenfeld during the past 60 days. No transactions involving the Common Stock were effected by Mr. Blumenfeld during the past 60 days. Each of the sale transactions listed below was affected through a broker at then current market prices:
DATE OF NUMBER OF PRICE TRANSACTION WARRANTS TRANSACTION PAID - ----------- ----------- ----------- ----- 4/4/02 6000 Sale $2.80 4/5/02 2000 Sale $2.80 4/5/02 1000 Sale $2.85 4/5/02 2000 Sale $2.81 4/8/02 1000 Sale $2.79 4/8/02 1000 Sale $2.80 4/9/02 3000 Sale $2.80 4/9/02 3000 Sale $2.80 4/10/02 2000 Sale $2.79 4/11/02 1000 Sale $2.75
ITEM 7. MATERIAL TO BE FILED AS EXHIBITS The Warrant Agreement dated as of May 26, 2000, and the Purchase Agreement dated as of February 29, 2000 (with the form of Convertible Promissory Note attached as an exhibit), were filed with the Securities and Exchange Commission on April 7, 2000, as an exhibit to Collegiate Pacific's Registration Statement on Form SB-2 (Registration No. 333-34294). Cusip No. 194589-10-7 Page 5 of 5 Pages SIGNATURES After reasonable inquiry and to the best of its knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: June 13, 2002 /s/ Michael J. Blumenfeld ---------------------------------------- Michael J. Blumenfeld -----END PRIVACY-ENHANCED MESSAGE-----