-----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, H+7KEWnUIEd/RMIsKBZeT/kcol8N7eZtIlFHD64eYlqoQs8zDYvhW3/fvv6mU5pm ntNwXZIscHk1L/lwzyF3yg== 0000912057-97-011544.txt : 19970402 0000912057-97-011544.hdr.sgml : 19970402 ACCESSION NUMBER: 0000912057-97-011544 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970401 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SULLIVAN DENTAL PRODUCTS INC CENTRAL INDEX KEY: 0000861290 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 363070444 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-41349 FILM NUMBER: 97572519 BUSINESS ADDRESS: STREET 1: 10920 WEST LINCOLN AVENUE STREET 2: 12O S RIVERSIDE PLAZA SUITE 430 CITY: WEST ALLIS STATE: WI ZIP: 53227 BUSINESS PHONE: 4143218881 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SULLIVAN ROBERT J CENTRAL INDEX KEY: 0000903075 STANDARD INDUSTRIAL CLASSIFICATION: [] FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 100 SYLVAN RD STREET 2: C/O BOSTON COMMUNICATIONS GROUP INC CITY: WOBURN STATE: MA ZIP: 01801 BUSINESS PHONE: 6176926124 MAIL ADDRESS: STREET 1: C/O BOSTON COMMUNICATIONS GROUP INC STREET 2: 100 SYLVAN RD CITY: WOBURN STATE: MA ZIP: 01801 SC 13G/A 1 SC 13G/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C- 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 6)* SULLIVAN DENTAL PRODUCTS, INC. (Name of Issuer) COMMON STOCK, $.01 PAR VALUE (Title of Class of Securities) 86530010 (CUSIP Number) Check the following box if a fee is being paid with this statement _____. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7). *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 the disclosures provided in a prior cover page. The information required in 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). Page 1 of 4 pages 13G CUSIP No. 86530010 1. NAME OF REPORTING PERSON: Robert J. Sullivan S.S. NO. OF ABOVE PERSON: ###-##-#### 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) (b) X 3. SEC USE ONLY: 4. CITIZENSHIP OR PLACE OF ORGANIZATION: U.S.A. NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH: 5. SOLE VOTING POWER: 1,148,335 shares 6. SHARED VOTING POWER: 158,000 shares 7. SOLE DISPOSITIVE POWER: 1,148,335 shares 8. SHARED DISPOSITIVE POWER: 158,000 shares 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON: 1,306,335 shares 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* N/A 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9: 13.0% 12. TYPE OF REPORTING PERSON: Individual Page 2 of 4 pages ITEM 1(a) NAME OF ISSUER Sullivan Dental Products, Inc. ITEM 1(b) ADDRESS OF ISSUERS PRINCIPAL EXECUTIVE OFFICES 10920 West Lincoln Avenue, West Allis, Wisconsin 53227 ITEM 2(a) NAME OF PERSON FILING Robert J. Sullivan ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE RESIDENCE 10920 West Lincoln Avenue, West Allis, Wisconsin 53227 ITEM 2(c) CITIZENSHIP U.S.A. ITEM 2(d) TITLE OF CLASS OF SECURITIES Common Stock, $.01 par value ITEM 2(e) CUSIP NUMBER 86530010 ITEM 3 TYPE OF REPORTING PERSON NOT APPLICABLE ITEM 4 OWNERSHIP As of December 31, 1996, Robert J. Sullivan beneficially owned 1,306,335 shares of the common stock of Sullivan Dental Products, Inc. which represented 13.0% of the class of such stock. 990,835 of such shares are owned by Mr. Sullivan, individually, 157,500 are shares that may be acquired by the exercise of stock options and 158,000 shares are owned by the Robert J. Sullivan Family Foundation, Ltd., a private foundation established by Mr. Sullivan and his wife, Judith M. Sullivan. As of December 31, 1996, Mr. Sullivan had the sole power to vote or direct the vote and to dispose or to direct the disposition of 1,148,335 shares of the Issuer's stock. He shared the power to vote, dispose or direct the disposition of the 158,000 shares of stock held by the Foundation. Page 3 of 4 pages 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 ON 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 A GROUP NOT APPLICABLE ITEM 10 CERTIFICATION NOT APPLICABLE 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. Date: January 13, 1997 /S/ ROBERT J. SULLIVAN ------------------------------- Robert J. Sullivan Page 4 of 4 pages -----END PRIVACY-ENHANCED MESSAGE-----