-----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, HIuU7ZeiWvNoXHddFhOXLOPRRXKUQjQ96tXfz/mTgYwcQdKa2dWAVCKcDeWUNTru QjlsxiKpZHnKt/90+HY2aQ== /in/edgar/work/20000710/0000950149-00-001464/0000950149-00-001464.txt : 20000712 0000950149-00-001464.hdr.sgml : 20000712 ACCESSION NUMBER: 0000950149-00-001464 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000710 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: OCCUPATIONAL HEALTH & REHABILITATION INC CENTRAL INDEX KEY: 0000887757 STANDARD INDUSTRIAL CLASSIFICATION: [2834 ] IRS NUMBER: 133464527 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-43061 FILM NUMBER: 670321 BUSINESS ADDRESS: STREET 1: 175 DERBY STREET STREET 2: SUITE 36 CITY: HINGHAM STATE: MA ZIP: 02043-5048 BUSINESS PHONE: 5086811062 MAIL ADDRESS: STREET 1: 175 DERBY STREET STREET 2: SUITE 36 CITY: HINGHAM STATE: MA ZIP: 02043-5048 FORMER COMPANY: FORMER CONFORMED NAME: TELOR OPHTHALMIC PHARMACEUTICALS INC DATE OF NAME CHANGE: 19940218 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PANTHEON GLOBAL PCC LTD CENTRAL INDEX KEY: 0001118497 STANDARD INDUSTRIAL CLASSIFICATION: [ ] IRS NUMBER: 000000000 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: PO BOX 105, SYDNEY VANE HOUSE STREET 2: RUC DE COMMERCE, ST.PETER PARK CITY: GUERNSEY CY1 3EP ZIP: 00000 BUSINESS PHONE: 011441481716710 MAIL ADDRESS: STREET 1: PO BOX 105, SYDNEY VANE HOUSE STREET 2: RUC DE COMMERCE, ST.PETER PARK CITY: GUERNSEY CY1 3EP ZIP: 00000 SC 13G 1 sc13g.txt OCCUPATIONAL HEALTH & REHABILITATION, INC. 1 Page 1 of 4 Pages SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ----------------------------------- SCHEDULE 13G (RULE 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13D-1(b) AND (c) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2(b) (AMENDMENT NO. _______(1) OCCUPATIONAL HEALTH & REHABILITATION, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - -------------------------------------------------------------------------------- (Title of Class of Securities) 674617-10-5 - -------------------------------------------------------------------------------- (CUSIP Number) - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: Rule 13d-1(b) Rule 13d-1(c) Rule 13d-1(d) - ---------------- (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 ("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). 2 CUSIP NO. 674617-10-5 13G Page 2 of 4 Pages - -------------------------------------------------------------------------------- 1 Name of Reporting Persons S.S. or I.R.S. Identification Nos. of above persons PANTHEON GLOBAL PCC LIMITED - -------------------------------------------------------------------------------- 2 Check the Appropriate Box if a Member of a Group* (a) (b) - -------------------------------------------------------------------------------- 3 SEC USE only - -------------------------------------------------------------------------------- 4 Citizenship or Place of Organization A GUERNSEY CORPORATION - -------------------------------------------------------------------------------- Number of Shares 5 Sole Voting Power Beneficially Owned 173,334 by Each Reporting ------------------------------------------------------ Person With 6 Shared Voting Power 0 ------------------------------------------------------ 7 Sole Dispositive Power 173,334 ------------------------------------------------------ 8 Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person 173,334 - -------------------------------------------------------------------------------- 10 Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* - -------------------------------------------------------------------------------- 11 Percent of Class Represented by Amount in Row 9 11.7% - -------------------------------------------------------------------------------- 12 Type of Reporting Person* CO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! 3 Page 3 of 4 Pages ITEM 1(a) NAME OF ISSUER: Occupational Health & Rehabilitation, Inc. ITEM 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 175 Derby Stree, Suite 36 Hingham, MA 02043 ITEM 2(a)-(c) NAME, ADDRESS AND CITIZENSHIP OF PERSONS FILING: Pantheon Global PCC Limited, A Guernsey Corporation Commerce House Les Banques St. Peter Port Guernsey, Channel Islands ITEM 2(d) TITLE OF CLASS OF SECURITIES: Common Stock (pursuant to exercise Series A Convertible Preferred Stock) ITEM 2(e) CUSIP NUMBER: 674617-10-5 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b) OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: Not Applicable ITEM 4. OWNERSHIP. See rows 5-11 of cover page. 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. Shares are held by Pantheon Global PCC Limited for its own account for the benefit of its shareholders, Pantheon Global Secondary Fund, L.P., Pantheon Global Secondary Fund, Ltd. and Pantheon International Participations, PLC. 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 GROUP. Not Applicable ITEM 10. CERTIFICATION. Not Applicable 4 Page 4 of 4 Pages SIGNATURES By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. 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: July 10, 2000 PANTHEON GLOBAL PCC LIMITED Signature: /s/ Mike de Haaf ----------------------------- Mike de Haaf Title: Director ----------------------------- -----END PRIVACY-ENHANCED MESSAGE-----