-----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, SYD+BkcEIMm5i07qyo+mYJe8fYbEeiOS9tgnuXth78NUY5Wn4vkCszcflbBTAwP7 Oz1JJ7mM5kD/hRlD6SWlCA== 0000930661-98-000293.txt : 19980212 0000930661-98-000293.hdr.sgml : 19980212 ACCESSION NUMBER: 0000930661-98-000293 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980211 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CLINICOR INC CENTRAL INDEX KEY: 0000941818 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TESTING LABORATORIES [8734] IRS NUMBER: 880309093 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-50419 FILM NUMBER: 98530315 BUSINESS ADDRESS: STREET 1: 1717 WEST SIXTH STREET SUITE 400 CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 5123443300 MAIL ADDRESS: STREET 1: 1717 WEST SIXTH STREET SUITE 400 CITY: AUSTIN STATE: TX ZIP: 78703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HAAG RANDOLPH H CENTRAL INDEX KEY: 0001053180 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 2200 LEAVENWORTH STREEET 405 CITY: SAN FRANCISCO STATE: CA ZIP: 94133 BUSINESS PHONE: 4159220486 MAIL ADDRESS: STREET 1: 2200 LEAVENWORTH STREET 405 CITY: SANFRANCISCO STATE: CA ZIP: 94133 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. ___)* CLINICOR, INC. ------------------------------ (Name of Issuer) COMMON STOCK, PAR VALUE $.001 PER SHARE ------------------------------ (Title of Class of Securities) 18726M106 ------------------------------ (CUSIP Number) *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). CUSIP No. 18726M106 - -------------------------------------------------------------------------------- 1. Name of Reporting Person and S.S. or I.R.S. Identification Number Randolph J. Haag - -------------------------------------------------------------------------------- 2. Check the Appropriate Row if a Member of a Group a. N/A b. N/A - -------------------------------------------------------------------------------- Page 1 of 4 pages 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization U. S. citizen - -------------------------------------------------------------------------------- Number of Shares Beneficially Owned by Each Reporting Person With: 5. Sole Voting Power 246,231 shares (see Item 4) 6. Shared Voting Power N/A 7. Sole Dispositive Power 246,231 shares (see Item 4) 8. Shared Dispositive Power N/A - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 246,231 shares (see Item 4) - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares N/A - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row (9) 5.9% - -------------------------------------------------------------------------------- 12. Type of Reporting Person IN - -------------------------------------------------------------------------------- Page 2 of 4 pages ITEM 1(a). NAME OF ISSUER: Clinicor, Inc. ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 1717 West Sixth Street, Suite 400 Austin, Texas 78703 ITEM 2(a). NAME OF PERSON FILING: Randolph J. Haag ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE: 2200 Leavenworth Street, #405 San Francisco, California 94133 ITEM 2(c). CITIZENSHIP/STATE OF ORGANIZATION: U.S. citizen ITEM 2(d). TITLE OF CLASS OF SECURITIES: Common Stock, par value $.001 per share ITEM 2(e). CUSIP NUMBER: 18726M106 ITEM 3. FILING PURSUANT TO RULE 13d-1(b): N/A ITEM 4. OWNERSHIP: (a) Amount Beneficially Owned: 246,231 shares (b) Percent of Class: 5.9% (c) Number of shares as to which such person has: (i) sole power to vote or direct the vote: 246,231 shares (ii) shared power to vote or to direct the vote: N/A (iii) sole power to dispose or to direct the disposition of: 246,231 shares Page 3 of 4 pages (iv) shared power to dispose or to direct the disposition of: N/A Note: The 246,231 shares of Common Stock beneficially owned by Mr. Haag include (1) 50,000 shares issuable to Mr. Haag pursuant to immediately exercisable options and (2) 51,606 shares issuable to Mr. Haag pursuant to immediately exercisable sales agent warrants. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS: N/A ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON: N/A ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY: N/A ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP: N/A ITEM 9. NOTICE OF DISSOLUTION OF GROUP: N/A ITEM 10. CERTIFICATION: N/A SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this Section 13G is true, complete and correct. Dated: February 10, 1998 /s/ Randolph J. Haag ----------------- ---------------------------------------- Randolph J. Haag Page 4 of 4 pages -----END PRIVACY-ENHANCED MESSAGE-----