-----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, U5F9mRczON3gsWM+k5bXKmR0ycLFFB8SUQfp/Y+psyfHSkQuYuJoajLxHzi9x5oN Z/QJUGvp6X8kbcupQ85I/Q== 0001005477-98-001728.txt : 19980518 0001005477-98-001728.hdr.sgml : 19980518 ACCESSION NUMBER: 0001005477-98-001728 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980515 SROS: NASD GROUP MEMBERS: 1123562 ONTARIO LIMITED GROUP MEMBERS: MACHAT FAMILY TRUST GROUP MEMBERS: MACHAT JEFFREY SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TLC LASER CENTER INC CENTRAL INDEX KEY: 0001010610 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 000000000 STATE OF INCORPORATION: A6 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-53321 FILM NUMBER: 98626115 BUSINESS ADDRESS: STREET 1: 5600 EXPLORER DRIVE STREET 2: SUITE 301 CITY: MISSISSAUGA STATE: A6 ZIP: 00000 BUSINESS PHONE: 3015712020 MAIL ADDRESS: STREET 1: 6701 DEMOCRACY BLVD STREET 2: SUITE 200, LEGAL DEPT. CITY: BETHESDA STATE: MA ZIP: 20817 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MACHAT JEFFREY CENTRAL INDEX KEY: 0001061864 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 16 YORK MILLS RD STREET 2: SUITE 110 CITY: NORTHYORK ONTARIO STATE: A1 BUSINESS PHONE: 4167332020 MAIL ADDRESS: STREET 1: 16 YORK MILLS RD STREET 2: SUITE 110 CITY: NORTH YORK ONTARIO STATE: A1 SC 13G 1 SCHEDULE 13G 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),(c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2 TLC The Laser Center Inc. (Name of Issuer) Common Shares (Title of Class of Securities) 872934104 (CUSIP Number) June 27, 1997 (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) [X] Rule 13d-1(d) - ---------- *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. 872934104 13G Page 2 of 7 Pages - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Jeffery J. Machat - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION Canada - -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER SHARES 4,322,293 BENEFICIALLY -------------------------------------------------------------- OWNED BY 6. SHARED VOTING POWER EACH N/A REPORTING -------------------------------------------------------------- PERSON 7. SOLE DISPOSITIVE POWER WITH 4,362,500 -------------------------------------------------------------- 8. SHARED DISPOSITIVE POWER N/A - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,362,500 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 13.0% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No. 872934104 13G Page 3 of 7 Pages - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON(S) I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) 1123562 Ontario Limited - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION Canada - -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER SHARES N/A BENEFICIALLY -------------------------------------------------------------- OWNED BY 6. SHARED VOTING POWER EACH 4,300,000 REPORTING -------------------------------------------------------------- PERSON 7. SOLE DISPOSITIVE POWER WITH N/A -------------------------------------------------------------- 8. SHARED DISPOSITIVE POWER 4,300,000 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,300,000 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 12.8% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* CO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No. 872934104 13G Page 4 of 7 Pages - -------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON(S) I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) Machat Family Trust - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC USE ONLY - -------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION Canada - -------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER SHARES N/A BENEFICIALLY -------------------------------------------------------------- OWNED BY 6. SHARED VOTING POWER EACH 4,300,000 REPORTING -------------------------------------------------------------- PERSON 7. SOLE DISPOSITIVE POWER WITH N/A -------------------------------------------------------------- 8. SHARED DISPOSITIVE POWER 4,300,000 - -------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 4,300,000 - -------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 12.8% - -------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* OO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP No. 872934104 13G Page 5 of 7 Pages Item 1. (a) Name of Issuer: TLC THE LASER CENTER INC. -------------------------------------------------------------- (b) Address of Issuer's Principal Executive Offices: 5600 Explorer Drive, Suite 301 Mississuaga, Ontario L4W 4Y2 -------------------------------------------------------------- Item 2. (a) Name of Person Filing: Jeffery J. Machat 1123562 Ontario Limited Machat Family Trust -------------------------------------------------------------- (b) Address of Principal Business Office, or if None, Residence: 16 York Mills Road, Suite 110 North York, Ontario M2P 2E5 -------------------------------------------------------------- (c) Citizenship: Canada -------------------------------------------------------------- (d) Title of Class of Securities: Common Shares -------------------------------------------------------------- (e) CUSIP Number: 872934104 -------------------------------------------------------------- Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: N/A This Schedule 13G is filed pursuant to Rule 13d-1(d) of the Securities Exchange Act of 1934. The filing persons acquired their interest in TLC The Laser Center Inc. prior to the Company's registration of its common shares under Section 12(g) of the Securities Exchange Act. CUSIP No. 872934104 13G Page 6 of 7 Pages Item 4. Ownership. (a) The filing persons in the aggregate beneficially own 4,362,500 shares. (b) The aggregate shares owned constitute 13.0 percent of the class. (c) Dr. Machat has sole power to vote or to direct the vote of 4,322,293 of the shares and sole power to dispose or to direct the disposition of 4,362,500 of the shares. 1123562 Ontario Limited has shared power to vote or to direct the vote of 4,300,000 of the shares and shared power to dispose or to direct the disposition of 4,300,000 of the shares. The Machat Family Trust has shared power to vote or to direct the vote of 4,300,000 of the shares and shared power to dispose or to direct the disposition of 4,300,000 of the shares. (d) Dr. Machat has the right to acquire 40,207 shares. 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. Certifications. N/A CUSIP No. 872934104 13G Page 7 of 7 Pages 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: May 11, 1998 /s/ Jeffery J. Machat ----------------------------- Jeffery J. Machat 1123562 Ontario Limited By: /s/ Jeffery J. Machat ----------------------------- Jeffery J. Machat Machat Family Trust By: /s/ Jeffery J. Machat ----------------------------- Jeffery J. Machat -----END PRIVACY-ENHANCED MESSAGE-----