-----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, GfID+EtojAoTXi8gHTnwQNtMwIM2YMrJzd4eUswxv9gHlE02BLs45ovZW5/2gAR2 HDhb6xp15gVIJja+q4t55Q== 0000950135-97-000662.txt : 19970222 0000950135-97-000662.hdr.sgml : 19970222 ACCESSION NUMBER: 0000950135-97-000662 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEMBERWORKS INC CENTRAL INDEX KEY: 0001020996 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 061276882 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-47315 FILM NUMBER: 97533653 BUSINESS ADDRESS: STREET 1: 680 WASHINGTON BLVD., SUITE 1100 CITY: STAMFORD STATE: CT ZIP: 06901 BUSINESS PHONE: 2033247635 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: JOHNSON GARY A CENTRAL INDEX KEY: 0001033410 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: MEMBERWORKS INC STREET 2: 680 WASHINGTON BOULVARD SUITE 1100 CITY: STAMFORD STATE: CT ZIP: 06901 BUSINESS PHONE: 2033247635 MAIL ADDRESS: STREET 1: MEMBERWORKS INC STREET 2: 680 WASHINGTON BLVD CITY: STAMFORD STATE: CT ZIP: 06901 SC 13G 1 SCHEDULE 13G 1 -------------------------- OMB APPROVAL -------------------------- OMB Number. 3235-0145 Expires: October 31, 1997 Estimated average burden hours per response...14.90 -------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ---------------------- SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 MemberWorks Incorporated - -------------------------------------------------------------------------------- (Name Of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class Of Securities) 586002 10 7 ----------------------------- (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). SEC 1745 (2-95) 2 - ------------------------ -------------------- CUSIP No. 586002 10 7 13G Page 2 of 5 ----------- --- --- - ------------------------ -------------------- SCHEDULE 13G - ------------------------------------------------------------------------------- 1. NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Gary A. Johnson Social Security No. - ###-##-#### - ------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)[] (b)[] - ------------------------------------------------------------------------------- 3. SEC USE ONLY - ------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION USA - ------------------------------------------------------------------------------- 5. SOLE VOTING POWER 1,584,500 Shares NUMBER OF ----------------------------------------------------------- SHARES 6. SHARED VOTING POWER BENEFICIALLY OWNED BY EACH ----------------------------------------------------------- REPORTING 7. SOLE DISPOSITIVE POWER PERSON WITH: ----------------------------------------------------------- 8. SHARED DISPOSITIVE POWER - ------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON. 1,584,500 - ------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - ------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9. 10.8% - ------------------------------------------------------------------------------- 12. TYPE OF REPORTING* IN - ------------------------------------------------------------------------------- * SEE INSTRUCTION BEFORE FILLING OUT! 3 - ------------------------ -------------------- CUSIP No. 586002 10 7 13G Page 3 of 5 ----------- --- --- - ------------------------ -------------------- SCHEDULE 13G Item 1(a). Name of Issuer: --------------- MemberWorks Incorporated Item 1(b). Address: -------- 680 Washington Boulevard Suite 1100 Stamford, CT 06901 Item 2(a). Name of Person Filing: ---------------------- Gary A. Johnson, President and Chief Executive Officer of Issuer. Item 2(b). Address of Principal Business Office or, if None, Residence: ------------------------------------------------------------ 680 Washington Boulevard Suite 1100 Stamford, CT 06901 Item 2(c). Citizenship: ------------ Mr. Johnson is a U.S. Citizen. Item 2(d). Title of Class of Securities: ----------------------------- Common Stock Item 2(e). CUSIP Number: ------------- 586002 10 7 Item 3: This Statement is not being filed pursuant to Rule 13d-1 (b) or 13d-2 (b). Item 4: Ownership (a) For the year ended December 31, 1996, the aggregate number of shares of the Company's common stock beneficially owned by Gary A. Johnson is 1,584,500 shares. (b) 1,584,500 shares represents 10.8% of all common stock based upon 14,664,292 shares outstanding. (c) Included in the 1,584,500 shares of common stock beneficially owned by Mr. Johnson are 27,000 shares issuable upon the exercise of outstanding stock options presently exercisable or exercisable within sixty (60) days after December 31, 1996, as well as 54,000 shares held in trust for the benefit of Mr. Johnson's children, with respect to which he disclaims beneficial ownership. 4 - --------------------------- --------------------------- CUSIP No. 586002 10 7 13G Page 4 of 5 ----------- --- --- - --------------------------- --------------------------- Item 5. Ownership of Five Percent or Less: ---------------------------------- 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 Securities Being Reported 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: -------------- By signing below I certify to the best of my knowledge and belief, the securities referred to above were acquired in the ordinary course of business and were not acquired for the purpose of and do not have the effect of changing or influencing the control of the issuer of such securities and were not acquired in connection with or as a participant in any transaction having such purposes or effect. 5 - --------------------------- --------------------------- CUSIP No. 586002 10 7 13G Page 5 of 5 ----------- --- --- - --------------------------- --------------------------- 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: February 11, 1997 By: /s/ Gary A. Johnson ____________________ Gary A. Johnson -----END PRIVACY-ENHANCED MESSAGE-----