-----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, BfA7h9YI8AiZz4Cj5YBP956kVsJ0fGNx6qbJ2xX7znviVThUeGzxNH8icClXcFbU g1DdvGFMyiWUAScP8SyasQ== 0000912057-02-005323.txt : 20020414 0000912057-02-005323.hdr.sgml : 20020414 ACCESSION NUMBER: 0000912057-02-005323 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020212 GROUP MEMBERS: BERNARD MCDERMOTT ROTH IRA GROUP MEMBERS: JOYCE MCDERMOTT GROUP MEMBERS: JOYCE MCDERMOTT ROTH IRA SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CARDIMA INC CENTRAL INDEX KEY: 0001022570 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 943177883 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-52701 FILM NUMBER: 02539037 BUSINESS ADDRESS: STREET 1: 47266 BENICIA STREET CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 5103540300 MAIL ADDRESS: STREET 1: 47266 BENICIA ST CITY: FREMONT STATE: CA ZIP: 94538 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MCDERMOTT BERNARD J JR CENTRAL INDEX KEY: 0001159043 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 900 N. LAKE SHORE DRIVE CITY: CHICAGO STATE: IL ZIP: 60611 SC 13G/A 1 a2070374zsc13ga.htm SC 13G/A Prepared by MERRILL CORPORATION

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

SCHEDULE 13G
(Rule 13d-102)

Information Statement Pursuant to Rules 13d-1 and 13d-2
Under the Securities Exchange Act of 1934
(Amendment No. 1)*


CARDIMA, INC.

(Name of Issuer)

Common Stock, par value $0.001 per share

(Title of Class of Securities)

 

 

14147M106

 

 
   
(CUSIP Number)
   

December 31, 2001

Date of Event Which Requires Filing of the Statement

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

        / /      Rule 13d-1(b)

        /x/      Rule 13d-1(c)

        / /      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 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).

Page 1 of 11


CUSIP NO.    14147M106   13G   Page 2 of 11 Pages
             

(1)   NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Bernard J. McDermott, Jr.

 

 

 

 

 

 

 

(2)   CHECK THE APPROPRIATE BOX IF A   (a)   /x/
    MEMBER OF A GROUP*   (b)   / /

 

 

 

 

 

 

 

(3)   SEC USE ONLY        

 

 

 

 

 

 

 

(4)   CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
U.S.A.

 

 

 

 

 

 

 

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH   (5)   SOLE VOTING POWER
0

 

 

 

 

 

 

 
       
        (6)   SHARED VOTING POWER
2,175,725 shares of Common Stock1
Warrants to purchase 77,518 shares of Common Stock

 

 

 

 

 

 

 
       
        (7)   SOLE DISPOSITIVE POWER
0

 

 

 

 

 

 

 
       
        (8)   SHARED DISPOSITIVE POWER
See Row 6 above.

 

 

 

 

 

 

 

(9)   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
See Row 6 above.1

 

 

 

 

 

 

 

(10)   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / /

 

 

 

 

 

 

 

(11)   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
Approximately 6.0% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001, plus the shares of Common Stock issuable upon the exercise of the Warrants referred to in Row 6 above.)

 

 

 

 

 

 

 

(12)   TYPE OF REPORTING PERSON*
IN; HC

 

 

 

 

 

 

 

1See Footnote 1 in Item 4.

Page 2 of 11


CUSIP NO.    14147M106   13G   Page 3 of 11 Pages
             

(1)   NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Joyce McDermott

 

 

 

 

 

 

 

(2)   CHECK THE APPROPRIATE BOX IF A   (a)   /x/
    MEMBER OF A GROUP*   (b)   / /

 

 

 

 

 

 

 

(3)   SEC USE ONLY        

 

 

 

 

 

 

 

(4)   CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
U.S.A.

 

 

 

 

 

 

 

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH   (5)   SOLE VOTING POWER
0

 

 

 

 

 

 

 
       
        (6)   SHARED VOTING POWER
2,175,725 shares of Common Stock1
Warrants to purchase 77,518 shares of Common Stock1

 

 

 

 

 

 

 
       
        (7)   SOLE DISPOSITIVE POWER
0

 

 

 

 

 

 

 
       
        (8)   SHARED DISPOSITIVE POWER
See Row 6 above.

 

 

 

 

 

 

 

(9)   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
See Row 6 above.1

 

 

 

 

 

 

 

(10)   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / /

 

 

 

 

 

 

 

(11)   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
Approximately 6.0% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001, plus the shares of Common Stock issuable upon the exercise of the Warrants referred to in Row 6 above.)

 

 

 

 

 

 

 

(12)   TYPE OF REPORTING PERSON*
IN; HC

 

 

 

 

 

 

 

1See Footnote 1 in Item 4.

Page 3 of 11


CUSIP NO.    14147M106   13G   Page 4 of 11 Pages
             

(1)   NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Joyce McDermott Roth IRA

 

 

 

 

 

 

 

(2)   CHECK THE APPROPRIATE BOX IF A   (a)   /x/
    MEMBER OF A GROUP*   (b)   / /

 

 

 

 

 

 

 

(3)   SEC USE ONLY        

 

 

 

 

 

 

 

(4)   CITIZENSHIP OR PLACE OF ORGANIZATION
IRA account through financial institution located in Illinois
U.S.A.

 

 

 

 

 

 

 

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH   (5)   SOLE VOTING POWER
0

 

 

 

 

 

 

 
       
        (6)   SHARED VOTING POWER
889,901 shares of Common Stock

 

 

 

 

 

 

 
       
        (7)   SOLE DISPOSITIVE POWER
0

 

 

 

 

 

 

 
       
        (8)   SHARED DISPOSITIVE POWER
See Row 6 above.

 

 

 

 

 

 

 

(9)   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
See Row 6 above.

 

 

 

 

 

 

 

(10)   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / /

 

 

 

 

 

 

 

(11)   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
Approximately 2.4% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001.)

 

 

 

 

 

 

 

(12)   TYPE OF REPORTING PERSON*
OO

 

 

 

 

 

 

 

Page 4 of 11


CUSIP NO.    14147M106   13G   Page 5 of 11 Pages
             

(1)   NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Bernard McDermott Roth IRA

 

 

 

 

 

 

 

(2)   CHECK THE APPROPRIATE BOX IF A   (a)   /x/
    MEMBER OF A GROUP*   (b)   / /

 

 

 

 

 

 

 

(3)   SEC USE ONLY        

 

 

 

 

 

 

 

(4)   CITIZENSHIP OR PLACE OF ORGANIZATION
IRA account through financial institution located in Illinois
U.S.A.

 

 

 

 

 

 

 

NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH   (5)   SOLE VOTING POWER
0

 

 

 

 

 

 

 
       
        (6)   SHARED VOTING POWER
883,101 shares of Common Stock

 

 

 

 

 

 

 
       
        (7)   SOLE DISPOSITIVE POWER
0

 

 

 

 

 

 

 
       
        (8)   SHARED DISPOSITIVE POWER
See Row 6 above.

 

 

 

 

 

 

 

(9)   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
See Row 6 above.

 

 

 

 

 

 

 

(10)   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* / /

 

 

 

 

 

 

 

(11)   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
Approximately 2.4% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001.)

 

 

 

 

 

 

 

(12)   TYPE OF REPORTING PERSON*
OO

 

 

 

 

 

 

 

Page 5 of 11


CUSIP NO.    14147M106   13G   Page 6 of 11 Pages
Item 1(a)   Name of Issuer: CARDIMA, INC.

1(b)

 

Address of Issuer's Principal Executive Offices:

 

 

 

 

CARDIMA, INC.
47266 Benicia Street
Fremont, CA 94538-7330

Item 2(a)

 

Name of Person Filing

Item 2(b)

 

Address of Principal Business Office

Item 2(c)

 

Citizenship

 

 

 

 

Bernard J. McDermott, Jr.
900 N. Lake Shore Drive
Chicago, IL 60611
U.S. Citizen

 

 

 

 

Joyce McDermott
900 N. Lake Shore Drive
Chicago, IL 60611
U.S. Citizen

 

 

 

 

Joyce McDermott Roth IRA
900 N. Lake Shore Drive
Chicago, IL 60611
U.S.A.

 

 

 

 

Bernard McDermott Roth IRA
900 N. Lake Shore Drive
Chicago, IL 60611
U.S.A.

2(d)

 

Title of Class of Securities:

 

 

 

 

Common Stock, par value $0.001 per share

2(e)

 

CUSIP Number:
14147M106.

Page 6 of 11


CUSIP NO.    14147M106   13G   Page 7 of 11 Pages

        Item 3    If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a:

(a)   [__]   Broker or dealer registered under Section 15 of the Exchange Act;

(b)

 

[__]

 

Bank as defined in Section 3(a)(6) of the Exchange Act;

(c)

 

[__]

 

Insurance company as defined in Section 3(a)(19) of the Exchange Act;

(d)

 

[__]

 

Investment company registered under Section 8 of the Investment Company Act;

(e)

 

[__]

 

An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E);

(f)

 

[__]

 

An employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F);

(g)

 

[__]

 

A parent holding company or control person in accordance with Rule 13d-1(b)(ii)(G);

(h)

 

[__]

 

A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act;

(i)

 

[__]

 

A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act;

(j)

 

[__]

 

Group, in accordance with Rule 13d-1(b)(1)(ii)(J).

If this statement is filed pursuant to Rule 13d-1(c), check this box. /x/

Item 4    Ownership:

BERNARD J. MCDERMOTT, JR.

    (a)
    Amount beneficially owned:

2,175,725 shares of Common Stock and warrants to purchase 77,518 shares of Common Stock.1

    (b)
    Percent of Class:

Approximately 6.0% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001, plus the shares of Common Stock issuable upon the exercise of the warrants referred to in section (a) above.)

    (c)
    Number of shares as to which such person has:

    (i)
    sole power to vote or to direct the vote:

                0

      (ii)
      shared power to vote or to direct the vote:

Page 7 of 11


CUSIP NO.    14147M106   13G   Page 8 of 11 Pages

                See item (a) above.

      (iii)
      sole power to dispose or to direct the disposition of:

                0

      (iv)
      shared power to dispose or to direct the disposition of:

                See item (a) above.

JOYCE MCDERMOTT

    (a)
    Amount beneficially owned:

2,175,725 shares of Common Stock and warrants to purchase 77,518 shares of Common Stock.1

    (b)
    Percent of Class:

Approximately 6.0% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001, plus the shares of Common Stock issuable upon the exercise of the warrants referred to in section (a) above.)

    (c)
    Number of shares as to which such person has:

    (i)
    sole power to vote or to direct the vote:

                0

      (ii)
      shared power to vote or to direct the vote:

                See item (a) above.

      (iii)
      sole power to dispose or to direct the disposition of:

                0

      (iv)
      shared power to dispose or to direct the disposition of:

                See item (a) above.

JOYCE MCDERMOTT ROTH IRA

    (a)
    Amount beneficially owned:

Page 8 of 11


CUSIP NO.    14147M106   13G   Page 9 of 11 Pages

889,901 shares of Common Stock.

    (b)
    Percent of Class:

Approximately 2.4% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001.)

    (c)
    Number of shares as to which such person has:

    (i)
    sole power to vote or to direct the vote:

                0

      (ii)
      shared power to vote or to direct the vote:

                See item (a) above.

      (iii)
      sole power to dispose or to direct the disposition of:

                0

      (iv)
      shared power to dispose or to direct the disposition of:

                See item (a) above.

BERNARD MCDERMOTT ROTH IRA

    (a)
    Amount beneficially owned:

883,101 shares of Common Stock.

    (b)
    Percent of Class:

Approximately 2.4% as of the date of this filing. (Based on 37,548,210 shares of Common Stock issued and outstanding as of November 12, 2001.)

    (c)
    Number of shares as to which such person has:

    (i)
    sole power to vote or to direct the vote:

Page 9 of 11


CUSIP NO.    14147M106   13G   Page 10 of 11 Pages

                0

    (ii)
    shared power to vote or to direct the vote:

                See item (a) above.

      (iii)
      sole power to dispose or to direct the disposition of:

                0

      (iv)
      shared power to dispose or to direct the disposition of:

                See item (a) above.

/1 Nothing contained herein shall be construed as an admission that Bernard J. McDermott, Jr. and Bernard McDermott Roth IRA are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owners of any securities held by Joyce McDermott or Joyce McDermott Roth IRA, and nothing contained herein shall be construed as an admission that Joyce McDermott or Joyce McDermott Roth IRA are, for purposes of Section 13(d) or 13(g) of the Act, the beneficial owners of any securities held by Bernard J. McDermott, Jr. and Bernard McDermott Roth IRA.

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:

                See Item 2 above.

Item 8    Identification and Classification of Members of the Group:

        Not Applicable.

Item 9    Notice of Dissolution of Group:

        Not Applicable.

Page 10 of 11


CUSIP NO.    14147M106   13G   Page 11 of 11 Pages

Item 10    Certification:

        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 its knowledge and belief, the undersigned certify that the information set forth in this statement is true, complete and correct.

Dated this 11th day of February, 2002

/s/  BERNARD J. MCDERMOTT, JR.      
Bernard J. McDermott, Jr.
   

/s/  
JOYCE MCDERMOTT      
Joyce McDermott

 

 


JOYCE MCDERMOTT ROTH IRA

/s/  
JOYCE MCDERMOTT      
By: Joyce McDermott
Its: Authorized Signatory


 


 


BERNARD MCDERMOTT ROTH IRA

/s/  
BERNARD J. MCDERMOTT, JR.      
By: Bernard J. McDermott, Jr.
Its: Authorized Signatory


 


 

Page 11 of 11



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