-----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, M9b/BBo93E3s+CWnhOCU0OVekO9L5pGhES8vFpBqNQ6A0VPzE6dMFqGFKQirbo2k uejFQhw1zh5TahxH2xs0+g== 0000950172-99-000539.txt : 19990511 0000950172-99-000539.hdr.sgml : 19990511 ACCESSION NUMBER: 0000950172-99-000539 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990510 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHCORE MEDICAL SOLUTIONS INC CENTRAL INDEX KEY: 0001035789 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PERSONAL SERVICES [7200] IRS NUMBER: 431771999 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-52671 FILM NUMBER: 99615908 BUSINESS ADDRESS: STREET 1: 11904 BLUE RIDGE BLVD CITY: GRANDVIEW STATE: MO ZIP: 64030 BUSINESS PHONE: 8167364900 MAIL ADDRESS: STREET 1: 11904 BLUE RIDGE BLVD STREET 2: 11904 BLUE RIDGE BLVD CITY: GRANDVIEW STATE: MO ZIP: 64030 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DRAPKIN DONALD G CENTRAL INDEX KEY: 0001046392 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 35 EAST 62ND STRET CITY: NEW YORK STATE: NY ZIP: 10021 BUSINESS PHONE: 2125728600 MAIL ADDRESS: STREET 1: 35 EAST 62ND STREET CITY: NEW YORK STATE: NY ZIP: 10021 SC 13G 1 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 13d-2(b) Healthcore Medical Solutions Inc. (Name of Issuer) Common Stock, $.01 par value per share (Title of Class of Securities) 42220B 10 1 (CUSIP Number) April 29, 1999 (Date of event which requires filing of this statement) Check the appropriate box to designate the rules pursuant to which this Schedule 13G 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 of 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 purposes 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. 42220B 10 1 13G NAMES OF REPORTING PERSONS 1 S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS Donald G. Drapkin - ------------------------------------------------------------------------------ 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP. (a) | | (b) |_| - ------------------------------------------------------------------------------ 3 SEC USE ONLY - ------------------------------------------------------------------------------ 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America - ------------------------------------------------------------------------------ 5 SOLE VOTING POWER 528,470 (285,810, excluding 242,660 Warrants exercisable at $6.50 per share) NUMBER OF SHARES BENEFICIALLY 6 SHARED VOTING POWER OWNED BY None EACH REPORTING 7 SOLE DISPOSITIVE POWER PERSON 528,470 (285,810, excluding WITH 242,660 Warrants exercisable at $6.50 per share) 8 SHARED DISPOSITIVE POWER None - ------------------------------------------------------------------------------ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 528,470 (285,810, excluding 242,660 Warrants exercisable at $6.50 per share) - ------------------------------------------------------------------------------ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES |_| - ------------------------------------------------------------------------------ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 15.2% (8.9%, excluding 242,660 Warrants exercisable at $6.50 per share) - ------------------------------------------------------------------------------ 14 TYPE OF REPORTING PERSON* IN ** SEE INSTRUCTIONS BEFORE FILLING OUT! - ------------------------------------------------------------------------------ Item 1(a). Name of Issuer: The name of the issuer is Healthcore Medical Solutions Inc. (the "Company"). Item 1(b). Address of Issuer's Principal Executive Offices: The Company's principal executive offices are located at 11904 Blue Ridge Boulevard Grandview, Missouri 64030 Item 2(a). Name of Person Filing: This statement is filed by Donald G. Drapkin (the "Reporting Person"). Item 2(b). Address of Principal Business Office or, if None, Residence: The address of the business office of the Reporting Person is 35 East 62nd Street, New York, NY 10021. Item 2(c). Citizenship: The Reporting Person is a citizen of the United States of America. Item 2(d). Title of Class of Securities: Common Stock, $.01 par value per share (the "Common Stock") Item 2(e). CUSIP Number: 42220B 10 1 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 Act, (b) [ ] Bank as defined in Section 3(a)(6) of the Act, (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act, (d) [ ] Investment Company registered under Section 8 of the Investment Company Act of 1940, (e) [ ] Investment Adviser in accordance with 13d-1(b)(1)(ii)(E), (f) [ ] Employee Benefit Plan or Endowment Fund in accordance with 13d-1(b)(1)(ii)(F), (g) [ ] Parent Holding Company or control person in accordance with Rule 13d-1(b)(ii)(G), (h) [ ] Savings Associations as defined in Section 3(b) of the Federal Deposit Insurance Act, (i) [ ] Church Plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940, (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). If this statement is filed pursuant to 13d-1(c), check this box: [x] Item 4. Ownership.(1) Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 528,470 (285,810, excluding 242,660 Warrants exercisable at $6.50 per share) (b) Percent of class: 15.2% (8.9%, excluding 242,660 Warrants exercisable at $6.50 per share) (c) Number of shares as to which the person has: - ----------------- (1) The Reporting Person acquired more than 5% of the shares of Company Common Stock on April 29, 1999, without giving effect to shares of Company Common Stock issuable at $6.50 per share upon the exercise of previously acquired Warrants. (i) Sole power to vote or to direct the vote 528,470 (285,810, excluding 242,660 Warrants exercisable at $6.50 per share) (ii) Shared power to vote or to direct the vote None (iii) Sole power to dispose or to direct the disposition of 528,470 (285,810, excluding 242,660 Warrants exercisable at $6.50 per share) (iv) Shared power to dispose or to direct the disposition of None 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. 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. The Reporting Person hereby makes the following 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. SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, the undersigned certifies that the information set forth in this statement is true, complete and correct. Dated: May 10, 1999 By: /s/ Donald G. Drapkin ------------------------------- Donald G. Drapkin -----END PRIVACY-ENHANCED MESSAGE-----