-----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, IbXGmMF93inYHl+oRDgTMFxeT5LuWwmgU7G2lEa7sydhOx9XrycmuL+BsIp3ZnJm twVCEmFnetX55LB9pApoEw== 0001044885-99-000015.txt : 19990318 0001044885-99-000015.hdr.sgml : 19990318 ACCESSION NUMBER: 0001044885-99-000015 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990317 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDICAL TECHNOLOGY SYSTEMS INC /DE/ CENTRAL INDEX KEY: 0000823560 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 592740462 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-40483 FILM NUMBER: 99567027 BUSINESS ADDRESS: STREET 1: 12920 AUTOMOBILE BLVD CITY: CLEARWATER STATE: FL ZIP: 34622-4734 BUSINESS PHONE: 7275766311 MAIL ADDRESS: STREET 1: 12920 AUTOMOBILE BLVD CITY: CLEARWATER STATE: FL ZIP: 33762 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: COUTURE & CO INC /FA/ CENTRAL INDEX KEY: 0001044885 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 593404872 STATE OF INCORPORATION: FL FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 901 CHESTNUT STREET STREET 2: SUITE A CITY: CLEARWATER STATE: FL ZIP: 33756 BUSINESS PHONE: 8134475511 MAIL ADDRESS: STREET 1: 901 CHESTNUT STREET STREET 2: SUITE A CITY: CLEARWATER STATE: FL ZIP: 33756 SC 13D 1 SCHEDULE 13-D SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 Medical Technology Systems, Inc. -------------------------------- (Name of Issuer) Common Stock ------------ (Title of Class of Securities 58462R505 --------- (CUSIP Number) Gerald Couture, 901 Chestnut Street, Suite A, Clearwater,FL 33756,(727)447-5511 - ------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) January 19, 1999 ---------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box___. Note: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. (Continued on following pages) 1 CUSIP NO. 58462R505 Page 2 of 5 1 Names of Reporting Person SS or IRS Identification Nos. of Above Person Couture & Company, Inc. Check the Appropriate Box if a Member of a Group* 2 (a) x Gerald Couture (b) 3 SEC use only Source of Funds* 4 SC. 5 Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e)___ Citizenship or Place of Organization 6 Florida 7 Sole Voting Power NUMBER OF SHARES BENEFICIALLY 8 Shared Voting Power 287,318 OWNED BY EACH 9 Sole Dispositive Power 287,318 REPORTING PERSON WITH 10 Shared Dispositive Power 11 Aggregate Amount Beneficially Owned by Each Reporting Person 633,837 12 Check if the Aggregate Amount in Row (11) Excludes Certain Shares* ____ 13 Percent of Class Represented by Amount in Row (11) 9.9% 14 Type of Reporting Person* CO * SEE INSTRUCTIONS BEFORE FILLING OUT! 2 CUSIP NO. 58462R505 Page 3 of 5 Names of Reporting Person 1 SS or IRS Identification Nos. of Above Person Gerald Couture Check the Appropriate Box if a Member of a Group* 2 (a)x Couture & Company, Inc. (b) 3 SEC USE ONLY Source of Funds* 4 SC. 5 Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) ____ Citizenship or Place of Organization 6 U.S. 7 Sole Voting Power 346,519 NUMBER OF SHARES BENEFICIALLY 8 Shared Voting Power OWNED BY EACH 9 Sole Dispositive Power 346,519 REPORTING PERSON WITH 10 Shared Dispositive Power 11 Aggregate Amount Beneficially Owned by Each Reporting Person 633,837 12 Check if the Aggregate Amount in Row (11) Excludes Certain Shares* ___ 13 Percent of Class Represented by Amount in Row (11) 9.9% 14 Type of Reporting Person* IN SEE INSTRUCTIONS BEFORE FILLING OUT! 3 Item 1. Security and Issuer. -------------------- Common Stock Medical Technology Systems, Inc. 12920 Automobile Blvd., Clearwater, FL 33762 Item 2. Identity and Background. ------------------------ Item 2. (a) Gerald Couture Item 2. (b) 901 Chestnut Street, Suite A, Clearwater, FL 33756 Item 2. (c) Couture & Company, Inc. Item 2. (d) No Item 2. (e) No Item 2. (f) USA Item 3. Source and Amount of Funds or Other Consideration. -------------------------------------------------- In consideration of amounts due pursuant to employment severance agreement. Item 4. Purpose of Transaction. ----------------------- Investment Item 5. Interest in Securities of the Issuer. ------------------------------------- Item 5. (a) 633,837 Item 5. (b) 633,837 Item 5. (c) None Item 5. (d) None Item 5. (e) N/A Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer. ----------------------------------------- None Item 7. Material to be Filed as Exhibits. --------------------------------- None 4 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. Dated: 3/9/99 --------- /s/ Gerald L. Couture --------------------- Gerald L. Couture Gerald Couture, President and as Individual ------------------------------------------- Name The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative (other than an executive officer or general partner of this filing person), evidence of the representative's authority to sign on behalf of such person shall be filed with the statement, provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature. Attention: Intentional misstatements or omissions of fact constitute Federal criminal violations (See 18 U.S.C. 1001). 5 -----END PRIVACY-ENHANCED MESSAGE-----