-----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, Ijy6Fex3OdtX0g9LJH18rCr8VlQfCYGrkOmQufWDHzZmhoPbCq12Viuajbbm1Drj JNIESgnxBSHsaOSDgZw9MA== 0000910680-03-000122.txt : 20030213 0000910680-03-000122.hdr.sgml : 20030213 20030213151626 ACCESSION NUMBER: 0000910680-03-000122 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: ALLOU HEALTH & BEAUTY CARE INC CENTRAL INDEX KEY: 0000846538 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-DRUGS PROPRIETARIES & DRUGGISTS' SUNDRIES [5122] IRS NUMBER: 112953972 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-40474 FILM NUMBER: 03559156 BUSINESS ADDRESS: STREET 1: 50 EMJAY BLVD CITY: BRENTWOOD STATE: NY ZIP: 11717 BUSINESS PHONE: 5162734000 MAIL ADDRESS: STREET 1: 50 EMJAY BLVD CITY: BRENTWOOD STATE: NY ZIP: 11717 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: JACOBS JACK CENTRAL INDEX KEY: 0001006787 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O ALLOU HEALTH & BEAUTY CARE INC STREET 2: 50 EMJAY BLVD CITY: BRENTWOOD STATE: NY ZIP: 11717 BUSINESS PHONE: 5162734000 MAIL ADDRESS: STREET 1: C/O ALLOU HEALTH & BEAUTY CARE INC STREET 2: 50 EMJAY BLVD CITY: BRENTWOOD STATE: NY ZIP: 11717 SC 13G/A 1 d884412-1.txt J. JACOBS - 12/31/2002 ----------------------------- OMB APPROVAL ----------------------------- OMB Number 3235-0145 Expires: December 31, 2005 Estimated average burden hours per response .......11 ----------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. 10)* Allou Healthcare, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.001 par value per share - -------------------------------------------------------------------------------- (Title of Class of Securities) 019782 10 1 ------------------------------------------------ (CUSIP Number) December 31, 2002 ------------------------------------------------ (Date of Event which requires filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Statement 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 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. 019782 10 1 13G Page 2 of 6 Pages - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON Jack Jacobs - -------------------------------------------------------------------------------- 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 - -------------------------------------------------------------------------------- NUMBER OF SHARES 5 SOLE VOTING POWER BENEFICIALLY 616,535 (representing 2,255,535 votes) OWNED BY ------------------------------------------------------------- EACH REPORTING 6 SHARED VOTING POWER PERSON 0 WITH ------------------------------------------------------------- 7 SOLE DISPOSITIVE POWER 616,535 ------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 616,535 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 7.6% (representing 16.8% of voting power) - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- CUSIP No. 019782 10 1 13G Page 3 of 6 Pages - -------------------------------------------------------------------------------- ITEM 1. (a) Name of Issuer Allou Healthcare, Inc. (b) Address of Issuer's Principal Executive Offices: Allou Healthcare, Inc. 50 Emjay Boulevard Brentwood, New York 11717 ITEM 2. (a) Name of Person Filing: Jack Jacobs (b) Address of Principal Business Office or, if none, Residence: c/o Allou Healthcare, Inc. 50 Emjay Boulevard Brentwood, New York 11717 (c) Citizenship: United States of America (d) Title of Class of Securities: Common Stock, par value $.001 per share (e) CUSIP Number: 019782 10 1 CUSIP No. 019782 10 1 13G Page 4 of 6 Pages - -------------------------------------------------------------------------------- ITEM 3. If this statement is filed pursuant to ss.ss.240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: (a) |_| Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o). (b) |_| Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c). (c) |_| Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c). (d) |_| Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8). (e) |_| An investment adviser in accordance with ss.240.13d-1(b)(1)(ii)(E); (f) |_| An employee benefit plan or endowment fund in accordance with ss.240.13d-1(b)(1)(ii)(F); (g) |_| A parent holding company or control person in accordance with ss.240.13d-1(b)(1)(ii)(G); (h) |_| A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) |_| A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); (j) |_| Group, in accordance withss.240.13d-1(b)(1)(ii)(J). ITEM 4. OWNERSHIP. As of December 31, 2001: (a) Amount beneficially owned: 616,535 shares. (i) Includes the following shares of Class A Common Stock, par value $.001 per share (the "Class A Common Stock"), held by Mr. Jacobs: 130,500 shares of Class A Common Stock and 76,285 shares of Class A Common Stock issuable upon the exercise of stock options that are exercisable within 60 days. (ii) Includes the following shares of Class B Common Stock, par value $.001 per share (the "Class B Common Stock"), held by Mr. Jacobs: 293,750 shares of Class B Common Stock and 116,000 of shares Class B Common Stock issuable upon the exercise of stock options that are exercisable within 60 days. CUSIP No. 019782 10 1 13G Page 5 of 6 Pages - -------------------------------------------------------------------------------- Each share of Class B Common Stock has five votes per share; each share of Class A Common Stock has one vote per share. (b) Percent of Class: 7.6% (representing 16.8% of voting power) (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 616,535 (representing 2,255,535 votes) (ii) shared power to vote or to direct the vote: 0 (iii) sole power to dispose or to direct the disposition of: 616,535 (iv) shared power to dispose or to direct the disposition of: 0 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 Not applicable. CUSIP No. 019782 10 1 13G Page 6 of 6 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. February 7, 2002 ---------------------------------- Date /s/ Jack Jacobs ---------------------------------- Signature Jack Jacobs ---------------------------------- Name/Title -----END PRIVACY-ENHANCED MESSAGE-----