-----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, AXNrQeMwGnjbP4uLfociDbfpWZM9ZZKLHHy1a9Nep0EArabt3NCSVibe5oBwJ680 t693y0DgK+TVNHyV0Sgjqg== 0000950112-96-003203.txt : 19960911 0000950112-96-003203.hdr.sgml : 19960911 ACCESSION NUMBER: 0000950112-96-003203 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 19960910 SROS: NYSE SROS: PSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PALOMAR MEDICAL TECHNOLOGIES INC CENTRAL INDEX KEY: 0000881695 STANDARD INDUSTRIAL CLASSIFICATION: PRINTED CIRCUIT BOARDS [3672] IRS NUMBER: 043128178 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-46869 FILM NUMBER: 96627961 BUSINESS ADDRESS: STREET 1: 66 CHERRY HILL DR CITY: BEVERLY STATE: MA ZIP: 01915 BUSINESS PHONE: 5089219300 MAIL ADDRESS: STREET 1: 66 CHERRY HILL DR CITY: BEVERLY STATE: MA ZIP: 01915 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: TRAVELERS GROUP INC CENTRAL INDEX KEY: 0000831001 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 521568099 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 388 GREENWICH ST STREET 2: LEGAL DEPT 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10013 BUSINESS PHONE: 2128168000 MAIL ADDRESS: STREET 1: 388 GREENWICH ST STREET 2: LEGAL DEPT 20TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10013 FORMER COMPANY: FORMER CONFORMED NAME: TRAVELERS INC DATE OF NAME CHANGE: 19940103 FORMER COMPANY: FORMER CONFORMED NAME: PRIMERICA CORP /NEW/ DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: COMMERCIAL CREDIT GROUP INC DATE OF NAME CHANGE: 19890102 SC 13G 1 TRAVELERS GROUP INC. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. __) PALOMAR MEDICAL TECHNOLOGIES, INC. --------------------------------------- (Name of Issuer) Common Stock --------------------------------------- (Title of Class of Securities) 697529-10-5 ------------------ (CUSIP Number) Check the following box if a fee is being paid with this statement [X]. (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). (Continued on following pages(s)) SCHEDULE 13G CUSIP NO. 697529-10-5 - -------------------------------------------------------------------------------- 1) Name of Reporting Person The Travelers Insurance Company S.S. or I.R.S Identification 06-0566090 No. of Above Person - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) ---------------------------- if a Member of a Group (See Instructions) (b) ---------------------------- - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization Connecticut - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 0 Beneficially Owned (6) Shared Voting Power 3,066,667* by Each Reporting (7) Sole Dispositive Power 0 Person with (8) Shared Dispositive Power 3,066,667* - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 3,066,667* - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row 9 Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 10.5%* - -------------------------------------------------------------------------------- 12) Type of Reporting Person IC (See Instructions) - -------------------------------------------------------------------------------- * Includes assumed exercise of common stock warrants. SCHEDULE 13G CUSIP NO. 697529-10-5 - -------------------------------------------------------------------------------- 1) Name of Reporting Person The Travelers Insurance Group, Inc. S.S. or I.R.S Identification 06-1008174 No. of Above Person - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) ---------------------------- if a Member of a Group (See Instructions) (b) ---------------------------- - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization Connecticut - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 0 Beneficially Owned (6) Shared Voting Power 3,066,667* by Each Reporting (7) Sole Dispositive Power 0 Person with (8) Shared Dispositive Power 3,066,667* - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 3,066,667* - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row 9 Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 10.5%* - -------------------------------------------------------------------------------- 12) Type of Reporting Person IC (See Instructions) - -------------------------------------------------------------------------------- * Includes assumed exercise of common stock warrants. SCHEDULE 13G CUSIP NO. 697529-10-5 - -------------------------------------------------------------------------------- 1) Name of Reporting Person PFS Services, Inc. S.S. or I.R.S Identification 58-1708749 No. of Above Person - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) ---------------------------- if a Member of a Group (See Instructions) (b) ---------------------------- - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization Georgia - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 0 Beneficially Owned (6) Shared Voting Power 3,066,667* by Each Reporting (7) Sole Dispositive Power 0 Person with (8) Shared Dispositive Power 3,066,667* - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 3,066,667* - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row 9 Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 10.5%* - -------------------------------------------------------------------------------- 12) Type of Reporting Person HC (See Instructions) - -------------------------------------------------------------------------------- * Includes assumed exercise of common stock warrants. SCHEDULE 13G CUSIP NO. 697529-10-5 - -------------------------------------------------------------------------------- 1) Name of Reporting Person Associated Madison Companies, Inc. S.S. or I.R.S Identification 13-3140258 No. of Above Person - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) ---------------------------- if a Member of a Group (See Instructions) (b) ---------------------------- - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization Delaware - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 0 Beneficially Owned (6) Shared Voting Power 3,066,667* by Each Reporting (7) Sole Dispositive Power 0 Person with (8) Shared Dispositive Power 3,066,667* - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 3,066,667* - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row 9 Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 10.5%* - -------------------------------------------------------------------------------- 12) Type of Reporting Person HC (See Instructions) - -------------------------------------------------------------------------------- * Includes assumed exercise of common stock warrants. SCHEDULE 13G CUSIP NO. 697529-10-5 - -------------------------------------------------------------------------------- 1) Name of Reporting Person TRAVELERS GROUP INC. S.S. or I.R.S Identification 52-1568099 No. of Above Person - -------------------------------------------------------------------------------- 2) Check the Appropriate Box (a) if a Member of a Group ---------------------------- (See Instructions) (b) ---------------------------- - -------------------------------------------------------------------------------- 3) SEC Use Only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization Delaware - -------------------------------------------------------------------------------- Number of Shares (5) Sole Voting Power 0 Beneficially Owned (6) Shared Voting Power 3,135,063* by Each Reporting (7) Sole Dispositive Power 0 Person with (8) Shared Dispositive Power 3,135,063* - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 3,135,063* - -------------------------------------------------------------------------------- 10) Check if the Aggregate Amount in Row 9 Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 10.8%* - -------------------------------------------------------------------------------- 12) Type of Reporting Person HC (See Instructions) - -------------------------------------------------------------------------------- * Includes assumed exercise of common stock warrants. Item 1(a) Name of Issuer: PALOMAR MEDICAL TECHNOLOGIES, INC. Item 1(b) Address of Issuer's Principal Executive Offices: 66 Cherry Hill Drive Beverly, MA 01915 Item 2(a) Names of Persons Filing: The Travelers Insurance Company ("TIC") The Travelers Insurance Group, Inc. ("Group") PFS Services, Inc. ("PFS") Associated Madison Companies, Inc. ("AMAD") Travelers Group Inc. ("TRV") Item 2(b) Address of Principal Business Office or, if none, Residence: The address of the principal business office of each of TIC and Group is: One Tower Square Hartford, CT 06183 The address of the principal business office of PFS is: 3120 Breckinridge Blvd. Duluth, GA 30199-0001 The address of the principal business office of each of AMAD and TRV is: 388 Greenwich Street New York, NY 10013 Item 2(c) Citizenship: PFS is a Georgia Corporation. TIC and Group are Connecticut corporations. AMAD and TRV are Delaware corporations. Item 2(d) Title of Class of Securities: Common Stock Item 2(e) CUSIP Number: 697529-10-5 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: (a) [ ] Broker or Dealer registered under Sec. 15 of the Act (b) [ ] Bank as defined in Sec. 3(a)(6) of the Act (c) [ X ] Insurance Company as defined in Sec. 3(a)(19) of the Act (d) [ ] Investment Company registered under Sec. 8 of the Investment Company Act (e) [ ] Investment Adviser registered under Sec. 203 of the Investment Advisers Act of 1940 (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see Sec. 240.13d-1(b)(1)(ii)(F) (g) [ X ] Parent Holding Company, in accordance with Sec. 240.13d- 1(b)(ii)(G) (Note: See Item 7) (h) [ ] Group, in accordance with Sec. 240.13d-1(b)(1)(ii)(H) Item 4. Ownership (as of August 31, 1996) (a) Amount Beneficially Owned: See Item 9 of cover pages (b) Percent of Class: See Item 11 of cover pages (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote (ii) shared power to vote or to direct the vote (iii) sole power to dispose or to direct the disposition of (iv) shared power to dispose or to direct the disposition of See Items 5-8 of cover pages Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. 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 Group is the sole stockholder of TIC; PFS is the sole stockholder of Group; AMAD is the sole stockholder of PFS; and TRV is the sole stockholder of AMAD. 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 that, to the best of my knowledge, 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. 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: September 9, 1996 THE TRAVELERS INSURANCE COMPANY By: /s/ Charles J. Gallo, Jr. -------------------------------------------- Name: Charles J. Gallo, Jr. Title: Assistant Controller TRAVELERS/AETNA PROPERTY CASUALTY CORP. By: /s/ Mary Barnes Jenkins -------------------------------------------- Name: Mary Barnes Jenkins Title: Assistant Secretary THE TRAVELERS INSURANCE GROUP, INC. By: /s/ Mary Barnes Jenkins -------------------------------------------- Name: Mary Barnes Jenkins Title: Assistant Secretary PFS SERVICES, INC. By: /s/ Mary Barnes Jenkins -------------------------------------------- Name: Mary Barnes Jenkins Title: Assistant Secretary ASSOCIATED MADISON COMPANIES, INC. By: /s/ Charles J. Gallo, Jr. -------------------------------------------- Name: Charles J. Gallo, Jr. Title: Vice President and Controller TRAVELERS GROUP INC. By: /s/ Charles J. Gallo, Jr. -------------------------------------------- Name: Charles J. Gallo, Jr. Title: Assistant Controller EXHIBIT INDEX TO SCHEDULE 13G ----------------------------- EXHIBIT 1 - --------- Agreement among TIC, Group, PFS, AMAD and TRV as to joint filing of Schedule 13G. EX-1 2 Exhibit 1 EXHIBIT 1 --------- AGREEMENT AS TO JOINT FILING OF SCHEDULE 13G -------------------------------------------- Each of the undersigned hereby affirms that it is individually eligible to use Schedule 13G, and agrees that this Schedule 13G is filed on its behalf. Date: September 9, 1996 THE TRAVELERS INSURANCE COMPANY By: /s/ Charles J. Gallo, Jr. -------------------------------------------- Name: Charles J. Gallo, Jr. Title: Assistant Controller TRAVELERS/AETNA PROPERTY CASUALTY CORP. By: /s/ Mary Barnes Jenkins -------------------------------------------- Name: Mary Barnes Jenkins Title: Assistant Secretary THE TRAVELERS INSURANCE GROUP, INC. By: /s/ Mary Barnes Jenkins -------------------------------------------- Name: Mary Barnes Jenkins Title: Assistant Secretary PFS SERVICES, INC. By: /s/ Mary Barnes Jenkins -------------------------------------------- Name: Mary Barnes Jenkins Title: Assistant Secretary ASSOCIATED MADISON COMPANIES, INC. By: /s/ Charles J. Gallo, Jr. -------------------------------------------- Name: Charles J. Gallo, Jr. Title: Vice President and Controller TRAVELERS GROUP INC. By: /s/ Charles J. Gallo, Jr. -------------------------------------------- Name: Charles J. Gallo, Jr. Title: Assistant Controller -----END PRIVACY-ENHANCED MESSAGE-----