-----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, T5ZfFQiC/oXNYiuIi3aK/WiFO5YVaCm3y7ZNgTbV3nCkc3+b4V2hli7J8OUClwpo ZICEFVFqHMmjEwhwHAOTlg== 0000912057-96-016331.txt : 19960807 0000912057-96-016331.hdr.sgml : 19960807 ACCESSION NUMBER: 0000912057-96-016331 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960806 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: HEALTH FITNESS PHYSICAL THERAPY INC CENTRAL INDEX KEY: 0000886432 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 411580506 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-46567 FILM NUMBER: 96604321 BUSINESS ADDRESS: STREET 1: 3500 W 80TH ST STREET 2: STE 130 CITY: BLOOMINGTON STATE: MN ZIP: 55431 BUSINESS PHONE: 6128316830 MAIL ADDRESS: STREET 2: 3500 WEST 80TH STREET CITY: BLOOMINGTON STATE: MN ZIP: 55431 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: OKABENA PARTNERSHIP K CENTRAL INDEX KEY: 0000904863 STANDARD INDUSTRIAL CLASSIFICATION: [] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 5140 NORWEST CENTER CITY: MINNEAPOLIS STATE: MN ZIP: 55402-4133 BUSINESS PHONE: 6123397151 MAIL ADDRESS: STREET 1: 5140 NORWEST CENTER CITY: MINNEAPOLIS STATE: MN ZIP: 55402 SC 13D/A 1 SC 13D/A SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D (Amendment No. 4)* Under the Securities Exchange Act of 1934* Health Fitness Physical Therapy, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock - -------------------------------------------------------------------------------- (Title of Class of Securities) 42217V102 - -------------------------------------------------------------------------------- (CUSIP Number) Gary S. Kohler, Vice President Okabena Investment Services, Inc. 5140 Norwest Center 90 South Seventh Street, Minneapolis, MN 55402 (612) 339-7151 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to receive Notices and Communications) August 1, 1996 - -------------------------------------------------------------------------------- (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 [ ]. Check the following box if a fee is being paid with this statement [ ]. (A fee is not required only if the reporting 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 less than five percent of such class. See Rule 13d-7.) 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. *The remainder of this cover page should 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 4 pages CUSIP No. 42217V102 ________________________________________________________________________________ (1) Names of Reporting Persons S.S. or I.R.S. Identification Nos. of Above Persons Okabena Partnership K, a Minnesota general partnership 41-1642281 ________________________________________________________________________________ (2) Check the Appropriate Box if a Member of a Group (a) [ ] (b) [ X ] ________________________________________________________________________________ (3) SEC Use Only ________________________________________________________________________________ (4) Source of Funds WC ________________________________________________________________________________ (5) Check if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) [ ] N/A ________________________________________________________________________________ (6) Citizenship or Place of Organization Minnesota ________________________________________________________________________________ Number of (7) Sole Voting Power 472,856 shares Shares Bene- __________________________________________________________________ ficially (8) Shared Voting Power 0 shares Owned by Each Report- (9) Sole Dispositive Power 472,856 shares ing Person __________________________________________________________________ With (10) Shared Dispositive Power 0 shares ________________________________________________________________________________ (11) Aggregate Amount Beneficially Owned by Each Reporting Person 472,856 shares ________________________________________________________________________________ (12) Check if the Aggregate Amount in Row (11) Excludes Certain Shares [ ] N/A ________________________________________________________________________________ (13) Percent of Class Represented by Amount in Row (11) 6.66% ________________________________________________________________________________ (14) Type of Reporting Person (See Instructions) PN Page 2 of 4 pages SCHEDULE 13D This Amendment No. 4 amends the original Schedule 13D filed August 10, 1995, Amendment No. 1 filed October 10, 1995, Amendment No. 2 filed April 12, 1996 and Amendment No. 3 filed April 23, 1996. ITEM 1. SECURITY AND ISSUER Common Stock. HEALTH FITNESS PHYSICAL THERAPY, INC., a Minnesota corporation 3500 West 80th Street, Suite 200 Bloomington, MN 55831 ITEM 2. IDENTITY AND BACKGROUND Okabena Partnership K, a Minnesota general partnership Principal business is investment Principal business and office address is 5140 Norwest Center, 90 South Seventh Street, Minneapolis, MN 55402-4139 Item 2 (d) - N/A Item 2 (e) - N/A ITEM 3. SOURCE AND AMOUNT OF FUNDS AND OTHER CONSIDERATION Working Capital ITEM 4. PURPOSE OF TRANSACTION For investment. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER The Reporting Person has agreed to convert the Issuer's $500,000 Convertible Note (see Amendment No. 3 to Schedule 13D), due August 1, 1996, plus accrued interest, into 222,856 shares of common stock. The Reporting Person continues to hold the Issuer's April 1995 Warrant (see original Schedule 13D) to purchase 250,000 shares of common stock. ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER None. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS Exhibit A - General Partners of Okabena Partnership K. Page 3 of 4 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. AUGUST 2, 1996 OKABENA PARTNERSHIP K By: Okabena Investment Services, Inc. Its: Managing Partner By: /s/ Gary S. Kohler ------------------------------ Gary S. Kohler, Vice President Page 4 of 4 pages EXHIBIT A ITEM 2. IDENTITY AND BACKGROUND Set forth below is a list of the partners of Okabena Partnershp K and their respective occupations. The business address for each partner is c/o Okabena Company, 5140 Norwest Center, 90 South Seventh Street, Minneapolis, MN 55402- 4139. The answer to Item 2(d) and (e) for each partner is negative. Each partner who is a natural person is a United States citizen. NAME OF PARTNER OCCUPATION 1. Orchard Trust U/A 5-27-70 LJD, END, RJD, JWD Trustees N/A 2. DCD Marital Elect. Inc. Trust N/A 3. Edward N. Dayton Revocable Trust Private Investor 4. Edward N. Dayton Exemption Trust N/A 5. Sherry Ann Dayton Private Investor 6. Christopher B. Dayton Rev. Tr. Private Investor 7. End Trust for Christopher N/A 8. Christopher B. Dayton Excl. Tr. N/A 9. Martha B. Dayton Revocable Tr. N/A 10. End Trust for Martha N/A 11. Martha B. Dayton Exclusion Tr. N/A 12. Michael K. Dayton Revocable Tr. Private Investor 13. End Trust for Michael N/A 14. Michael K. Dayton Exclusion Tr. N/A 15. Robert J. Dayton Revocable Tr. Chief Executive Officer (Private Investment Company) 16. Robert J. Dayton Trust N/A 17. Robert J. Dayton Exemption Tr. N/A 18. Joan L. Dayton Revocable Tr. Private Investor NAME OF PARTNER OCCUPATION 19. James G. Dayton Architect 20. RJD Trust for James N/A 21. James G. Dayton Exclusion Tr. N/A 22. Tobin J. Dayton Environmentalist 23. RJD Trust for Tobin N/A 24. TJD Exclusion Trust N/A 25. Mae F. Dayton Research Development Director 26. Scott N. Dayton Retailer 27. RJD Trust for Scott N/A 28. Scott N. Dayton Exclusion Tr. N/A 29. John W. Dayton Exemption Trust N/A 30. Chadwick L. Dayton Student 31. Chadwick L. Dayton Trust N/A 32. Chadwick L. Dayton Exclus. Tr. N/A 33. Whitney L. Dayton Student 34. Whitney Loher Dayton Trust N/A 35. Whitney L. Dayton Exclusion Tr. N/A 36. Virginia Y. Dayton Revoc. Tr. Private Investor 37. Virginia Y. Dayton Term. Trust N/A 38. Mark B. Dayton State Auditor State of Minnesota 39. Brandt N. Dayton President, Brandt N. Dayton & Co. (Art Dealer) 40. BND 1978 Family Trust N/A 41. BBD 1966 Trust for BND N/A 42. Christian B. Dayton Therapist NAME OF PARTNER OCCUPATION 43. Marina B. Dayton Minor 44. Marina Bliss Dayton Trust N/A 45. Alexander B. Dayton Minor 46. Alexander B. Dayton Trust N/A 47. Lucy B. Dayton Veterinarian 48. LBD 1985 Family Trust N/A 49. BBD 1966 Trust for LBD N/A 50. Lucy B. Dayton 1990 Term Trust N/A 51. Margaret Bliss O'Keefe Minor 52. Margaret Bliss O'Keefe Trust N/A 53. Angus Dayton O'Keefe Trust N/A 54. Catherine Greer O'Keefe Trust N/A 55. Anne D. Buxton Artist 56. BBD Trust for ADB N/A 57. ADB & RMB Term Trust N/A 58. Nicholas Sherman Buxton Trust N/A 59. Henry M. Buxton Irrev. Trust N/A 60. Wallace C. Dayton Revocable Tr. Private Investor 61. WCD 1978 Grandchildren's Trust N/A 62. Mary Lee Dayton Revocable Tr. Private Investor 63. Sally D. Clement Revocable Tr. Therapist 64. 1983 SDC Children's Trust N/A 65. SDC-SMC 1985 Char. Term Trust N/A 66. Stephen M. Clement III Educator 67. Theodore D. Clement Minor 68. Theodore D. Clement Trust N/A NAME OF PARTNER OCCUPATION 69. Theodore D. Clement Exclus. Tr. N/A 70. Winston W. Clement Minor 71. Winston W. Clement Trust N/A 72. Winston W. Clement Exclus. Tr. N/A 73. Ellen D. Sturgis Revocable Tr. Private Investor 74. EDS 1978 Family Trust N/A 75. Ellen 1985 Char. Term Trust N/A 76. Sheldon S. Sturgis Revoc. Tr. President, ESCO Industries 77. Matthew D. Sturgis Minor 78. Matthew D. Sturgis Trust N/A 79. Matthew D. Sturgis Exclus. Tr. N/A 80. Katherine L. Sturgis Private Investor 81. Katherine L. Sturgis Trust N/A 82. Katherine L. Sturgis Excl. Tr. N/A 83. Rosamond G. Sturgis Minor 84. Rosamond G. Sturgis Trust N/A 85. Rosamond G. Sturgis Excl. Tr. N/A 86. Katherine D. Nielsen Revoc. Tr. Private Investor 87. KDN 1980 Family Trust N/A 88. Katherine 1984 Char. Term Trust N/A 89. Stuart A. Nielsen Artist 90. Samuel D. Richardson Minor 91. Samuel D. Richardson Trust N/A 92. Samuel D. Richardson Excl. Tr. N/A 93. Olivia Maren Nielsen Minor 94. Olivia M. Nielsen Irrev. Trust N/A NAME OF PARTNER OCCUPATION 95. Elizabeth D. Dovydenas Private Investor 96. EDD 1980 Family Trust N/A 97. John D. Dovydenas Minor 98. John D. Dovydenas Exclusion Tr. N/A 99. Elena L. Dovydenas Minor 100. Elena L. Dovydenas Exclus. Tr. N/A 101. K.N. Dayton Revocable Trust Private Investor 102. 1983 Oakleaf Trust U/A 11-1-83 N/A 103. Julia W. Dayton Revocable Tr. Private Investor 104. C.J. Winton Trust U/A 8-1-35 N/A 105. Judson M. Dayton Revocable Tr. Private Investor 106. JMD 1985 Family Trust N/A 107. KND 1966 Trust for C&D N/A 108. JMD 1985 Charitable Term Trust N/A 109. EJD 1988 Term Trust N/A 110. Caroline Avery Dayton Minor 111. Caroline Avery Dayton Trust N/A 112. Caroline A. Dayton Exclus. Tr. N/A 113. Davis Winton Dayton Trust N/A 114. Davis W. Dayton Exclusion Tr. N/A 115. Duncan N. Dayton Revocable Tr. Real Estate Developer 116. DND 1990 Family Trust N/A 117. KND 1966 Trust for DND N/A 118. Duncan N. Dayton Term Trust N/A 119. Katharine L. Kelly Revoc. Tr. Private Investor NAME OF PARTNER OCCUPATION 120. Douglas J. Dayton Revocable Trust President, Dade, Inc. (Medical Technology) 121. David D. Dayton Revocable Tr. Engineer, MTS Systems (Engineering Firm) 122. Newton Family Trust N/A 123. Newton Term Trust N/A 124. Vanessa D. Dayton Revocable Trust Pathologist 125. Isaac N. Dayton Irrev. Trust N/A 126. Caleb F. Dayton Irrev. Trust N/A 127. Steven J. Melander-Dayton Rev. Private Investor 128. SJMD 1985 Family Trust N/A 129. SJMD 1985 Char. Term Trust N/A 130. A.M. Melander-Dayton Trust N/A 131. D.J. Melander-Dayton Trust N/A 132. Jaclyn Melander Irrev. Trust N/A 133. Allison Melander Irrev. Trust N/A 134. Bruce C. Dayton Revocable Tr. Chef 135. Pamela W. Ritz Private Investor 136. Margot S. Ritz Irrev. Trust N/A 137. Charlotte A. Ritz Irrev. Trust N/A 138. Nicholas J. Braun Irrev. Trust N/A 139. Christopher D. Braun Ir. Trust N/A 140. Deeann L. Thompson Specialty Retailer 141. Bruce C. Lueck President and Sole Director Okabena Investment Services, Inc. 142. Bruce C. Lueck - Service Ptnr. President and Sole Director Okabena Investment Services, Inc. NAME OF PARTNER OCCUPATION 143. Gary S. Kohler Vice-President Okabena Investment Services, Inc. 144. Gary S. Kohler - Service Partner Vice-President Okabena Investment Services, Inc. 145. GND 1936 Trust for DCD N/A 146. DCD Trust Under Will N/A 147. DCD 1966 Charitable Trust N/A 148. DCD 1967 Charitable Trust N/A 149. Edward N. Dayton Term Trust N/A 150. Robert J. Dayton Term Trust N/A 151. John W. Dayton Term Trust N/A 152. GBD Trust for BBD N/A 153. GND 1936 Trust for WCD N/A 154. GND 1950 Trust for WCD N/A 155. GBD Trust for WCD N/A 156. SDC 1986 Term Trust N/A 157. SDC 1988 Term Trust N/A 158. John D. Dovydenas Trust N/A 159. Liudas Dovydenas Tr. for John N/A 160. Elena L. Dovydenas Trust N/A 161. Liudas Dovydenas Tr. for Elena N/A 162. GND 1936 Trust for KND N/A 163. GND 1950 Trust for KND N/A 164. GBD Trust for KND N/A 165. GND 1936 Trust for DJD N/A 166. GBD Trust for DJD N/A NAME OF PARTNER OCCUPATION 167. DJD '68 Char. Trust for I&C N/A 168. DJD '69 Char. Trust for I&C N/A 169. DJD '68 Trust for A&D N/A 170. DJD '69 Char. Trust for A&D N/A 171. DJD '68 Char. Trust for BDC N/A 172. DJD '69 Char. Trust for BCD N/A 173. Okabena Investment Services, Inc. N/A 174. GND 1950 Trust for DJD N/A -----END PRIVACY-ENHANCED MESSAGE-----