-----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, DRQ8mpAhtguEcE0ay0wWbD5tKEwcEcsk2OQZEBJK/9f1X/zGH0ApnY7VvR8TdAfx SVCFO/0eI3ouenDRGLN7ZA== 0000950131-97-003048.txt : 19970505 0000950131-97-003048.hdr.sgml : 19970505 ACCESSION NUMBER: 0000950131-97-003048 CONFORMED SUBMISSION TYPE: SC 13G/A CONFIRMING COPY: PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970502 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PATTERSON DENTAL CO CENTRAL INDEX KEY: 0000891024 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES [5047] IRS NUMBER: 410886515 STATE OF INCORPORATION: MN FISCAL YEAR END: 0427 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-46599 FILM NUMBER: 00000000 BUSINESS ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS ROAD CITY: ST PAUL STATE: MN ZIP: 55120-1419 BUSINESS PHONE: 6126861600 MAIL ADDRESS: STREET 1: 1100 EAST 80TH ST CITY: MINNEAPOLIS STATE: MN ZIP: 55450 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: EZERSKI RONALD E CENTRAL INDEX KEY: 0000901714 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS ROAD CITY: ST PAUL STATE: MN ZIP: 55120 BUSINESS PHONE: 6126861776 MAIL ADDRESS: STREET 1: 1031 MENDOTA HEIGHT ROAD CITY: ST PAUL STATE: MN ZIP: 55120 SC 13G/A 1 SCHEDULE 13G AMENDMENT NO. 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No. 4 )* ---- Patterson Dental Company - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 703412 10 6 ------------------------------- (CUSIP Number) Check the following box if a fee is being paid with the statement [_]. (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 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). SEC 1745 (2/92) Page 1 of 4 pages 13G CUSIP No. 703412 10 6 Page 2 of 4 Pages - -------------------------------------------------------------------------------- 1) Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Ronald E. Ezerski - -------------------------------------------------------------------------------- 2) Check the Appropriate Box if a Member of a Group* (a) [_] (b) [_] Not applicable - -------------------------------------------------------------------------------- 3) SEC Use only - -------------------------------------------------------------------------------- 4) Citizenship or Place of Organization U.S.A. - -------------------------------------------------------------------------------- Number 5) Sole Voting Power of Shares 1,899,000 Beneficially ------------------------------------------------------------ Owned 6) Shared Voting Power by Each 815 Reporting ------------------------------------------------------------ Person 7) Sole Dispositive Power With 1,899,000 ------------------------------------------------------------ 8) Shared Dispositive Power -0- - -------------------------------------------------------------------------------- 9) Aggregate Amount Beneficially Owned by Each Reporting Person 1,899,815 - -------------------------------------------------------------------------------- 10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* [_] - -------------------------------------------------------------------------------- 11) Percent of Class Represented by Amount in Row 9 8.8% - -------------------------------------------------------------------------------- 12) Type of Reporting Person* IN - -------------------------------------------------------------------------------- * See Instructions Before Filling Out Item 1. (a) Name of Issuer: Patterson Dental Company (b) Address of Issuer's Principal Executive Office: 1031 Mendota Heights Road St. Paul, Minnesota 55120 Item 2. (a) Name of Person Filing: Ronald E. Ezerski (b) Address of Principal Business Office: 1031 Mendota Heights Road St. Paul, Minnesota 55120 (c) Citizenship: U.S.A. (d) Title of Class of Securities: Common Stock, $.01 par value (e) CUSIP Number: 703412 10 6 Item 3. Not Applicable Item 4. Ownership (a) Amount beneficially owned as of December 31, 1996 1,899,815 (b) Percent of Class: 8.8% Page 3 of 4 pages (c) Number of Shares as to Which Such Person Has (i) Sole power to vote or direct the vote: 1,899,000 (ii) Shared power to vote or direct the vote: 815 (iii) Sole power to dispose or direct the disposition of: 1,899,000 (iv) Shared power to dispose or to direct the disposition of: 0 Item 5. Not applicable Item 6. The shares listed in response to Item 4(a) include 815 shares of Common Stock allocated to the Patterson Dental Company Employee Stock Ownership Plan ("ESOP") account of the reporting person. With respect to such shares, First Trust, N.A., as trustee for the ESOP, has the right to receive and the power to direct the receipt of dividends therefrom. Item 7. Not applicable Item 8. Not applicable Item 9. Not applicable Item 10. Not applicable 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: February 28, 1997 /s/ Ronald E. Ezerski ----------------------- Ronald E. Ezerski Page 4 of 4 pages -----END PRIVACY-ENHANCED MESSAGE-----