-----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, OuQ1kdhbjDSeT16u8AlcgUPDNr3FswfA1oq/L5rsED5D2Wc4aYytNM+gfhuEqCTb 5M9Oqvpwio/JnE714eG7eA== 0001045969-01-000165.txt : 20010214 0001045969-01-000165.hdr.sgml : 20010214 ACCESSION NUMBER: 0001045969-01-000165 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010213 GROUP MEMBERS: EZERSKI RONALD E GROUP MEMBERS: RONALD E. EZERSKI FLITE TRUST 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: 0429 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-46599 FILM NUMBER: 1537318 BUSINESS ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 BUSINESS PHONE: 6126861600 MAIL ADDRESS: STREET 1: 1031 MENDOTA HEIGHTS RD CITY: ST PAUL STATE: MN ZIP: 55120-1401 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 0001.txt SCHEDULE 13G AMENDMENT NO. 8 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b) (Amendment No. 8)/1/ Patterson Dental Company - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.01 par value - -------------------------------------------------------------------------------- (Title of Class of Securities) 703412 10 6 - -------------------------------------------------------------------------------- (CUSIP Number) December 31, 2000 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [_] Rule 13d-1(b) [_] Rule 13d-1(c) [_] Rule 13d-1(d) - ----------------------------------- /1/ 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 (the "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. 703412 10 6 - ------------------------------------------------------------------------------ NAME OF REPORTING PERSONS 1. I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (Entities Only) Ronald E. Ezerski - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* 2. (a) [X] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3. - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4. U.S.A. - ------------------------------------------------------------------------------ SOLE VOTING POWER 5. NUMBER OF 0 SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6. OWNED BY 2,798 ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7. REPORTING 0 PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8. 0 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9. 4,836,298 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10. [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11. 7.1% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON* 12. IN - ------------------------------------------------------------------------------ * See Instructions Before Filling Out Page 2 of 8 CUSIP No. 703412 10 6 - ------------------------------------------------------------------------------ NAME OF REPORTING PERSONS 1. S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (Entities Only) Ronald E. Ezerski Flite Trust dated November 22, 2000 - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* 2. (a) [X] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3. - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4. - ------------------------------------------------------------------------------ SOLE VOTING POWER 5. NUMBER OF 4,833,500 SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6. OWNED BY 0 ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7. REPORTING 4,833,500 PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8. 0 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9. 4,833,500 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10. [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11. 7.1% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON* 12. OO - ------------------------------------------------------------------------------ * See Instructions Before Filling Out Page 3 of 8 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 ("Ezerski") Leslie D. Ezerski as trustee of the Ronald E. Ezerski Flite Trust dated November 22, 2000 ("Trust") (b) Address of Residence: Ezerski: 26280 Mira Way, Bonita Springs, FL 34134. Trust: 26280 Mira Way, Bonita Springs, FL 34134 (c) Citizenship: Ezerski: U.S.A. Trust: Florida (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, 2000 Ezerski: 4,836,298 Trust: 4,833,500 (b) Percent of Class: Ezerski: 7.1% Trust: 7.1% Page 4 of 8 (c) Number of Shares as to Which Such Person Has: (i) Sole power to vote or direct the vote: Ezerski: 0 Trust: 4,833,500 (ii) shared power to vote or direct the vote: Ezerski: 2,798 Trust: 0 (iii) sole power to dispose or direct the disposition of: Ezerski: 0 Trust: 4,833,500 (iv) shared power to dispose or to direct the disposition of: Ezerski: 0 Trust: 0 Item 5. Not applicable Item 6. Both responses to Item 4(a) include 4,833,500 shares held on December 31, 2000 by the Trust. At December 31, 2000, Leslie D. Ezerski, as trustee of the Trust, possessed sole power to vote and dispose of the shares, as well as the right to receive and the power to direct the receipt of dividends therefrom. Due to Ezerski's right to acquire beneficial ownership of such shares within 60 days of December 31, 2000, Ezerski was also deemed to beneficially own such shares as of December 31, 2000. As of the date of this filing, Ezerski now has the sole power to vote and dispose of such shares, as well as the right to receive and the power to direct the receipt of dividends therefrom. The shares listed in response to Item 4(a) as beneficially owned by Ezerski also include 2,798 shares of Common Stock allocated to the Patterson Dental Company Employee Stock Ownership Plan ("ESOP") account of Ezerski. With respect to such shares, U.S. Bank, 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 Page 5 of 8 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 12, 2001 /s/ Ronald E. Ezerski ---------------------------------- Ronald E. Ezerski Page 6 of 8 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 12, 2001 RONALD E. EZERSKI FLITE TRUST DATED NOVEMBER 22, 2000 By /s/ Leslie D. Ezerski ------------------------------------------ Leslie D. Ezerski Trustee Page 7 of 8 AGREEMENT TO FILE JOINT STATEMENT ON SCHEDULE 13G The undersigned hereby agree to file a joint statement on Schedule 13G on behalf of each of the undersigned pursuant to Rule 13d-1(k) under the Securities Exchange Act of 1934, as amended. Dated: February 12, 2001 /s/ Ronald E. Ezerski -------------------------------------------- Ronald E. Ezerski Dated: February 12, 2001 RONALD E. EZERSKI FLITE TRUST DATED NOVEMBER 22, 2000 By /s/ Leslie D. Ezerski ----------------------------------------- Leslie D. Ezerski Trustee Page 8 of 8 -----END PRIVACY-ENHANCED MESSAGE-----