-----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, QGVE8/zrk3P8PoFe0lrCOF8NmAuF6e4ueS/B3opNP5mHkecHnEfWKB6/zBBQnDZC 7EH9azaai2G+b4MawIW4ew== 0000927016-00-000591.txt : 20000216 0000927016-00-000591.hdr.sgml : 20000216 ACCESSION NUMBER: 0000927016-00-000591 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000215 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CAMBRIDGE HEART INC CENTRAL INDEX KEY: 0000913443 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 133679946 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-46607 FILM NUMBER: 545674 BUSINESS ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 7812711200 MAIL ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ARNOLD JEFFREY M CENTRAL INDEX KEY: 0001058528 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O CAMBRIDGE HEART INC STREET 2: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 7812711200 MAIL ADDRESS: STREET 1: C/O CAMBRIDGE HEART INC STREET 2: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 SC 13G/A 1 SCHEDULE 13G/A 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) AND (c) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2(b) (AMENDMENT NO. 2)/1/ Cambridge Heart, Inc. --------------------- (Name of Issuer) Common Stock, par value $.001 per share --------------------------------------- (Title of Class of Securities) 131910101 --------- (CUSIP Number) /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 ("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. 131910101 Page 2 of 6 =============================================================================== SCHEDULE 13G - ------------------------------------------------------------------------------ NAMES OF REPORTING PERSONS. 1 I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY). Jeffrey M. Arnold - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP 2 (a) [_] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States of America - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 741,865 shares (Includes 583,202 shares issuable within 60 days of December 31, 1999 upon the issuance of vested stock options.) NUMBER OF SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 0 shares. OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 741,865 shares (Includes 583,202 shares issuable REPORTING within 60 days of December 31, 1999 upon the issuance of vested stock options.) PERSON ----------------------------------------------------------- WITH SHARED DISPOSITIVE POWER 8 0 shares. - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 741,865 shares (Includes 583,202 shares issuable within 60 days of December 31, 1999 upon the issuance of vested stock options.) - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10 Not Applicable - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 4.9% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON* 12 IN - ------------------------------------------------------------------------------ *SEE INSTRUCTION BEFORE FILLING OUT! CUSIP NO. 131910101 Page 3 of 6 Item 1(a) Name of Issuer: - --------- -------------- Cambridge Heart, Inc. Item 1(b) Address of Issuer's Principal Executive Office: - --------- ---------------------------------------------- One Oak Park Drive Bedford, Massachusetts 01730 Item 2(a) Name of Person Filing: - --------- --------------------- Jeffrey M. Arnold Item 2(b) Address of Principal Business Office or, if none, Residence: - --------- ----------------------------------------------------------- c/o Cambridge Heart, Inc. One Oak Park Drive Bedford, MA 01730 Item 2(c) Citizenship: - --------- ----------- United States of America. Item 2(d) Title of Class of Securities: - --------- ---------------------------- Common Stock, $.001 par value per share. Item 2(e) CUSIP Number: - --------- ------------ 131910101 Item 3 Description of Person Filing: - ------ ---------------------------- Not applicable. CUSIP NO. 131910101 Page 4 of 6 Item 4 Ownership: - ------ --------- (a) Amount Beneficially Owned: ------------------------- 741,865 shares (Includes 583,202 shares issuable within 60 days of December 31, 1999 upon the exercise of vested stock options.) (b) Percent of Class: ---------------- 4.9% (c) Number of shares as to which person has: --------------------------------------- (i) sole power to vote or to direct the vote: 741,865 shares (Includes 583,202 shares issuable within 60 days of December 31, 1999 upon the exercise of vested stock options.) (ii) shared power to vote or to direct the vote: 0 shares (iii) sole power to dispose or to direct the disposition of: 741,865 shares (Includes 583,202 shares issuable within 60 days of December 31, 1999 upon the exercise of vested stock options.) (iv) shared power to dispose or to direct the disposition of: 0 shares 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:[X] 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. CUSIP NO. 131910101 Page 5 of 6 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. 131910101 Page 6 of 6 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 14, 2000 /s/ Jeffrey M. Arnold ---------------------------- Jeffrey M. Arnold -----END PRIVACY-ENHANCED MESSAGE-----