-----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, MBYHGYb9cr4T9BOcmvigBIISbLdMa0LuP6SytRxEsQIMzSu37966hUtE7j7jMNDP w666d5DwRjTb3UTRdnXIHQ== 0000927016-99-000287.txt : 19990205 0000927016-99-000287.hdr.sgml : 19990205 ACCESSION NUMBER: 0000927016-99-000287 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990204 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: 99520910 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 13 G/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 RULE 13d-2(b) (Amendment No. 1) Cambridge Heart, Inc. --------------------- (Name of Issuer) Common Stock, $.001 par value per share --------------------------------------- (Title of Class of Securities) 131910101 --------- (CUSIP Number) SCHEDULE 13G CUSIP NO. 131910101 PAGE 2 OF 6 =============================================================================== - ------------------------------------------------------------------------------ NAMES OF REPORTING PERSONS. 1 I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY). Jeffrey M. Arnold - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) 2 (a) [_] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States of America - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 698,565 shares (Includes 539,902 shares issuable within 60 days of December 31, 1998 upon the NUMBER OF exercise of vested stock options.) SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 0 Shares OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING 698,565 shares (Includes 539,902 shares issuable within 60 days of December 31, 1998 upon the exercise PERSON of vested stock options. WITH ----------------------------------------------------------- SHARED DISPOSITIVE POWER 0 Shares - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 698,565 shares (Includes 539,902 shares issuable within 60 days of December 31, 1998 upon the exercise of vested stock options.) - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES 10 (SEE INSTRUCTIONS) [_] Not Applicable - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 6.4% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) 12 IN - ------------------------------------------------------------------------------ CUSIP No. 131910101 Page 3 of 6 --------- SCHEDULE 13G Item 1(a). Name of Issuer: - --------------------------- Cambridge Heart, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: - ------------------------------------------------------------ One Oak Park Drive Bedford, MA 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 CUSIP No. 131910101 Page 4 of 6 --------- Item 3. Identity of person filing pursuant to Rules 13d-1(b) or 13d-2(b): - -------------------------------------------------------------------------- Not Applicable Item 4. Ownership: - ------------------- (a) Amount Beneficially Owned: 698,565 shares (Includes 539,902 shares issuable within 60 days of December 31, 1998 upon the exercise of vested stock options.) (b) Percent of Class: 6.4% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 698,565 shares (Includes 539,902 shares issuable within 60 days of December 31, 1998 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: 698,565 shares (Includes 539,902 shares issuable within 60 days of December 31, 1998 upon the exercise of vested stock options.); (iv) shared power to dispose or to direct the disposition of: 0 Shares. CUSIP No. 131910101 Page 5 of 6 --------- Item 5. Ownership of Five Percent or Less of a Class: - ------------------------------------------------------ Not Applicable 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 by the Parent Holding Company: - ------------------------------------------------------------------------------- Not Applicable 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. February 2, 1999 ------------------------------------ Date /s/ Jeffrey M. Arnold ----------------------------------- Jeffrey M. Arnold -----END PRIVACY-ENHANCED MESSAGE-----