-----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, Q2nHkby9I213wRiHQylv3fCyO4F1TaBc42xOsLmzWVtoF+wFFhYbzt6Sfhrfo49b 4m8ph6/i3DECfutfjEvicA== 0000950135-97-003651.txt : 19970912 0000950135-97-003651.hdr.sgml : 19970911 ACCESSION NUMBER: 0000950135-97-003651 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970828 SROS: NASD 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: 97672162 BUSINESS ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 BUSINESS PHONE: 6172711200 MAIL ADDRESS: STREET 1: ONE OAK PARK DR CITY: BEDFORD STATE: MA ZIP: 01730 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KRAUSS MARLENE CENTRAL INDEX KEY: 0001033308 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: C/O KBL HEALTHCARE INC STREET 2: 645 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 8003827111 MAIL ADDRESS: STREET 1: C/O KBL HEALTHCARE INC STREET 2: 645 MADISON AVE CITY: NEW YORK STATE: NY ZIP: 10022 SC 13G/A 1 CAMBRIDGE HEART, INC. SCHEDULE 13/G (AMEND #1) 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 --------------------- SCHEDULE 13G (Rule 13d-102) INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. 1) CAMBRIDGE HEART, INC. (Name of Issuer) COMMON STOCK, PAR VALUE $.001 PER SHARE (Title of Class of Securities) 131910101 (CUSIP Number) 2 SCHEDULE 13G CUSIP No. 131910101 Page 2 of 8 - -------------------------------------------------------------------------------- 1. Name of Reporting Persons S.S. or I.R.S. Identification Number of Above Persons Marlene Krauss SS# ###-##-#### - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group - Not Applicable - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization United States of America - -------------------------------------------------------------------------------- Number of Shares Beneficially Owned By Each Reporting Person With; 5. Sole Voting Power: 483,537 shares of Common Stock - -------------------------------------------------------------------------------- 6. Shared Voting Power: 149,674 shares of Common Stock (consists of 35,384 shares of Common Stock held by KBL Healthcare, Inc., 54,290 shares of Common Stock issuable to KBL Healthcare, Inc. upon the exercise of warrants, and 60,000 shares of Common Stock held by the Berk Krauss Foundation) 3 CUSIP No. 131910101 Page 3 of 8 - -------------------------------------------------------------------------------- 7. Sole Dispositive Power: 293,537 shares of Common Stock - -------------------------------------------------------------------------------- 8. Shared Dispositive Power: 149,674 shares of Common Stock (consists of 35,384 shares of Common Stock held by KBL Healthcare, Inc., 54,290 shares of Common Stock issuable to KBL Healthcare, Inc. upon the exercise of warrants, and 60,000 shares of Common Stock held by the Berk Krauss Foundation) - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person: 926,795 shares of Common Stock (consists of 293,537 shares of Common Stock held by Ms. Krauss, 190,000 shares invested in the Greene Street Fund with Goldman Sachs & Company, 177,300 shares of Common Stock held by Zachary C. Berk, 35,384 shares of Common Stock held by KBL Healthcare, Inc., 54,290 shares of Common Stock issuable to KBL Healthcare, Inc. upon the exercise of warrants, 60,000 shares of Common Stock held by the Berk Krauss Foundation, and 116,284 shares of Common Stock held in trust for the benefit of the children of Ms. Krauss and Mr. Berk). - -------------------------------------------------------------------------------- 10. Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares. Not Applicable - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row 9. 9.1% 4 CUSIP No. 131910101 Page 4 of 8 - -------------------------------------------------------------------------------- 12. Type of Reporting Person. IN - -------------------------------------------------------------------------------- 5 CUSIP No. 131910101 Page 5 of 8 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: Marlene Krauss ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: KBL Healthcare, Inc. 645 Madison Avenue New York, NY 10022 ITEM 2(c). CITIZENSHIP: United States of America ITEM 2(d). TITLE OF CLASS OF SECURITIES: Common Stock, par value $.001 per share 6 CUSIP No. 131910101 Page 6 of 8 ITEM 2(e). CUSIP NUMBER: 131910101 ITEM 3: Not Applicable ITEM 4. OWNERSHIP: (a) Amount Beneficially Owned: 926,795 shares of Common Stock (consists of 293,537 shares held by Ms. Krauss, 190,000 shares invested in the Greene Street Fund with Goldman Sachs & Company, 177,300 shares of Common Stock held by Zachary C. Berk, 35,384 shares of Common Stock held by KBL Healthcare, Inc., 54,290 shares of Common Stock issuable to KBL Healthcare, Inc. upon the exercise of warrants, 60,000 shares of Common Stock held by the Berk Krauss Foundation, and 116,284 shares of Common Stock held in trust for the benefit of the children of Ms. Krauss and Mr. Berk). (b) Percent of Class: 9.1% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 483,537 shares of Common Stock (ii) shared power to vote or to direct the vote: 149,674 shares of Common Stock (consists of 35,384 shares of Common Stock held by KBL Healthcare, Inc., 54,290 shares of Common Stock issuable to KBL Healthcare, Inc. upon the exercise of warrants, and 60,000 shares of Common Stock held by the Berk Krauss Foundation) 7 CUSIP No. 131910101 Page 7 of 8 (iii) sole power to dispose or to direct the disposition of: 293,537 shares of Common Stock (iv) shared power to dispose or to direct the disposition of: 149,674 shares of Common Stock (consists of 35,384 shares of Common Stock held by KBL Healthcare, Inc., 54,290 shares of Common Stock issuable to KBL Healthcare, Inc. upon the exercise of warrants, and 60,000 shares of Common Stock held by the Berk Krauss Foundation) 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 ON 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 8 CUSIP No. 131910101 Page 8 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. August 1, 1997 -------------------------- Date /s/ Marlene Krauss -------------------------- Marlene Krauss -----END PRIVACY-ENHANCED MESSAGE-----