-----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, QYGEy21FaJjQLDnyXWRAfPPyD/oddeVvl8Shm+TQdMPPvqhumVyOradSZthXsub0 gn8dx3E9p06cCJOsD1bO5A== 0000950133-96-001113.txt : 19960710 0000950133-96-001113.hdr.sgml : 19960710 ACCESSION NUMBER: 0000950133-96-001113 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960709 SROS: NONE GROUP MEMBERS: ESTATE OF CAL KOVENS GROUP MEMBERS: KOVENS ROZ SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INSIGHT HEALTH SERVICES CORP CENTRAL INDEX KEY: 0001012697 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 330702770 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-46311 FILM NUMBER: 96592424 BUSINESS ADDRESS: STREET 1: 4440 VON KARMAN AVENUE STE 320 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 7144760733 MAIL ADDRESS: STREET 1: 4440 VON KARMAN AVE., STE 320 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: KOVENS ROZ CENTRAL INDEX KEY: 0001001792 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 000000000 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 12000 BISCAYNE BLVD STREET 2: SUITE 803 CITY: MIAMI STATE: FL ZIP: 33181 BUSINESS PHONE: 3058936333 MAIL ADDRESS: STREET 1: 12000 BISCAYNE BLVD STREET 2: STE 803 CITY: MIAMI STATE: FL ZIP: 33181 SC 13D/A 1 SCHEDULE 13D/A RE: INSIGHT HEALTH SERVICES CORP. 1 ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0145 Expires: December 31, 1997 Estimated average burden hours per response. . . .14.90 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 1 )* ------ InSight Health Services Corp. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.001 Par Value - -------------------------------------------------------------------------------- (Title of Class of Securities) 457660 10 1 - -------------------------------------------------------------------------------- (CUSIP Number) Gerald P. McCartin, Esq. Roz Kovens Arent Fox Kintner Plotkin & Kahn 12000 Biscayne Blvd., Suite 803 1050 Connecticut Avenue, N.W. Miami, Florida 33181 (305) 893-6333 Washington, D.C. 20036 (202/ 857-6090) - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) June 26, 1996 - -------------------------------------------------------------------------------- (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box / /. Check the following box if a fee is being paid with the statement / /. (A fee is not required only if the reporting 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.) NOTE: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. *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 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). 2 SCHEDULE 13D CUSIP NO. 457660 10 1 PAGE OF PAGES - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Roz Kovens - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) / / - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* Does not apply. - -------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION United States - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES 563,276 BENEFICIALLY ----------------------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH REPORTING -0- PERSON ----------------------------------------------------------------- WITH 9 SOLE DISPOSITIVE POWER 563,276 ----------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER -0- - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 563,276 - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 20.3 - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* IN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. 3 SCHEDULE 13D CUSIP NO. 457660 10 1 PAGE OF PAGES - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Estate of Cal Kovens - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) / / - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* Does not apply. - -------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION Florida - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF SHARES 482,031 (through its Personal Representative, Roz Kovens) BENEFICIALLY ----------------------------------------------------------------- OWNED BY 8 SHARED VOTING POWER EACH REPORTING -0- PERSON ----------------------------------------------------------------- WITH 9 SOLE DISPOSITIVE POWER 482,031 (through its Personal Representative, Roz Kovens) ----------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER -0- - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 482,031 - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* / / - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 17.4 - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* OO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. 4 Each of Roz Kovens and the Estate of Cal Kovens, through Roz Kovens, its Personal Representative, hereby amends the Statement on Schedule 13D (the "Statement") relating to the common stock, par value $.001 per share ("Common Stock"), of InSight Health Services Corp. (the "Issuer"). Capitalized terms used but not defined herein shall have the meanings ascribed to them in the Statement. Except as amended hereby, the Statement shall remain unchanged. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. Item 5(a)(i) of the Statement is amended and restated in its entirety to correct a typographic error as follows: (a)(i) The Estate beneficially owns, pursuant to Rule 13d-3(d), on an as-if-converted basis, an aggregate of 482,031 shares of Common Stock, consisting of (1) 428,386 shares of Common Stock, (2) warrants to purchase 20,000 shares of Common Stock at an exercise price of $2.50 per share and (3) warrants to purchase 33,645 shares of Common Stock at the Exercise Price (as defined in Item 6 of the Statement), representing, on a fully converted basis, approximately 17.4% of the total shares of Common Stock outstanding as of June 26, 1996. (ii) Ms. Kovens beneficially owns, pursuant to Rule 13d-3(d), on an as-if-converted basis, an aggregate of 563,276 shares of Common Stock, consisting of (1) 72,385 shares of Common Stock, (2) options to purchase 1,200 shares of Common Stock at a per share price of $2.50, (3) warrants to purchase 7,660 shares of Common Stock at the Exercise Price and (4) by virtue of her status as Personal Representative of the Estate, the 482,031 Estate Shares, representing, on a fully converted basis, approximately 20.3% of the total shares of Common Stock outstanding as of June 26, 1996. - 4 - 5 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this Amendment is true, complete and correct. Date: July 9, 1996 ESTATE OF CAL KOVENS By:/s/ Roz Kovens ------------------------------ Roz Kovens, Personal Representative /s/ Roz Kovens -------------------------------- Roz Kovens, Individually - 5 - -----END PRIVACY-ENHANCED MESSAGE-----