-----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, S6LZcV5Ul964rAuYwy8QBkurxqZDdQdgwzlDkEujGDvnUPpZSx4EZm01K+DqHIS4 QcUPqKQlfdZf97NiaszuUA== 0000892569-98-000446.txt : 19980220 0000892569-98-000446.hdr.sgml : 19980220 ACCESSION NUMBER: 0000892569-98-000446 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980219 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDICAL SCIENCE SYSTEMS INC CENTRAL INDEX KEY: 0001037649 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 943123681 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-53249 FILM NUMBER: 98545108 BUSINESS ADDRESS: STREET 1: 4400 MACARTHUR BLVD STREET 2: STE 980 CITY: NEWPORT BEACH STATE: CA ZIP: 92660-2031 BUSINESS PHONE: 7144409730 MAIL ADDRESS: STREET 1: 4400 MACARTHUR BLVD STREET 2: STE 980 CITY: NEWPORT BEACH STATE: CA ZIP: 92660-2031 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: WHITE PAUL J CENTRAL INDEX KEY: 0001056190 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 4400 MACARTHUR SUITE 980 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 BUSINESS PHONE: 7149950627 MAIL ADDRESS: STREET 1: 4400 MACARTHUR STREET 2: SUITE 980 CITY: NEWPORT BEACH STATE: CA ZIP: 92660 SC 13G 1 SCHEDULE 13G 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 MEDICAL SCIENCE SYSTEMS, INC. ----------------------------- (Name of Issuer) COMMON STOCK, NO PAR VALUE -------------------------- (Title of Class of Securities) 584981 10 4 ----------- (CUSIP Number) *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). 2 SCHEDULE 13G - --------------------- ----------------- CUSIP NO. 584981 10 4 PAGE 2 OF 5 PAGES - --------------------- ----------------- =============================================================================== 1 NAME OF REPORTING PERSONS/ I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Paul J. White - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) [ ] N/A (b) [ ] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America - ------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF SHARES 1,003,723 ------------------------------------------------ 6 SHARED VOTING POWER REPORTING BENEFICIALLY -0- ------------------------------------------------ 7 SOLE DISPOSITIVE POWER OWNED BY EACH 1,003,723 ------------------------------------------------ 8 SHARED DISPOSITIVE POWER PERSON WITH -0- - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,003,723 - ------------------------------------------------------------------------------- 10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | | (SEE INSTRUCTIONS) - ------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 18.12% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) OO =============================================================================== 3 ITEM 1. (a) NAME OF ISSUER: --------------- Medical Science Systems, Inc. (b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: ------------------------------------------------ 4400 MacArthur Blvd., #980 Newport Beach, CA 92660 ITEM 2. (a) NAME OF PERSON FILING: ---------------------- Paul J. White (b) ADDRESS OF PRINCIPAL BUSINESS OFFICE: ------------------------------------- 4400 MacArthur Blvd., #980 Newport Beach, CA 92660 (c) CITIZENSHIP: United States of America ------------ (c) TITLE OF CLASS OF SECURITIES: ----------------------------- Common Stock, no par value per share (d) CUSIP NUMBER: ------------- 584981 10 4 ITEM 3. If this statement is filed pursuant Rule 13d-1(b), or 13d-2(b), check whether the person filing is a: N/A (a) [ ] Broker or dealer registered under Section 15 of the Act. (b) [ ] Bank as defined in Section 3(a)(6) of the Act. (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act. (d) [ ] Investment Company registered under Section 8 of the Investment Company Act. (e) [ ] Investment Advisor registered under Section 203 of the Investment Advisors Act of 1940. (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund: see Rule 13d-1(b)(1)(ii)(F). (g) [ ] Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G) (Note, See Item 7). (h) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(H). 4 ITEM 4. OWNERSHIP. If the percent of the class owned, as of December 31, 1997, or as of the last day of any month described in Rule 13d-1(b)(2), if applicable, exceeds five percent, provide the following information as of that date and identify those shares which there is a right to acquire. (a) Amount beneficially owned: 1,003,723 (b) Percent of Class: 18.12% (c) Number of shares as to such person has: (i) Sole power to vote or to direct the vote: 1,003,723 (ii) Shared power to vote or to direct to vote: -0- (iii) Sole power to dispose or to direct the disposition of: 1,003,723 (iv) Shared power to dispose or to direct the disposition of: -0- ITEM 5. OWNERSHIP OF 5% OR LESS OF CLASS. If this statement is being filed to report the fact that as of the date hereof the reported person has ceased to be the beneficial owner of more than 5% of the class of securities, check the following: [ ] ITEM 6. OWNERSHIP OF MORE THAN 5% ON BEHALF OF ANOTHER PERSON. N/A ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. N/A ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. N/A ITEM 9. NOTICE OF DISSOLUTION OF GROUP. N/A ITEM 10. CERTIFICATION. N/A 5 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 13, 1998 By: /s/ Paul J. White ------------------------------- Paul J. White -----END PRIVACY-ENHANCED MESSAGE-----