-----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, Ce8qZgZZXgySVhitYxkHtJCNKsUwWyt/il+7Ez2NcBufX4fxPf7uGM+Zk3gNGW4H 2+xdHfcCKbdOjEOEcOzDxw== 0001059016-03-000135.txt : 20031119 0001059016-03-000135.hdr.sgml : 20031119 20031119155848 ACCESSION NUMBER: 0001059016-03-000135 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20031119 GROUP MEMBERS: JERRY LEONARD GROUP MEMBERS: PAUL GRAY GROUP MEMBERS: TIM NOVAK SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: POWER 3 MEDICAL PRODUCTS INC CENTRAL INDEX KEY: 0001063530 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 650565144 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-62195 FILM NUMBER: 031012963 BUSINESS ADDRESS: STREET 1: 8374 MARKET STREET STREET 2: SUITE 439 CITY: BRADENTON STATE: FL ZIP: 34202 BUSINESS PHONE: 9413603039 MAIL ADDRESS: STREET 1: 8374 MARKET STREET STREET 2: SUITE 439 CITY: BRADENTON STATE: FL ZIP: 34202 FORMER COMPANY: FORMER CONFORMED NAME: SURGICAL SAFETY PRODUCTS INC DATE OF NAME CHANGE: 19980924 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: POWER 3 MEDICAL PRODUCTS INC CENTRAL INDEX KEY: 0001063530 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 650565144 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 8374 MARKET STREET STREET 2: SUITE 439 CITY: BRADENTON STATE: FL ZIP: 34202 BUSINESS PHONE: 9413603039 MAIL ADDRESS: STREET 1: 8374 MARKET STREET STREET 2: SUITE 439 CITY: BRADENTON STATE: FL ZIP: 34202 FORMER COMPANY: FORMER CONFORMED NAME: SURGICAL SAFETY PRODUCTS INC DATE OF NAME CHANGE: 19980924 SC 13D 1 sch13d.txt POWER3 MEDICAL PRODUCTS, INC. SC 13D - ------------------------------------------------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. ___)* Power3 Medical Products, Inc. - -------------------------------------------------------------------------------- (Name of Issuer) Series A Preferred Stock ------------------------------------------------------------------------------- (Title of Class of Securities) 73936A 10 3 ---------------------------------- (CUSIP Number) Tim Novak 8374 Market Street, Suite 439 Bradenton, Florida 34202 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) 11/18/2003 - -------------------------------------------------------------------------------- (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 that is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(e), 13d-1(f) or 13d-1(g), check the following box |_|. Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See Rule 13d-7(b) 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). SCHEDULE 13D ================================================================================ 1. NAME OF REPORTING PERSONS: I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY) Tim Novak Paul Gray Jerry Leonard - -------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) |_| (b) |_| - -------------------------------------------------------------------------------- 3 . SEC USE ONLY - -------------------------------------------------------------------------------- 4. SOURCE OF FUNDS PF (See Item 3 and Exhibit 1) - -------------------------------------------------------------------------------- 5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) |_| - -------------------------------------------------------------------------------- 6. CITIZENSHIP OR PLACE OF ORGANIZATION 8374 Market Street, Suite 439 Bradenton, Florida 34202 - -------------------------------------------------------------------------------- NUMBER OF 7. SOLE VOTING POWER BENEFICIALLY OWNED BY EACH Tim Novak - 13,408,849 REPORTING PERSON Paul Gray - 13,338,541 WITH Jerry Leonard - 13,469,684 (See Item 1 and Exhibit 1) -------------------------------------------------------------- 8. SHARED VOTING POWER -0- -------------------------------------------------------------- 9. SOLE DISPOSITIVE POWER (See Item 1 and Exhibit 1) -------------------------------------------------------------- 10. SHARED DISPOSITIVE POWER -0- - -------------------------------------------------------------------------------- 11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON Tim Novak - 13,408,849 Paul Gray - 13,338,541 Jerry Leonard - 13,469,684 - -------------------------------------------------------------------------------- 12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES |_| - -------------------------------------------------------------------------------- 13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 98.3% - -------------------------------------------------------------------------------- 14. TYPE OF REPORTING PERSON Individual - -------------------------------------------------------------------------------- Item 1. Security and Issuer Item 2. Identity and Background (a) This Schedule 13D is filed by ___________________, a ___________________corporation. (the "Reporting Person"). (b) The Reporting Person has never been convicted in a criminal proceeding (excluding traffic violations and similar misdemeanors). (c) During the last five years, the Reporting Person has not been party to any civil proceeding of a judicial or administrative body of competent jurisdiction as a result of which proceeding the Reporting Person was or is subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. (d) The Reporting Person is a Citizen of the United States Item 3. Source and Amount of Funds or Other Consideration - ------------------- Item 4. Purpose of Transaction - ------------------- Item 5. Interest in Securities of the Issuer (a) Securities Beneficially Owned. - ------------------- Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer. None Item 7. Material to be Filed as Exhibits. The following document is filed as an Exhibit: Exhibit 1 Description of Transaction and Securities Beneficially Owned /s/ Tim Novak - ---------------------------------- Tim Novak Dated: November 18, 2003 /s/ Paul Gray - ---------------------------------- Paul Gray Dated: November 18, 2003 /s/ Jerry Leonard - ---------------------------------- Jerry Leonard Dated: November 18, 2003 -----END PRIVACY-ENHANCED MESSAGE-----