-----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, DcITvZRbmDe5Aax2AOeK5uL4vVYss7yxeGt9ya4J0vOk3JNmsqPQrUmd8bxNHF9I D6faNC8zQqZdMCGIdexMHA== 0000950115-98-001120.txt : 19980610 0000950115-98-001120.hdr.sgml : 19980610 ACCESSION NUMBER: 0000950115-98-001120 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 19980609 SROS: NONE GROUP MEMBERS: BESSIE G. ROTKO GROUP MEMBERS: JUDITH M. SHIPON GROUP MEMBERS: MICHAEL J. ROTKO GROUP MEMBERS: ROTKO BERNARD B TRUST SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDIQ INC CENTRAL INDEX KEY: 0000350920 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS EQUIPMENT RENTAL & LEASING [7350] IRS NUMBER: 510219413 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: SEC FILE NUMBER: 005-37795 FILM NUMBER: 98644943 BUSINESS ADDRESS: STREET 1: ONE MEDIQ PLZ CITY: PENNSAUKEN STATE: NJ ZIP: 08110 BUSINESS PHONE: 6096656300 MAIL ADDRESS: STREET 1: ONE MEDIQ PLZ CITY: PENNSAUKEN STATE: NJ ZIP: 08110 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: ROTKO BERNARD B TRUST CENTRAL INDEX KEY: 0001028688 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 236764067 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: SCHNADER HARRISON SEGAL & LEWIS STREET 2: 1600 MARKET STREET SUITE 3600 CITY: PHILADELPHIA STATE: PA ZIP: 19103-4252 BUSINESS PHONE: 2157512338 MAIL ADDRESS: STREET 1: 1600 MARKET STREET SUITE 3600 CITY: PHILADELPHIA STATE: PA ZIP: 19103-4252 SC 13D/A 1 GENERAL STATEMENT OF BENEFICIAL OWNERSHIP ------------------------------- OMB APPROVAL ------------------------------- UNITED STATES OMB Number: 3235-0145 SECURITIES AND EXCHANGE COMMISSION Expires: August 31, 1999 Washington, D.C. 20549 Estimated average burden hours per response.............14.90 ------------------------------- SCHEDULE 13D/A Under the Securities Exchange Act of 1934 (Amendment No. 2)* MEDIQ INCORPORATED - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, PAR VALUE $1.00 PER SHARE - -------------------------------------------------------------------------------- (Title of Class of Securities) 5849061 - -------------------------------------------------------------------------------- (CUSIP Number) John D. Iskrant Schnader Harrison Segal & Lewis 1600 Market Street, Suite 3600 Philadelphia, PA 19103-7286 (215) 751-2205 With Copies to: F. Douglas Raymond, III Drinker Biddle & Reath LLP Philadelphia National Bank Building 1345 Chestnut Street Philadelphia, PA 19107 (215) 988-2700 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) May 29, 1998 - -------------------------------------------------------------------------------- (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 [ ] 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). SCHEDULE 13D/A Page 2 of 9 Pages - ------------------------- -------------------------- CUSIP No. 58490 61 0 Page 2 of 9 Pages - ------------------------- -------------------------- - ------------------------------------------------------------------------------- 1 | NAME OF REPORTING PERSON | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON | Bessie G. Rotko, Michael J. Rotko, Judith M. Shipon, John D. | Iskrant and PNC Bank Corp., as Trustees under an Agreement | of Trust dated November 18, 1993 I.R.S. #: 23-6764067 - ------------------------------------------------------------------------------- | 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_| | (b) |_| - -------------------------------------------------------------------------------- 3 | SEC USE ONLY | - -------------------------------------------------------------------------------- 4 | SOURCE OF FUNDS* | | Not Applicable - -------------------------------------------------------------------------------- 5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT | TO ITEMS 2(d) OR 2(e) | |_| - -------------------------------------------------------------------------------- 6 | CITIZENSHIP OR PLACE OF ORGANIZATION | | Commonwealth of Pennsylvania - -------------------------------------------------------------------------------- | 7 | SOLE VOTING POWER | | | | -0- NUMBER OF SHARES |-----|-------------------------------------- BENEFICIALLY | 8 | SHARED VOTING POWER OWNED BY EACH | | REPORTING PERSON | | -0- WITH |-----|-------------------------------------- | 9 | SOLE DISPOSITIVE POWER | | | | -0- |-----|-------------------------------------- | 10 | SHARED DISPOSITIVE POWER | | | | -0- - -------------------------------------------------------------------------------- 11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | -0- - -------------------------------------------------------------------------------- 12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN | SHARES* | |_| - -------------------------------------------------------------------------------- 13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) | | Not Applicable - -------------------------------------------------------------------------------- 14 | TYPE OF REPORTING PERSON* | 00 | - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! SCHEDULE 13D/A - ------------------------- -------------------------- CUSIP No. 58490 61 0 Page 3 of 9 Pages - ------------------------- -------------------------- - ------------------------------------------------------------------------------- 1 | NAME OF REPORTING PERSON | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON | | Michael J. Rotko | - ------------------------------------------------------------------------------- | 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_| | (b) |_| - -------------------------------------------------------------------------------- 3 | SEC USE ONLY | - -------------------------------------------------------------------------------- 4 | SOURCE OF FUNDS* | | Not Applicable - -------------------------------------------------------------------------------- 5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT | TO ITEMS 2(d) OR 2(e) | |_| - -------------------------------------------------------------------------------- 6 | CITIZENSHIP OR PLACE OF ORGANIZATION | | Commonwealth of Pennsylvania - -------------------------------------------------------------------------------- | 7 | SOLE VOTING POWER | | | | -0- NUMBER OF SHARES |-----|-------------------------------------- BENEFICIALLY | 8 | SHARED VOTING POWER OWNED BY EACH | | REPORTING PERSON | | -0- WITH |-----|-------------------------------------- | 9 | SOLE DISPOSITIVE POWER | | | | -0- |-----|-------------------------------------- | 10 | SHARED DISPOSITIVE POWER | | | | -0- - -------------------------------------------------------------------------------- 11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | -0- - -------------------------------------------------------------------------------- 12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN | SHARES* | |_| - -------------------------------------------------------------------------------- 13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) | | Not Applicable - -------------------------------------------------------------------------------- 14 | TYPE OF REPORTING PERSON* | IN | - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! SCHEDULE 13D/A - ------------------------- -------------------------- CUSIP No. 58490 61 0 Page 4 of 9 Pages - ------------------------- -------------------------- - ------------------------------------------------------------------------------- 1 | NAME OF REPORTING PERSON | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON | | Bessie G. Rotko | - ------------------------------------------------------------------------------- | 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_| | (b) |_| - -------------------------------------------------------------------------------- 3 | SEC USE ONLY | - -------------------------------------------------------------------------------- 4 | SOURCE OF FUNDS* | | Not Applicable - -------------------------------------------------------------------------------- 5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT | TO ITEMS 2(d) OR 2(e) | |_| - -------------------------------------------------------------------------------- 6 | CITIZENSHIP OR PLACE OF ORGANIZATION | | Commonwealth of Pennsylvania - -------------------------------------------------------------------------------- | 7 | SOLE VOTING POWER | | | | -0- NUMBER OF SHARES |-----|-------------------------------------- BENEFICIALLY | 8 | SHARED VOTING POWER OWNED BY EACH | | REPORTING PERSON | | -0- WITH |-----|-------------------------------------- | 9 | SOLE DISPOSITIVE POWER | | | | -0- |-----|-------------------------------------- | 10 | SHARED DISPOSITIVE POWER | | | | -0- - -------------------------------------------------------------------------------- 11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | -0- - -------------------------------------------------------------------------------- 12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN | SHARES* | |_| - -------------------------------------------------------------------------------- 13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) | | Not Applicable - -------------------------------------------------------------------------------- 14 | TYPE OF REPORTING PERSON* | IN | - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! SCHEDULE 13D/A - ------------------------- -------------------------- CUSIP No. 58490 61 0 Page 5 of 9 Pages - ------------------------- -------------------------- - ------------------------------------------------------------------------------- 1 | NAME OF REPORTING PERSON | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON | | Judith M. Shipon | - ------------------------------------------------------------------------------- | 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) |_| | (b) |_| - -------------------------------------------------------------------------------- 3 | SEC USE ONLY | - -------------------------------------------------------------------------------- 4 | SOURCE OF FUNDS* | | Not Applicable - -------------------------------------------------------------------------------- 5 | CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT | TO ITEMS 2(d) OR 2(e) | |_| - -------------------------------------------------------------------------------- 6 | CITIZENSHIP OR PLACE OF ORGANIZATION | | Commonwealth of Pennsylvania - -------------------------------------------------------------------------------- | 7 | SOLE VOTING POWER | | | | -0- NUMBER OF SHARES |-----|-------------------------------------- BENEFICIALLY | 8 | SHARED VOTING POWER OWNED BY EACH | | REPORTING PERSON | | -0- WITH |-----|-------------------------------------- | 9 | SOLE DISPOSITIVE POWER | | | | -0- |-----|-------------------------------------- | 10 | SHARED DISPOSITIVE POWER | | | | -0- - -------------------------------------------------------------------------------- 11 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | -0- - -------------------------------------------------------------------------------- 12 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN | SHARES* | |_| - -------------------------------------------------------------------------------- 13 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) | | Not Applicable - -------------------------------------------------------------------------------- 14 | TYPE OF REPORTING PERSON* | IN | - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! AMENDMENT NO. 2 TO THE SCHEDULE 13D The statement on Schedule 13D dated June 14, 1989, and filed with the Securities and Exchange Commission by Bessie G. Rotko, Michael J. Rotko, Judith M. Shipon, Lionel Felzer and Provident National Bank, as trustees under an Agreement of Trust dated November 18, 1983, established by the late Bernard B. Rotko (the "Trust") with respect to beneficial ownership of the Series A Preferred Stock, par value $.50 per share (the "Preferred Stock") and the Common Stock, par value $1.00 per share (the "Common Stock") of MEDIQ Incorporated (the "Company" or the "Issuer"), as amended and restated by Amendment No. 1 thereto, dated January 23, 1998, is hereby amended as provided herein. Pursuant to Rule 13d-1(f) under the Securities Exchange Act of 1934, as amended, the Trust, Bessie G. Rotko, Michael J. Rotko and Judith M. Shipon have agreed to file one statement with respect to their ownership of Preferred Stock. A Joint Filing Agreement is attached hereto as Exhibit 1. The Trust, Bessie G. Rotko, Michael J. Rotko and Judith M. Shipon are hereinafter collectively referred to as the "Reporting Persons." Item 5 of this Schedule 13D is hereby amended to read in its entirety as follows: 5. Interests in Securities of the Issuer. (a) The Reporting Persons no longer own any shares of the Common Stock. (b) Not Applicable. (c) On May 29, 1998, all shares of the Common Stock previously owned by the Reporting Persons were converted into the right to receive cash and certain securities of the Company pursuant to an Agreement and Plan of Merger dated as of January 14, 1998, as amended as of April 27, 1998, by and between the Company and MQ Acquisition Corporation ("MQ") which provided for the merger of MQ with and into the Company (the "Merger"). In the Merger, each share of Common Stock owned by the Reporting Persons was converted into the right to receive $13.75 in cash, without interest, and 0.075 of a share of Series A 13% Cumulative Compounding Preferred Stock, par value $.01 per share, of the Company. (d) Not Applicable. (e) The Reporting Persons ceased to be beneficial owners of the Common Stock on May 29, 1998 as a result of the Merger. Item 7 of this Schedule 13D is hereby amended to read in its entirety as follows: Item 7. Material to be Filed as Exhibits. Exhibit 1 Joint Filing Agreement, dated June 8, 1998, among the Trustees of the Trust, signed by a majority of the Trustees. After due 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. /s/ Bessie G. Rotko /s/ Judith M. Shipon - ----------------------------- ----------------------------- Bessie G. Rotko Judith M. Shipon /s/ Michael J. Rotko PNC Bank Corp. - ----------------------------- Michael J. Rotko By: /s/ Robert N. Tropp, Jr. ----------------------------- Robert N. Tropp, Jr. Vice President /s/ John D. Iskrant - ----------------------------- John D. Iskrant EX-1 2 JOINT FILING AGREEMENT Exhibit 1 JOINT FILING AGREEMENT ---------------------- In accordance with Rule 13d-1(f) under the Securities Exchange Act of 1934, as amended, the persons named below agree to the joint filing on behalf of each of them of a Statement on Schedule 13D (including amendments thereto) with respect to the preferred stock, par value $.50 per share and common stock, par value $1.00 per share, of MEDIQ Incorporated, which agreement may be executed in any number of counterparts and further agree that this Joint Filing Agreement be included as an exhibit to such joint filings. Dated: June 8, 1998 /s/ Bessie G. Rotko ---------------------------------- Bessie G. Rotko /s/ Michael J. Rotko ---------------------------------- Michael J. Rotko T/D Bernard B. Rotko Dated ---------------------------------- November 18, 1983 By: /s/ John D. Iskrant ---------------------------------- John D. Iskrant /s/ Judith M. Shipon ---------------------------------- Judith M. Shipon PNC BANK By: /s/ Robert N. Tropp, Jr. ------------------------------- Robert N. Tropp, Jr. Vice President -----END PRIVACY-ENHANCED MESSAGE-----