-----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, HyisTON3ObnapUOhtZMdSOdiBy6Sa5SXH7o+qxDaL/bSYoMPS5molyYxXxYrwh2s qli8/Os+TdCBITckwqWjOA== 0000950137-96-002462.txt : 19961203 0000950137-96-002462.hdr.sgml : 19961203 ACCESSION NUMBER: 0000950137-96-002462 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 3 FILED AS OF DATE: 19961202 SROS: NONE GROUP MEMBERS: DAHL JAMES H GROUP MEMBERS: JAMES H. DAHL GROUP MEMBERS: ROCK CREEK PARTNERS, LTD. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PROACTIVE TECHNOLOGIES INC CENTRAL INDEX KEY: 0000722839 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 232265039 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-35710 FILM NUMBER: 96674838 BUSINESS ADDRESS: STREET 1: 7118 BEECH RIDGE TRAIL STREET 2: SUITE 402 CITY: TALLAHASSEE STATE: FL ZIP: 32312 BUSINESS PHONE: 9046685800 MAIL ADDRESS: STREET 1: 711 BEECH RIDGE TRAIL CITY: TALLAHASSEE STATE: FL ZIP: 32312 FORMER COMPANY: FORMER CONFORMED NAME: KEYSTONE MEDICAL CORPORATION DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: KEYSTONE MEDICAL CORP INC DATE OF NAME CHANGE: 19910103 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DAHL JAMES H CENTRAL INDEX KEY: 0000933422 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 263085464 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: 1200 RIVERPLACE BOULEVARD SUITE 902 CITY: JACKSONVILLE STATE: FL ZIP: 32207 BUSINESS PHONE: 9043939020 MAIL ADDRESS: STREET 2: 1200 RIVERPLACE BLVD SUITE 902 CITY: JACKSONVILLE STATE: FL ZIP: 32207 SC 13D 1 SCHEDULE 13-D 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 AMENDMENT NO. 1 TO SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 PROACTIVE TECHNOLOGIES, INC. ---------------------------- (NAME OF ISSUER) COMMON STOCK, PAR VALUE, $0.04 PER SHARE ---------------------------------------- (TITLE OF CLASS OF SECURITIES) 74266K307 -------------- (CUSIP NUMBER) JAMES H. DAHL 1200 RIVERPLACE BOULEVARD, SUITE 902 JACKSONVILLE, FLORIDA 32207 (904) 393-9020 (NAME, ADDRESS AND TELEPHONE NUMBER OF PERSON AUTHORIZED TO RECEIVE NOTICE AND COMMUNICATIONS) NOVEMBER 22, 1996 ------------------------------------ (DATE OF EVENT WHICH REQUIRES FILING OF THIS STATEMENT) If the filing person has previously filed a statement of Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this statement of Rule 13d-1(b)(3) or (4), check the following box [ ]. Check the following box if a fee is being paid with this 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). 2 CUSIP No. 74266K307 - -------------------------------------------------------------------------------- 1) NAMES OF REPORTING PERSONS / S.S OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS JAMES H. DAHL / ###-##-#### -------------------------------------------- - -------------------------------------------------------------------------------- 2) CHECK THE APPROPRIATE ROW IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (A) --------------------------------------------------------- (B) X --------------------------------------------------------- - -------------------------------------------------------------------------------- 3) SEC USE ONLY -------------------------------------------------- - -------------------------------------------------------------------------------- 4) SOURCE OF FUNDS (SEE INSTRUCTIONS) OO ------------------------- - -------------------------------------------------------------------------------- 5) CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ---------------------------------------- - -------------------------------------------------------------------------------- 6) CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. ------------------------ - -------------------------------------------------------------------------------- NUMBER OF 7) SOLE VOTING POWER -0- SHARES BENE- ------------------------------ FICIALLY OWNED BY 8) SHARED VOTING POWER -0- EACH REPORT- ------------------------------ ING PERSON WITH 9) SOLE DISPOSITIVE POWER -0- ------------------------------ 10) SHARED DISPOSITIVE POWER -0- ------------------------------ - -------------------------------------------------------------------------------- 11) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON -0- ------------------------------------------------------- 2 3 CUSIP No. 742266K307 - -------------------------------------------------------------------------------- 12) CHECK IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) --------------------------------------- - -------------------------------------------------------------------------------- 13) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 0.0% -------------------------------------------------- - -------------------------------------------------------------------------------- 14) TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN --------------- - -------------------------------------------------------------------------------- 3 4 CUSIP NO. 74266K307 - -------------------------------------------------------------------------------- 1) NAMES OF REPORTING PERSONS / S.S OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS ROCK CREEK PARTNERS, LTD. / 59-318-7964 ---------------------------------------- - -------------------------------------------------------------------------------- 2) CHECK THE APPROPRIATE ROW IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (A) --------------------------------------------------------- (B) X --------------------------------------------------------- - -------------------------------------------------------------------------------- 3) SEC USE ONLY -------------------------------------------------- - -------------------------------------------------------------------------------- 4) SOURCE OF FUNDS (SEE INSTRUCTIONS) OO ------------------------- - -------------------------------------------------------------------------------- 5) CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) OR 2(e) ---------------------------------------- - -------------------------------------------------------------------------------- 6) CITIZENSHIP OR PLACE OF ORGANIZATION FLORIDA ------------------------- - -------------------------------------------------------------------------------- NUMBER OF 7) SOLE VOTING POWER -0- SHARES BENE- ----------------------------- FICIALLY OWNED BY 8) SHARED VOTING POWER -0- EACH REPORT- ----------------------------- ING PERSON WITH 9) SOLE DISPOSITIVE POWER -0- ----------------------------- 10) SHARED DISPOSITIVE POWER -0- ----------------------------- - -------------------------------------------------------------------------------- 11) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON -0- ----------------------------------------------------- 4 5 CUSIP NO. 742266K307 - -------------------------------------------------------------------------------- 12) CHECK IF AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) ------------------------------------ - -------------------------------------------------------------------------------- 13) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 0.0% -------- - -------------------------------------------------------------------------------- 14) TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) PN ------------ - -------------------------------------------------------------------------------- 5 6 This Amendment No. 1 amends as set forth herein the Statement on Schedule 13D dated September 25, 1996 of James H. Dahl and Rock Creek Partners, Ltd. ("Rock Creek") (collectively, the "Reporting Persons") with respect to the common stock, par value $0.04 per share ("Common Stock"), issued by Proactive Technologies, Inc. (the "Issuer"). ITEM 4. PURPOSE OF TRANSACTION. Item 4 is hereby amended by adding the following paragraph: "On November 22, 1996, the QuinStone Exchange Agreement and the Killearn Purchase Agreement and the transactions effected pursuant thereto were rescinded. See "Item 5. Interest in Securities of the Issuer." ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. Item 5 is hereby amended and restated in its entirety to read as follows: "Mr. Dahl and Rock Creek beneficially own no shares of Common Stock." "On September 19, 1996, pursuant to the QuinStone Exchange Agreement, Mr. Dahl and Rock Creek each acquired 375,000 shares Common Stock of the Issuer in exchange for 1,642 shares each (the "QuinStone Shares") of Voting Common Stock of QuinStone Industries, Inc. Pursuant to a Recision Agreement dated November 22, 1996 (the "QuinStone Recision Agreement"), the QuinStone Exchange Agreement was rescinded on that date, the 750,000 shares of Common Stock previously issued under the QuinStone Exchange Agreement were authorized to be cancelled, and the QuinStone Shares were re-transferred to Mr. Dahl and Rock Creek." "On August 7, 1996, pursuant to the Killearn Purchase Agreement, Mr. Dahl acquired 139,600 shares of Common Stock directly, Mr. Dahl and his spouse acquired 80,000 shares of Common Stock jointly, and Rock Creek acquired 107,200 shares of Common Stock in exchange for an aggregate of 81,700 shares of Killearn. Pursuant to a Recision Agreement dated November 22, 1996 (the "Killearn Recision Agreement"), the Killearn Purchase Agreement was rescinded on that date, the 326,800 shares of Common Stock previously issued under the Killearn Purchase Agreement were authorized to be cancelled, and the 81,700 shares of Killearn were authorized to be re-transferred to Mr. Dahl and Rock Creek." 6 7 ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. Item 6 is hereby amended by adding the following paragraph: "Reference is made to the QuinStone Recision Agreement and the Killearn Recision Agreement included herein as Exhibits F and G, respectively, for information concerning the terms thereof." ITEM 7. MATERIALS TO BE FILED AS EXHIBITS. The following are added as exhibits hereto: Exhibit F - Recision Agreement, dated November 22, 1996, entered into between James H. Dahl, Rock Creek Partners, Ltd., and Issuer. Exhibit G - Recision Agreement, dated November 22, 1996, entered into between James H. Dahl, Georgia P. Dahl, Rock Creek Partners, Ltd., and Issuer. 7 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. Date: November 26, 1996 /s/ JAMES H. DAHL ------------------------------------- JAMES H. DAHL ROCK CREEK PARTNERS, LTD. By: /s/ James H. Dahl ------------------------------- James H. Dahl Managing General Partner 8 EX-99.F 2 RECISION AGMT/JAMES DAHL, ROCK CREEK PARTNERS 1 RECISION AGREEMENT This Recision Agreement is entered into this 22nd day of November, 1996 by and among Proactive Technologies, Inc., a Delaware corporation ("PTEK") and James H. Dahl and Rock Creek Partners, Ltd., a Florida limited partnership (the "Dahl Group"). PREAMBLE PTEK and the Dahl Group entered into that certain Stock Exchange Agreement dated the 9th day of September, 1996 (the "Agreement") and the transactions described in the Agreement were closed shortly thereafter. PTEK and the Dahl Group now desire to rescind the Agreement and the transactions closed pursuant to the Agreement. Now, therefore, PTEK and the Dahl Group hereby agree as follows: 1. The Agreement and the transactions closed pursuant to the Agreement are hereby rescinded. 2. PTEK is contemporaneously herewith transferring to the Dahl Group 3,284 shares of voting Common Stock of Quinstone Industries, Inc. (the "Company") (1,642 shares to each member of the Dahl Group) and is contemporaneously herewith delivering to the Dahl Group the corporate minute book of the Company. 3. The Dahl Group hereby authorizes PTEK to cancel 750,000 shares of Common Stock of PTEK delivered to the Dahl Group at Closing in exchange for the shares of the Company. Each member of the Dahl Group hereby agrees to deliver to PTEK within ten (10) days of the date hereof the share certificates representing the shares of PTEK transferred to it pursuant to the Agreement. 4. The Dahl Group and PTEK hereby rescind that certain Registration Rights Agreement dated September 16, 1996, pertaining to the PTEK shares previously 2 delivered to the Dahl Group. 5. PTEK hereby represents and warrants to the Dahl Group (i) that PTEK has not transferred any assets out of the Company to PTEK or its affiliates, has not caused the Company to guaranty or otherwise become liable for any obligations of PTEK or its affiliates and has operated the Company only in the ordinary course and (ii) that the shares of the Company transferred to the Dahl Group pursuant to this Agreement are free and clear of any lien, claim or encumbrance. 6. Each member of the Dahl Group represents and warrants to PTEK that the shares of PTEK to be delivered by it to PTEK will be free and clear of any lien, claim or encumbrance when delivered. Dated this 22nd day of November, 1996. Proactive Technologies, Inc. By: /s/ Mark A. Conner ------------------------ Mark A. Conner Its: President Rock Creek Partners, Ltd. By: /s/ James H. Dahl ------------------------ James H. Dahl Its: General Partner /s/ James H. Dahl ------------------------- James H. Dahl EX-99.G 3 RECISION AGMT/JAMES DAHL, GEORGIA DAHL, ROCK CREEK 1 RECISION AGREEMENT This Recision Agreement is entered into this 22nd day of November, 1996 by and among Proactive Technologies, Inc., a Delaware corporation ("PTEK") and James H. Dahl, Georgia P. Dahl and Rock Creek Partners, Ltd., a Florida limited partnership (the "Dahl Group"). PREAMBLE PTEK and the Dahl Group entered into that certain Stock Purchase Agreement dated the 20th day of May, 1996, as amended, (the "Agreement") and the transactions described in the Agreement were closed in August, 1996. PTEK and the Dahl Group now desire to rescind the Agreement and the transactions closed pursuant to the Agreement. Now, therefore, PTEK and the Dahl Group hereby agree as follows: 1. The Agreement and the transactions closed pursuant to the Agreement are hereby rescinded. 2. PTEK within 10 days will transfer to the Dahl Group 81,700 shares of voting Common Stock of Killearn Properties, Inc. (the "Company"). 3. The Dahl Group hereby authorizes PTEK to cancel 326,800 shares of Common Stock of PTEK delivered to the Dahl Group at Closing in exchange for the shares of the Company. Each member of the Dahl Group hereby agrees to deliver to PTEK within ten (10) days of the date hereof the share certificates representing the shares of PTEK transferred to it pursuant to the Agreement. 4. The Dahl Group and PTEK hereby rescind any agreement regarding registration pertaining to the PTEK shares previously delivered to the Dahl Group. 5. PTEK hereby represents and warrants to the Dahl Group that the shares of the Company transferred to the Dahl Group pursuant to this Agreement are free and 2 clear of any lien, claim or encumbrance. 6. Each member of the Dahl Group represents and warrants to PTEK that the shares of PTEK to be delivered by it to PTEK will be free and clear of any lien, claim or encumbrance when delivered. 7. Dahl Group hereby represents that it agrees with all decisions PTEK and Mark A. Conner made relative to Killearn Properties, Inc. through this date and release PTEK and Killearn and Mark A. Conner of any and all liability associated with said transactions. Dated this 22nd day of November, 1996. Proactive Technologies, Inc. By: /s/ Mark A. Conner --------------------------------- Its: President Rock Creek Partners, Ltd. By: /s/James H. Dahl --------------------------------- Its: General Partner /s/ James H. Dahl --------------------------------- James H. Dahl, individually and on behalf of the James H. Dahl IRA /s/ Georgia P. Dahl --------------------------------- Georgia P. Dahl -----END PRIVACY-ENHANCED MESSAGE-----