-----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, A0+cuBViHHTIaFgXrrS5AUraJMZdPLoP0JUTdBaA2JtzkZMqnxFAYcyRgJRBns6Z h9aC9sZl0r9z0fwotMHE4g== 0000948830-97-000039.txt : 19970222 0000948830-97-000039.hdr.sgml : 19970222 ACCESSION NUMBER: 0000948830-97-000039 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970220 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: RETIREMENT CARE ASSOCIATES INC /CO/ CENTRAL INDEX KEY: 0000798540 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 431441789 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-50397 FILM NUMBER: 97540050 BUSINESS ADDRESS: STREET 1: 6000 LAKE FORREST DR STE 200 CITY: ATLANTA STATE: GA ZIP: 30328 BUSINESS PHONE: 4042557500 MAIL ADDRESS: STREET 1: 6000 LAKE FORREST DR STREET 2: STE 200 CITY: ATLANTA STATE: GA ZIP: 30328 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BROGDON CHRIS CENTRAL INDEX KEY: 0000939525 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 6000 LAKE FORREST DR STREET 2: STE 200 CITY: ATLANTA STATE: GA ZIP: 30328 MAIL ADDRESS: STREET 1: 6000 LAKE FORREST DR STREET 2: STE 200 CITY: ATLANTA STATE: GA ZIP: 30328 SC 13G 1 CHRIS BROGDON - FILER UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3)* RETIREMENT CARE ASSOCIATES, INC. (Name of Issuer) Common Stock, $.0001 Par Value (Title of Class of Securities) 76129C 30 7 (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). CUSIP No. 76129C 30 7 13G 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Chris Brogdon 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) --- Not applicable (b) --- 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION USA Number of Shares Beneficially Owned by Each Reporting Person With 5 SOLE VOTING POWER 1,322,354 6 SHARED VOTING POWER 1,512,921 7 SOLE DISPOSITIVE POWER 1,322,354 8 SHARED DISPOSITIVE POWER 1,512,921 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,835,275 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN SHARES* Not applicable 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 20.1% 12 TYPE OF REPORTING PERSON* IN *See Instruction before filling out. Item 1. (a) Name of Issuer: Retirement Care Associates, Inc. (b) Address of Issuer's Principal Executive Offices: 6000 Lake Forrest Drive, Suite 200 Atlanta, Georgia 30328 Item 2. (a) Name of Person Filing: Chris Brogdon (b) Address of Principal Business Office: 6000 Lake Forrest Drive, Suite 200 Atlanta, Georgia 30328 (c) Citizenship: USA (d) Title of Class of Securities: Common Stock, $.0001 par value (e) CUSIP No.: 76129C 30 7 Item 3. If this statement is filed pursuant to Rule 13d-1(b) or 13d-2(b), check whether the person filing is a: Not applicable. Item 4. Ownership. (a) Amount Beneficially Owned: 2,835,275 (b) Percent of Class: 20.1% (c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote: 1,322,354 (ii) shared power to vote or to direct the vote: 1,512,921 (iii) sole power to dispose or to direct the disposition of: 1,322,354 (iv) shared power to dispose or to direct the disposition of: 1,512,921 __________________ Includes 927,948 shares of Common Stock and 394,406 shares issuable upon exercise of stock options, all held by Chris Brogdon. Includes 1,266,031 shares of Common Stock owned of record by Mr. Brogdon's wife, Connie B. Brogdon, 1,159 shares of Common Stock held by Mr. Brogdon's daughter; and 245,731 shares of Common Stock which represents 50% of the shares held by Winter Haven Homes, Inc., of which Mrs. Brogdon is 50% owner.
Item 5. Ownership of Five Percent or Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certification. Not applicable. 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: February 20, 1997 By /s/ Chris Brogdon Chris Brogdon
-----END PRIVACY-ENHANCED MESSAGE-----