-----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, D/0uTiu6K+LdAuYFM7jFj+NJKjUXDIuAP6r4fHEFwz1uYXBFcctcRjGCR4RLKapU 58TivQMIPSL14Ios9g9YrQ== 0000897101-97-000176.txt : 19970222 0000897101-97-000176.hdr.sgml : 19970222 ACCESSION NUMBER: 0000897101-97-000176 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEDAMICUS INC CENTRAL INDEX KEY: 0000833140 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 411533300 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-45959 FILM NUMBER: 97535369 BUSINESS ADDRESS: STREET 1: 15301 HGHWY 55 W CITY: PLYMOUTH STATE: MN ZIP: 55447 BUSINESS PHONE: 6125592613 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LITTLE RICHARD L CENTRAL INDEX KEY: 0000938623 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 470329361 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 15301 HIGHWAY 55WEST CITY: PLYMOUTH STATE: MN ZIP: 55447 BUSINESS PHONE: 6125592613 MAIL ADDRESS: STREET 1: 15301 HIGHWAY 55 EAST CITY: PLYMOUTH STATE: MN ZIP: 55447 SC 13G/A 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 2)* MedAmicus, Inc. Common Stock 584027 10 6 Check the following box if a fee is being paid with this statement [ ]. (A fee is not required only if the filing persons: (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.) (See Rule 13d-7). *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.) (Continued on the following page(s)) *SEE INSTRUCTION BEFORE FILLING OUT! Page 1 of 4 CUSIP No. 584027 10 6 13G Page 2 of 4 Pages 1. NAME OF REPORTING PERSON SS OR IRS IDENTIFICATION NO. OF ABOVE PERSON Richard L. Little 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. 5. SOLE VOTING POWER NUMBER OF 386,400 SHARES 6. SHARED VOTING POWER BENEFICIALLY 0 OWNED BY EACH 7. SOLE DISPOSITIVE POWER REPORTING PERSON 386,400 WITH 8. SHARED DISPOSITIVE POWER 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 386,400 10. CHECK BOX IF THIS AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 9.5% 12. TYPE OF REPORTING PERSON* IN *SEE INSTRUCTION BEFORE FILLING OUT! Page 2 of 4 Pages Item 1(a) Name of Issuer: MedAmicus, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 15301 Highway 55 West Plymouth, MN 55447 Item 2(a) Name of Person Filing: See Cover Page Item 1 Item 2(b) Address of Principal Business Office or, if none, residence: 15301 Highway 55 West Plymouth, MN 55447 Item 2(c) Citizenship: See Cover Page Item 4 Item 2(d) Title of Class of Securities: Common Stock, $.01 par value Item 2(e) CUSIP No. See Cover Page Item 3 Statement Filed Pursuant to Rules 13d-1(b) or 13d-2(b): Not applicable Item 4(a) Amount Beneficially Owned: See Cover Page Item 9 Item 4(b) Percent of Class See Cover Page Item 11 Item 4(c) Number of Shares as to Which Such Person Has: (i) sole power to vote or to direct the vote: See Cover Page Item 5 (ii) shared power to vote or to direct the vote: See Cover Page Item 6 (iii) sole power to dispose or to direct the disposition of: See Cover Page Item 7 Page 3 of 4 (iv) shared power to dispose or to direct the disposition of: See Cover Page Item 8 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 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. Dated: February 12, 1997 /s/Richard L. Little ---------------------------------------- Richard L. Little Page 4 of 4 pages -----END PRIVACY-ENHANCED MESSAGE-----