-----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, FVq+DUj4EpjEy2vi5jPIUi0PdupWqL5Nmj3z2WktAgPnBf0kG8tsehCJAG9I6qop kEh6NeS24oAf+ldIeEPl4g== 0000890566-98-001361.txt : 19980804 0000890566-98-001361.hdr.sgml : 19980804 ACCESSION NUMBER: 0000890566-98-001361 CONFORMED SUBMISSION TYPE: SC 13D PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980803 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAXXIM MEDICAL INC CENTRAL INDEX KEY: 0000858660 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 760291634 STATE OF INCORPORATION: TX FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: SC 13D SEC ACT: SEC FILE NUMBER: 005-41487 FILM NUMBER: 98676075 BUSINESS ADDRESS: STREET 1: 10300 49TH ST N CITY: CLEARWATER STATE: FL ZIP: 33762 BUSINESS PHONE: 7132405588 MAIL ADDRESS: STREET 1: 10300 49TH STREET NORTH CITY: CLEARWATER STATE: FL ZIP: 33762 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: DORFLINGER PETER G CENTRAL INDEX KEY: 0001045031 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 466865371 FILING VALUES: FORM TYPE: SC 13D BUSINESS ADDRESS: STREET 1: ONE CAROLANE TRAIL CITY: HOUSTON STATE: TX ZIP: 77024-5120 BUSINESS PHONE: 7134671260 MAIL ADDRESS: STREET 1: ONE CAROLANE TRAIL CITY: HOUSTON STATE: TX ZIP: 77024-5120 SC 13D 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ------------------ SCHEDULE 13D UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 1) Maxxim Medical, Inc. - ------------------------------------------------------------------------------ (Name of Issuer) Common Stock, $0.001 par value per share - ------------------------------------------------------------------------------ (Title of Class of Securities) 42550P100 - ------------------------------------------------------------------------------ (CUSIP Number) Peter G. Dorflinger, One Carolane Trail, Houston, Texas 77024 (713) 467-1260 - ------------------------------------------------------------------------------ (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) December 12, 1997 - ------------------------------------------------------------------------------ (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 if 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 (the "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. 42550P100 Page 2 of 4 1 NAMES OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS PETER G. DORFLINGER SS# ###-##-#### 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (a) [ ] N/A (b) [ ] 3 SEC USE ONLY 4 SOURCE OF FUNDS * N/A 5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEM 2(d) OR 2(e) N/A [ ] 6 CITIZENSHIP OR PLACE OF ORGANIZATION UNITED STATES CITIZEN NUMBER OF 7 SOLE VOTING POWER SHARES 414,936 BENEFICIALLY OWNED BY 8 SHARED VOTING POWER EACH REPORTING 9 SOLE DISPOSITIVE POWER PERSON 414,936 WITH 10 SHARED DISPOSITIVE POWER 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 414,936 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES * [ ] 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 4.1% CUSIP No. 42550P100 Page 3 of 4 14 TYPE OF REPORTING PERSON * IN * SEE INSTRUCTIONS BEFORE FILLING OUT SCHEDULE 13D ITEM 1. SECURITY AND ISSUER. This statement relates to the common stock, par value $0.001 per share (the "Common Stock") of Maxxim Medical, Inc., a Texas corporation (the "Company"). The address of the principal executive offices of the Company is 10300 49th St. North, Clearwater, Florida 33762. ITEM 2. IDENTITY AND BACKGROUND. The reporting person's name is Peter G. Dorflinger. Mr. Dorflinger's address is One Carolane Trail, Houston, Texas 77024. Mr. Dorflinger is President and Chief Operating Officer of Physicians Resource Group, Inc. whose principal business address is Three Lincoln Center, 5430 LBJ Freeway, Suite 1540, Dallas, Texas 75240. During the past five years Mr. Dorflinger has not been convicted in a criminal proceeding nor has he been a party to any proceeding resulting in a judgment, decree or final order relating to violations of federal or state securities laws. Mr. Dorflinger is a United States citizen. ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION. NA. ITEM 4. PURPOSE OF TRANSACTION. NA. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER. Mr. Dorflinger beneficially owns in the aggregate 414,936 shares of the Common Stock, representing 4.1% of the issued and outstanding shares of the Common Stock. Because his stock ownership is now less than 5% of the outstanding shares of the Company, Mr. Dorflinger is filing this terminating statement on Schedule 13(d). ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH RESPECT TO SECURITIES OF THE ISSUER. NA. CUSIP No. 42550P100 Page 4 of 4 ITEM 7. MATERIAL TO BE FILED AS EXHIBITS. NA. 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:July 20, 1998 /s/ Peter G. Dorflinger - ------------------------------------ (Signature) Peter G. Dorflinger - ------------------------------------ (Name / Title) -----END PRIVACY-ENHANCED MESSAGE-----