-----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, Q/3C8AwvlytGU9tMntTgCvsQXseKbRYF/5ceimCP0QWBfBpNygtPDoKIxK8ByzZP dksBIrVKrYu/rxumWfGWig== 0000898822-99-000403.txt : 19990811 0000898822-99-000403.hdr.sgml : 19990811 ACCESSION NUMBER: 0000898822-99-000403 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19990810 GROUP MEMBERS: FOX PAINE & COMPANY, LLC GROUP MEMBERS: FOX PAINE CAPITAL FUND, L.P. GROUP MEMBERS: FOX PAINE CAPITAL, LLC GROUP MEMBERS: FOX PAINE MEDIC ACQUISITION CORP 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/A SEC ACT: SEC FILE NUMBER: 005-41487 FILM NUMBER: 99682800 BUSINESS ADDRESS: STREET 1: 10300 49TH ST N CITY: CLEARWATER STATE: FL ZIP: 33762 BUSINESS PHONE: 7275612100 MAIL ADDRESS: STREET 1: 10300 49TH STREET NORTH CITY: CLEARWATER STATE: FL ZIP: 33762 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: FOX PAINE MEDIC ACQUISITION CORP CENTRAL INDEX KEY: 0001089403 STANDARD INDUSTRIAL CLASSIFICATION: [] STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 950 TOWER LANE, SUITE 1950 STREET 2: 950 TOWER LANE CITY: FOSTER CITY STATE: CA ZIP: 94404 BUSINESS PHONE: 6505251300 MAIL ADDRESS: STREET 1: 950 TOWER LANE STREET 2: SUITE 1950 CITY: FOSTER CITY STATE: CA ZIP: 94404 SC 13D/A 1 AMENDMENT NO. 2 TO SCHEDULE 13D SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ---------------------- SCHEDULE 13D (RULE 13d-101) (AMENDMENT NO. 2)* INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(a) MAXXIM MEDICAL, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK, $0.001 PAR VALUE - -------------------------------------------------------------------------------- (Title of Class of Securities) 57777G105 - -------------------------------------------------------------------------------- (CUSIP Number) SAUL A. FOX FOX PAINE & COMPANY, LLC 950 TOWER LANE, SUITE 1950 FOSTER CITY, CALIFORNIA 94404 (650) 525-1300 - -------------------------------------------------------------------------------- (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) JUNE 13, 1999 - -------------------------------------------------------------------------------- (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(e), 13d-1(f) or 13d-1(g), check the following box / /. * 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. (Continued on following pages) - ------------------------------ ------------------------------ CUSIP NO. 57777G105 13D PAGE 2 OF 8 PAGES - ------------------------------ ------------------------------ - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON FOX PAINE MEDIC ACQUISITION CORPORATION I.R.S. IDENTIFICATION NO. OF ABOVE PERSON - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* OO -- SEE ITEM 3 - -------------------------------------------------------------------------------- 5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION TEXAS - --------------------------------------------- ---------------------------------- 7 SOLE VOTING POWER NUMBER OF -0- SHARES ------------------------------------------------------------- BENEFICIALLY 8 SHARED VOTING POWER OWNED BY 1,158,435 (SEE ITEM 5) EACH ------------------------------------------------------------- REPORTING 9 SOLE DISPOSITIVE POWER PERSON -0- WITH ------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 1,158,435 (SEE ITEM 5) - --------------------------------------------- ---------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,158,435 (SEE ITEM 5) - -------------------------------------------------------------------------------- 12 CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* /X/ - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.1% (SEE ITEM 5) - -------------------------------------------------------------------------------- 14 TYPE OF PERSON REPORTING* CO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT - -------------------------------- ----------------------------- CUSIP NO. 57777G105 13D PAGE 3 OF 8 PAGES - -------------------------------- ----------------------------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON FOX PAINE CAPITAL FUND, L.P. I.R.S. IDENTIFICATION NO. OF ABOVE PERSON - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* OO -- SEE ITEM 3 - -------------------------------------------------------------------------------- 5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF -0- SHARES ------------------------------------------------------------- BENEFICIALLY 8 SHARED VOTING POWER OWNED BY 1,158,435 (SEE ITEM 5) EACH ------------------------------------------------------------- REPORTING 9 SOLE DISPOSITIVE POWER PERSON -0- WITH ------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 1,158,435 (SEE ITEM 5) - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,158,435 (SEE ITEM 5) - -------------------------------------------------------------------------------- 12 CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* /X/ - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.1% (SEE ITEM 5) - -------------------------------------------------------------------------------- 14 TYPE OF PERSON REPORTING* PN - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT - ----------------------------- ----------------------------- CUSIP NO. 57777G105 13D PAGE 4 OF 8 PAGES - ----------------------------- ----------------------------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON FOX PAINE CAPITAL, LLC I.R.S. IDENTIFICATION NO. OF ABOVE PERSON - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* OO -- SEE ITEM 3 - -------------------------------------------------------------------------------- 5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - --------------------------------------------- ---------------------------------- 7 SOLE VOTING POWER NUMBER OF -0- SHARES ------------------------------------------------------------- BENEFICIALLY 8 SHARED VOTING POWER OWNED BY 1,158,435 (SEE ITEM 5) EACH ------------------------------------------------------------- REPORTING 9 SOLE DISPOSITIVE POWER PERSON -0- WITH ------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 1,158,435 (SEE ITEM 5) - --------------------------------------------- ---------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,158,435 (SEE ITEM 5) - -------------------------------------------------------------------------------- 12 CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* /X/ - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.1% (SEE ITEM 5) - -------------------------------------------------------------------------------- 14 TYPE OF PERSON REPORTING* HC, OO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT - ------------------------------ -------------------------------- CUSIP NO. 57777G105 13D PAGE 5 OF 8 PAGES - ------------------------------ -------------------------------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON FOX PAINE & COMPANY, LLC I.R.S. IDENTIFICATION NO. OF ABOVE PERSON - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* OO -- SEE ITEM 3 - -------------------------------------------------------------------------------- 5 CHECK IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION DELAWARE - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF -0- SHARES ------------------------------------------------------------- BENEFICIALLY 8 SHARED VOTING POWER OWNED BY 1,158,435 (SEE ITEM 5) EACH ------------------------------------------------------------- REPORTING 9 SOLE DISPOSITIVE POWER PERSON -0- WITH ------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 1,158,435 (SEE ITEM 5) - --------------------------------------------- ---------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,158,435 (SEE ITEM 5) - -------------------------------------------------------------------------------- 12 CHECK IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* /X/ - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) 8.1% (SEE ITEM 5) - -------------------------------------------------------------------------------- 14 TYPE OF PERSON REPORTING* OO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT This Amendment No. 2 is filed by (i) Fox Paine Capital Fund, L.P., a Delaware limited partnership ("FPCF"), (ii) Fox Paine Capital, LLC, a Delaware limited liability company ("FPC") and the general partner of FPCF, (iii) Fox Paine Medic Acquisition Corporation, a Texas corporation ("FPMAC"), a wholly owned subsidiary of FPCF, and (iv) Fox Paine & Company, LLC, a Delaware limited liability company ("Fox Paine", and together with FPMAC, FPCF and FPC, the "Fox Paine Entities"), and amends Items 3, 4, 5(a) and 5(b) and Annex 2 of the Statement on Schedule 13D filed by the Fox Paine Entities on June 26, 1999, as amended on July 9, 1999 (the "Existing Statement"). Capitalized terms used and not defined herein have the definitions used in the Existing Statement. Item 3. Source and Amount of Funds or Other Consideration. Annex 2, which is incorporated by reference into this Item 3, has been amended and restated. Item 4. Purpose of Transaction. The ninth paragraph of Item 4 is amended to read as follows: To the knowledge of the Fox Paine Entities, the Rollover Shareholders collectively exercise voting power with respect to approximately 8.1% of the outstanding shares of Common Stock, excluding shares subject to options exercisable in the next 60 days. See Item 5. Item 5. Interest in Securities of the Issuer. Paragraphs (a) and (b) of Item 5 are amended to replace the first paragraph thereof as follows: (a) and (b) 1,158,435 shares of Common Stock, and any shares of Common Stock as to which any Rollover Shareholder acquires during the term of the Voting Agreements, are subject to the voting provisions of his or her Voting Agreement. These 1,158,435 shares of Common Stock beneficially owned by the Rollover Shareholders represent approximately 8.1% of the outstanding shares of Common Stock, based on the number of shares of Common Stock outstanding as of June 9, 1999, as set forth in the Merger Agreement. Based on the share ownership information disclosed in the preliminary proxy statement filed by Maxxim Medical, Inc., with the Securities Exchange Commission on July 23, 1999, and upon information provided by the company, as of June 9, 1999, the Rollover Shareholders collectively also held options exercisable within 60 days with respect to 531,840 shares of Common Stock. The Fox Paine Entities do not have the right to exercise or cause the exercise of these options, and the Fox Paine Entities expressly disclaim beneficial ownership of the underlying shares. FPMAC may be deemed, for purposes of Rule 13d-3 promulgated under the Act, to share with the respective Rollover Shareholders party to the Voting Agreements the power to vote or dispose of the shares of Common Stock subject to the Voting Agreements. However, FPMAC (i) is not entitled to any rights as a stockholder of Maxxim as to such shares, and (ii) disclaims beneficial ownership of all of such shares. As the sole stockholder of FPMAC, FPCF may be deemed, for purposes of Rule 13d-3 under the Act, to beneficially own indirectly the subject shares of Common Stock that may be deemed to be owned beneficially by FPMAC. As the general partner of FPCF, FPC may be deemed, for purposes of Rule 13d-3 under the Act, to beneficially own indirectly the subject shares of Common Stock that may be deemed to be beneficially owned by FPCF. Fox Paine has the power, by virtue of certain agreements, to manage the affairs of FPCF, and therefore Fox Paine may be deemed, for purposes of Rule 13d-3 under the Act, to beneficially own indirectly the subject shares of Common Stock that may be deemed to be beneficially owned by FPCF or FPC. FPCF, FPC and Fox Paine disclaim beneficial ownership of any such shares of Common Stock. SIGNATURE After reasonable inquiry and to the best of the undersigned's knowledge and belief, the undersigned certify that the information set forth in this statement is true, complete, and correct. FOX PAINE MEDIC ACQUISITION CORPORATION By: /s/ Saul A. Fox ---------------------------------------- Name: Saul A. Fox Title: Chief Executive Officer FOX PAINE CAPITAL FUND, L.P. By: Fox Paine Capital, LLC, its general partner By: /s/ Saul A. Fox ----------------------------------------- Name: Saul A. Fox Title: Member FOX PAINE CAPITAL, LLC By: /s/ Saul A. Fox ----------------------------------------- Name: Saul A. Fox Title: Member FOX PAINE & COMPANY, LLC By: /s/ Saul A. Fox ----------------------------------------- Name: Saul A. Fox Title: Member August 10, 1999 EXHIBIT INDEX SEQUENTIAL EXHIBIT DESCRIPTION PAGE NO. Exhibit 1 - Agreement and Plan of Merger, dated as of June 13, 1999, between Fox Paine Medic Acquisition Corporation and Maxxim Medical, Inc. (incorporated by reference to Exhibit 2.1 of Maxxim Medical, Inc.'s Current Report on Form 8-K filed with the Securities and Exchange Commission on June 16, 1999). Exhibit 2 - Form of individual Voting Agreement, dated as of June 13, 1999, by and between Fox Paine Medic Acquisition Corporation and each of 10 shareholders of Maxxim Medical, Inc. (incorporated by reference to Exhibit 2 of the Schedule 13D filed with the Securities and Exchange Commission by the Fox Paine Entities on June 26, 1999). Exhibit 3 - Investor Participation Agreement, dated as of June 13, 1999, by and among Fox Paine Medic Acquisition Corporation and 10 shareholders of Maxxim Medical, Inc., in their individual capacities (incorporated by reference to Exhibit 3 of the Schedule 13D filed with the Securities and Exchange Commission by the Fox Paine Entities on June 26, 1999). ANNEX 2 ------- SHARE OWNERSHIP OF THE ROLLOVER SHAREHOLDERS
A B C - ------------------------------------------------------------------------------------------------------ Shares deemed to be beneficially Shares owned by the Rollover Shareholders Percentage Beneficially through the ownership of options Name (1) Owned(2) exercisable within 60 days - ------------------------------------------------------------------------------------------------------ Kenneth W. Davidson 1.7% 241,468 147,000 Peter M. Graham 0.5% 70,500 114,200 David L. Lamont 0.4% 57,250 87,400 Alan S. Blazei 0.3% 44,683 76,400 Henry T. DeHart III 0.3% 39,900 41,200 Joseph D. Dailey 0.2% 28,300 23,400 Jack F. Cahill 0.3% 44,000 35,160 Suzanne R. Garon 0.0% 7,000 2,080 Ernest J. Henley, Ph.D. 2.3% 321,949 5,000 Davis C. Henley 2.1% 303,385 -
- ----------------------- (1) Does not include shares which may be acquired through the exercise of vested stock options. (2) Excludes shares referenced in column "C". -----END PRIVACY-ENHANCED MESSAGE-----