-----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, R+ajEbahhOS3SUoUqp2D/tfWNBUwYS7KxZV8xyrK2XcVCzXEYg8HHWbUOi9IsZeu kFNuyKhYSu8BKx7b5cKkow== 0000889812-97-000514.txt : 19970222 0000889812-97-000514.hdr.sgml : 19970222 ACCESSION NUMBER: 0000889812-97-000514 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970220 SROS: NASD GROUP MEMBERS: H&S TRUST GROUP MEMBERS: LEADVILLE A.V.V. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NEUROMEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000866933 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-TESTING LABORATORIES [8734] IRS NUMBER: 133526980 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-46379 FILM NUMBER: 97539432 BUSINESS ADDRESS: STREET 1: TWO EXECUTIVE BLVD STE 306 CITY: SUFFERN STATE: NY ZIP: 10901 BUSINESS PHONE: 9143683600 MAIL ADDRESS: STREET 1: TWO EXECUTIVE BLVD STREET 2: SUITE 306 CITY: SUFFERN STATE: NY ZIP: 10901-4164 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: H&S TRUST CENTRAL INDEX KEY: 0001033581 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: P8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: CENTRE PLAZA HORSEBACK LANE STREET 2: STE 3C CITY: GIBRALTAR STATE: P8 ZIP: 00000 SC 13G/A 1 SCHEDULE 13G NEUROMEDICAL SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G/A INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (Amendment No. 1 )* Neuromedical Systems, Inc. ----------------------------------------- (Name of Issuer) Common Stock ----------------------------------------- (Title of Class of Securities) 64124H-10-9 ----------------------------------------- (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 (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. 64124H-10-9 13G Page 2 of __ Pages - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON H&S Trust - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION Gibraltar - -------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 3,751,676 BENEFICIALLY -------------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH None REPORTING -------------------------------------------------------------- PERSON 7 SOLE DISPOSITIVE POWER WITH 3,751,676 -------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER None - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 3,751,676 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 12.17% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* 00 (Other-Trust) - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT CUSIP No. 13G Page 3 of __ Pages - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Leadville A.V.V. - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ X ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION Netherlands Antilles - -------------------------------------------------------------------------------- NUMBER OF 5 SOLE VOTING POWER SHARES 1,815,642 BENEFICIALLY -------------------------------------------------------------- OWNED BY 6 SHARED VOTING POWER EACH None REPORTING -------------------------------------------------------------- PERSON 7 SOLE DISPOSITIVE POWER WITH 1,815,642 -------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER None - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,815,642 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* CO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT Page 4 of __ Pages Item 1(a). Name of Issuer: Neuromedical Systems, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: Two Executive Boulevard Suite 306 Suffern, NY 10901-4114 Item 2. Name of Person Filing: This Schedule 13G is being filed by H&S Trust, with respect to H&S Trust's beneficial interest in the holdings of the Issuer's securities held of record by three Netherlands Antilles corporations, Leadville A.V.V., Marineland, A.V.V. and Tehila Holdings, A.V.V. H&S Trust is the sole stockholder of such corporations. This Schedule 13G is also being filed by Leadville A.V.V., the holder of 1,815,642 of such shares, representing in excess of 5% of the outstanding shares of the Issuer. Such shares held by Leadville A.V.V. are also included in those owned beneficially, and being reported herein, by H&S Trust. H&S Trust (a) Name of Person Filing: H&S Trust (b) Address: Suite 3C, Centre Plaza Horseback Lane Gilbraltar (c) Citizenship or Place of Organization Gibraltar (d) Title of Class Securities: Common Stock, $0.0001 Par Value (e) CUSIP Number: 64124H-10-9 4 Page 5 of __ Pages Leadville A.V.V. (a) Name of Person Filing: Leadville A.V.V. (b) Address: Sun Plaza, Suite 306, L.G. Smith Blvd. 160 Aruba, Netherlands Antilles (c) Citizenship or Place of Organization: Netherlands Antilles (d) Title of Class Securities: Common Stock, $0.0001 Par Value (e) CUSIP Number: 64124H-10-9 Item 3. Not applicable Item 4. Ownership. H&S Trust (a) Amount Beneficially Owned 3,751,656 shares (b) Percent of Class: 12.17% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote (through the three corporations described and listed in the first paragraph under Item 2 hereof): 3,751,656 shares (includes 1,087,243 shares issued in January 1997 upon conversion of warrants to purchase Commom Stock 5 Page 6 of __ Pages (ii) shared power to vote or to direct the vote: None (iii) sole power to dispose or to direct the disposition of (through the three corporations described and listed in the first paragraph under Item 2 hereof): 3,751,656 shares (includes 1,087,243 shares issued in January 1997 upon conversion of warrants to purchase Commom Stock) (iv) shared power to dispose or to direct the disposition of : None Leadville A.V.V. (a) Amount Beneficially Owned: 1,815,642 shares (includes 1,087,243 shares issued in January 1997 upon conversion of warrants to purchase Commom Stock (b) Percent of Class: 5.89% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote (includes 1,087,243 shares issued in January 1997 upon conversion of warrants to purchase Commom Stock. As noted in the first paragraph under Item 2 hereof, these shares are included in the 3,751,676 shares attributed to H&S Trust, as reported in this Schedule 13G and listed above with respect to H&S Trust under this Item 4). (ii) shared power to vote or to direct the vote: None 6 Page 7 of __ Pages (iii) sole power to dispose or to direct the disposition of (through the three corporations described and listed in the first paragraph under Item 2 hereof): 3,751,656 shares (includes 1,087,243 shares issued in January 1997 upon conversion of warrants to purchase Commom Stock. As noted in the first paragraph under Item 2 hereof, these shares are included in the 3,751,676 shares attributed to H&S Trust, as reported in this Schedule 13G and listed above with respect to H&S Trust under this Item 4). (iv) shared power to dispose or to direct the disposition of: None Item 5. Ownership of Five Percent or Less of a Class: Not applicable Item 6. Ownership H&S Trust is the sole stockholder of three corporaitons, Leadveille, A.V.V., Marineland, A.V.V. and Tehila Holdings, A.V.V., which corporations are the record owners of the securities reported in this Schedule 13G. Leadville, A.V.V. holds in excess of 5% of the outstandign shares of the Issuer These shares are reported under Item 4 above and are included in those owned beneficailly, and being reported, by H&S Trust. Item 7. Identification and Classification of Subsidiaries which Acquired the Security Being Reported on by the 7 Page 8 of __ Pages 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 13, 1997 H&S Trust Signature: ---------------- Name/Title: by: Seymour Braun* ----------------------- Seymour Braun Attorney-in-Fact LEADVILLE A.V.V. ---------------- by: Seymour Braun* ----------------------- Seymour Braun Attorney-in-Fact * Power-of-Attorney previously filed 8 -----END PRIVACY-ENHANCED MESSAGE-----