-----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, SPvJ648Uxwp6Hm65uxTBueFLj7UkWgspMv9U15xkHSMqbVEwFVFe7/Gxh2PaoHvl IQFZVGu/ZHFwiSHcjIBHRA== 0000950144-00-000804.txt : 20000203 0000950144-00-000804.hdr.sgml : 20000203 ACCESSION NUMBER: 0000950144-00-000804 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20000202 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: T/R SYSTEMS INC CENTRAL INDEX KEY: 0001095594 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER PERIPHERAL EQUIPMENT, NEC [3577] IRS NUMBER: 581958870 STATE OF INCORPORATION: GA FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-57643 FILM NUMBER: 520009 BUSINESS ADDRESS: STREET 1: 1300 OAKBROOK DR CITY: NORCROSS STATE: GA ZIP: 30093 BUSINESS PHONE: 7704489008 MAIL ADDRESS: STREET 1: 1300 OAKBROOK DR CITY: NORCROSS STATE: GA ZIP: 30093 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: BELLET DAVID F CENTRAL INDEX KEY: 0000891001 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 60 E 42ND ST STREET 2: STE 3405 CITY: NEW YORK STATE: NY ZIP: 10165 BUSINESS PHONE: 2128085278 MAIL ADDRESS: STREET 1: 60 E 42ND ST STREET 2: STE 3405 CITY: NEW YORK STATE: NY ZIP: 10165 SC 13G 1 T/R SYSTEMS, INC / DAVID F. BELLET 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 --------------- SCHEDULE 13G Under the Securities and Exchange Act of 1934 * T/R SYSTEMS, INC. (Name of Issuer) COMMON STOCK, $0.01 PAR VALUE PER SHARE (Title of Class of Securities) 87263U 10 2 (CUSIP Number) January 31, 2000 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-1(b) [ X ] Rule 13d-1(c) [ ] Rule 13d-1(d) *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). 2 - --------------------- ----------------- CUSIP No. 87263U 10 2 13G Page 2 of 6 Pages - --------------------- ----------------- - ------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) David F. Bellet - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States of America - ------------------------------------------------------------------------------- 5 SOLE VOTING POWER 50,148 NUMBER OF -------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY OWNED BY 600,355 EACH -------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH 50,148 -------------------------------------------------- 8 SHARED DISPOSITIVE POWER 600,355 - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 600,355 - ------------------------------------------------------------------------------- 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 5.6% - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON IN - ------------------------------------------------------------------------------- 3 - --------------------- ----------------- CUSIP No. 87263U 10 2 13G Page 3 of 6 Pages - --------------------- ----------------- Item 1(a). Name of Issuer: T/R Systems, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 1300 Oakbrook Drive Norcross, Georgia 30093 Item 2(a). Name of Person Filing: David F. Bellet Item 2(b). Address of Principal Business Office, or, if none, Residence: The Lincoln Building 60 East 42nd Street, Suite 3405 New York, New York 10165 Item 2(c). Citizenship: United States of America Item 2(d). Title of Class of Securities: Common Stock, $0.01 Par Value Per Share Item 2(e). CUSIP Number: 87263U 10 2 Item 3. Not applicable; this statement is not being filed pursuant to Rules 13d-1(b) or 13d-2(b) or (c). Item 4. Ownership: (a) Amount Beneficially Owned: 650,503 Such amount includes 151,913 shares and 48,484 shares held by funds, the administrator of which Mr. Bellet is the chairman; 197,171 shares, 94,000 shares and 102,727 shares held by entities, the general partners of which Mr. Bellet is the general partner; and 6,060 shares held by an entity of which Mr. Bellet is a managing 4 - --------------------- ----------------- CUSIP No. 87263U 10 2 13G Page 4 of 6 Pages - --------------------- ----------------- partner. In such capacities, Mr. Bellet may be deemed the beneficial owner of all shares beneficially owned by such entities, an aggregate of 570,355 shares, in addition to the 50,148 shares owned directly by Mr. Bellet. (b) Percent of Class: 5.6% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 50,148 (ii) shared power to vote or to direct the vote: 600,355 (iii) sole power to dispose or to direct the disposition of: 50,148 (iv) shared power to dispose or to direct the disposition of: 600,355 Item 5. Ownership of Five Percent or Less of a Class: If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. 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 or Control Person: Not applicable. Item 8. Identification and Classification of Members of the Group: Not applicable. Item 9. Notice of Dissolution of Group: Not applicable. 5 - --------------------- ----------------- CUSIP No. 87263U 10 2 13G Page 5 of 6 Pages - --------------------- ----------------- Item 10. Certification: By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. 6 - --------------------- ----------------- CUSIP No. 87263U 10 2 13G Page 6 of 6 Pages - --------------------- ----------------- 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 1, 2000 /s/ David F. Bellet ------------------------------------- David F. 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