SEC
1746 |
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UNITED STATES |
OMB APPROVAL |
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SECURITIES AND EXCHANGE |
OMB Number: |
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Washington, D.C. 20549 |
Expires: December 31, 2005 |
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SCHEDULE 13D |
Estimated average burden hours per response. . 11 |
COMPUMED, INC.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
204914
(CUSIP Number)
David J. Katz
Perkins Coie LLP
1620 26th Street, Sixth Floor, South Tower
Santa Monica, California 90404
(310) 788-3268
(Name,
Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
December 12, 2003
(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 that is the subject of this Schedule 13D, and is filing this schedule because of §§240.13d-1(e), 240.13d-1(f) or 240.13d-1(g), check the following box. [ ]
Note: Schedules filed in paper format shall include a signed original and five copies of the schedule, including all exhibits. See §240.13d-7 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 ("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. 204914 |
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1. |
Names of
Reporting Persons. I.R.S. Identification Nos. of above persons (entities
only). |
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2. |
Check the Appropriate Box if a Member of a Group (See Instructions) |
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(a) |
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(b) |
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3. |
SEC Use Only |
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4. |
Source of
Funds (See Instructions) |
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5. |
Check if Disclosure of Legal Proceedings Is Required Pursuant to Items 2(d) or 2(e) [ ] |
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6. |
Citizenship or Place of
Organization |
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Number of |
7. |
Sole
Voting Power |
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8. |
Shared
Voting Power |
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9. |
Sole
Dispositive Power |
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10. |
Shared Dispositive Power |
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11. |
Aggregate
Amount Beneficially Owned by Each Reporting Person |
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12. |
Check if the Aggregate Amount in Row (11) Excludes Certain Shares (See Instructions) [ ] |
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13. |
Percent
of Class Represented by Amount in Row (11) |
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14. |
Type of
Reporting Person (See Instructions) |
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(1) Includes 1,123,103 fully vested options to purchase shares of CompuMed, Inc. ("CompuMed") common stock that are exercisable within 60 days of the date of filing of this report.
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(2) Calculated based on 19,074,137 shares of CompuMed common stock outstanding as of September 30, 2003, as provided to Mr. Stuckelman by CompuMed. In accordance with Rule 13d-3(d)(1)(i)(D), such number represents the sum of the actual number of outstanding shares of CompuMed common stock (17,951,034) as of September 30, 2003, plus Mr. Stuckelman's options to purchase shares of CompuMed common stock that are exercisable within 60 days of the date of this filing (1,123,103).
Item 1. |
Security and Issuer |
Common Stock of CompuMed,
Inc. ("CompuMed") |
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Item 2. |
Identity and Background |
(1)(a) Robert Stuckelman (b) 5777 West Century Blvd., Suite 1285 Los Angeles, California 90045 |
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(c) Robert Stuckelman is currently the Chairman of CompuMeds Board of Directors and is a member of CompuMeds audit committee. CompuMed is a healthcare informatics company that provides medical imaging software solutions and the remote interpretation of electrocardiograms. CompuMeds business address is set forth in (1)(b) above. Mr. Stuckelman is also the founder of CompuMed. Mr. Stuckelman is the President of Technical Management Consultants, which provides business consulting services to companies. Technical Management Consultants is located at 3624 Westfall Dr. Encino, CA 91436. |
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(d) None |
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(e) None |
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(f) American |
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Item 3. |
Source and Amount of Funds or Other Consideration |
Approximately 64% of the shares of common stock beneficially owned by Mr. Stuckelman is derived from the stock options that were granted in 2003 as follows: |
Grant Date |
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Expiry Date |
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Type of Option |
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Number |
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Exercise |
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Number of |
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2/11/2003 |
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2/11/2013 |
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Non-Qualified |
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511,458 |
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$ |
0.0800 |
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511,458 |
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6/20/2003 |
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6/20/2013 |
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Non-Qualified |
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303,921 |
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$ |
0.1000 |
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303,921 |
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Item 4. |
Purpose of Transaction |
See response to Item 3, which is incorporated herein by this reference. |
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Item 5. |
Interest in Securities of the Issuer |
(a)-(b) Reference is made to Rows 7-11 and 13 of the cover page of this Schedule 13D, which Rows are incorporated by reference herein. According to CompuMeds information provided to Mr. Stuckelman, there were 17,951,034 shares of CompuMed common stock outstanding as of September 30, 2003. As of the date of filing of this Schedule 13D, Mr. Stuckelman directly beneficially owns 1,277,618 shares of CompuMed common stock, inclusive of 1,123,103 fully vested options which Mr. Stuckelman has the right to exercise into CompuMed common stock within 60 days of the date of filing of this Schedule 13D. Such shares represent 7.1% of CompuMeds outstanding shares of common stock (inclusive of the 1,123,103 fully vested options) in accordance with Rule 13(d)-3(d)(1)(i)(D). |
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Mr. Stuckelman is not part of a group within the meaning of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended (the Exchange Act), or Rule 13d-5 promulgated under the Exchange Act and has sole power to vote, direct voting and to sell or otherwise dispose of the shares. |
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(c) During the 60-day period before the date of filing of this Schedule 13D, Mr. Stuckelman had no transactions in CompuMeds common stock other than a gift of 75,000 shares of CompuMed common stock to his son in October 2003. |
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(d) Not applicable. |
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(e) Not applicable. |
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Item 6. |
Contracts, Arrangements, Understandings or Relationships with Respect to Securities of the Issuer |
Not applicable |
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Item 7. |
Material to Be Filed as Exhibits |
NONE |
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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.
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December 12, 2003 |
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Date |
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Signature |
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Name/Title |
The original statement shall be signed by each person on whose behalf the statement is filed or his authorized representative. If the statement is signed on behalf of a person by his authorized representative (other than an executive officer or general partner of this filing person), evidence of the representatives authority to sign on behalf of such person shall be filed with the statement; provided, however, that a power of attorney for this purpose which is already on file with the Commission may be incorporated by reference. The name and any title of each person who signs the statement shall be typed or printed beneath his signature.
Attention:
Intentional misstatements or omissions of fact
constitute Federal criminal violations (See 18 U.S.C. 1001).
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