ESC MEDICAL SYSTEMS LTD
SC 13D/A, 1999-06-16
MEDICAL, DENTAL & HOSPITAL EQUIPMENT & SUPPLIES
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  CUSIP No. M40868107           13D
  ___________________________________________________________________________

                     SECURITIES AND EXCHANGE COMMISSION
                           WASHINGTON, D.C. 20549

                                SCHEDULE 13D
                               (Rule 13d-101)

          INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
         TO RULE 13d-1(a) AND AMENDMENTS THERETO FILED PURSUANT TO
                               RULE 13d-2(a)

                             (Amendment No. 13)

                          ESC Medical Systems Ltd.
                              (Name of Issuer)

               Ordinary Shares, NIS 0.10 par value per share
                       (Title of Class of Securities)

                                 M40868107
                               (CUSIP Number)

                            Barnard J. Gottstein
                         Carr-Gottstein Properties
                      550 West 77th Avenue, Suite 1540
                          Anchorage, Alaska 99501
                               (907) 278-2277
               (Name, Address and Telephone Number of Person
             Authorized to Receive Notices and Communications)

                              with a copy to:

                           Joseph J. Giunta, Esq.
                  Skadden, Arps, Slate, Meagher & Flom LLP
                     300 South Grand Avenue, Suite 3400
                     Los Angeles, California 90071-3144
                               (213) 687-5000


                               June 16, 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 that 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:
                                                 /  /


                                  Page 1 of 6 Pages




 CUSIP No. M40868107                  13D
 ___________________________________________________________________________



      This Amendment No. 13 (the "Amendment") amends and supplements the
 Statement on Schedule 13D, dated September 29, 1998, as amended by
 Amendment No. 1, dated January 15, 1999, Amendment No. 2, dated March 9,
 1999, Amendment No. 3, dated March 22, 1999, Amendment No. 4, dated March
 24, 1999, Amendment No. 5, dated April 14, 1999, Amendment No. 6, dated
 April 19, 1999, Amendment No. 7, dated May 10, 1999, Amendment No. 8, dated
 May 11, 1999, Amendment No. 9, dated May 20, 1999, Amendment No. 10, dated
 May 27, 1999, Amendment No. 11, dated May 29, 1999, and Amendment No. 12,
 dated June 15, 1999 (the "Original Schedule 13D"), relating to the Ordinary
 Shares, par value NIS 0.10 per share (the "Shares"), of ESC Medical Systems
 Ltd., an Israeli corporation (the "Company").  Each of the Barnard J.
 Gottstein Revocable Trust, Barnard J. Gottstein, as trustee of the Barnard
 J. Gottstein Revocable Trust, and Barnard J. Gottstein, as an individual
 (collectively, the "Reporting Persons"), are filing this Amendment to
 update the information with respect to the Reporting Persons' purposes and
 intentions with respect to the Shares.

 ITEM 4.   PURPOSE OF TRANSACTION.

       Item 4 of the Original Schedule 13D is hereby amended and
 supplemented as follows:

           On June 16, 1999, Messrs. Genger and Gottstein published in an
 Israeli newspaper a clarification notice regarding the upcoming Combined
 Extraordinary and Annual General Meeting of Shareholders of the Company to
 be convened on June 23, 1999.  In the notice, Messrs. Genger and Gottstein
 also announced that so long as their nominees are selected to the Board of
 Directors of the Company, they commit to ensure that a majority of the
 Board will consist of individuals who have no present or prior business
 affiliation with either of them.  A copy of the clarification notice to
 shareholders of the Company (translated into English) is attached hereto
 as Exhibit 27.

       Other than as described above and as previously described in the
 Original Schedule 13D, the Reporting Persons do not have any present plans
 or proposals which relate to or would result in (although they reserve the
 right to develop such plans or proposals) any transaction, change or event
 specified in clauses (a) through (j) of Item 4 of the form of Schedule 13D.


 ITEM 7.   MATERIAL TO BE FILED AS EXHIBITS.

       Item 7 of the Original Schedule 13D is hereby amended to add the
 following exhibit:

       Exhibit 27:  Clarification Notice to Shareholders of the Company



                                 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: June 16, 1999


                               /s/ Barnard J. Gottstein
                               ------------------------------------
                               Barnard J. Gottstein
                               Individually and as Trustee of the Barnard
                               J. Gottstein Revocable Trust


                               BARNARD J. GOTTSTEIN REVOCABLE TRUST


                               /s/ Barnard J. Gottstein
                               ------------------------------------
                               Barnard J. Gottstein
                               Trustee




                               EXHIBIT INDEX


 Exhibit
 Number                   Title                                     Page
 -------                  -----                                     ----

 27                Clarification Notice to Shareholders              6
                   of the Company




                                                                 Exhibit 27


                Clarification Notice to the Shareholders of

                          ESC MEDICAL SYSTEMS LTD.
                              (the "Company")

 This notice is published on behalf of the undersigned Messrs. Arie Genger
 and Barnard J Gottstein, and is addressed to all the Shareholders of the
 Company.

 Pursuant to our demand, and in accordance to the decision of the Tel-Aviv
 District Court of May 25th, 1999, an Extraordinary General Meeting and an
 Annual General Meeting shall be convened on next Wednesday, June 23rd,
 1999. In this General Meeting the Company's Shareholders will be asked to
 vote, among other things and according to our proposal, on the election of
 a new Board of Directors instead of the incumbent one.

 This clarification notice is given in response to the accusation by some
 managers and directors of the Company about our intentions to take control
 of the Company. For the removal of any doubts we hereby announce that so
 long as our nominees are selected to the Board of Directors of the Company,
 we commit to ensure that a majority of the Board will consist of
 individuals who have no present or prior business affiliation with either
 of us.

 This commitment is given as a public response to the claims according to
 which our intention is to take control of the Company. In contrast, our
 only intention is to ensure the selection of professional and independent
 directors, which would critically review management's capabilities and take
 whatever steps are necessary in order to return the Company to
 profitability and maximize value for all the Company's Shareholders.


                                 Sincerely,

       /s/ Arie Genger                         /s/ Barnard J Gottstein





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