ESC MEDICAL SYSTEMS LTD
SC 13D/A, 1999-06-01
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. 10)

                         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


                                 May 27, 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:
                                                 /  /



 CUSIP No. M40868107           13D
 --------------------------------------------------------------------------

      This Amendment No. 10 (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, and Amendment No. 9, dated May 20, 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:

           In an effort to reach a compromise with respect to the pending
 proxy contest for removal of certain directors of the Company, on May 27,
 1999, Messrs. Genger and Gottstein sent a letter to Shimon Eckhouse,
 Chairman of the Board, President and Chief Executive Officer of the
 Company.  As stated in the letter (a copy of which is attached hereto as
 Exhibit 21), Messrs. Genger and Gottstein made the following compromise
 proposal to Dr. Eckhouse: (1) fix the Board size at eleven members, (2)
 remove two current management directors from the Board, (3) add the three
 individuals from our six nominees not affiliated with either of us whom
 Eckhouse had conceded would be acceptable additions to the Board, and (4)
 immediately after the events in clauses (2) and (3) have occurred, the
 newly constituted Board would identify and add two additional individuals
 to the Board, who have no prior business or family affiliation with Messrs.
 Genger and Gottstein, any current Board member or any current member of
 management.  In the event that two-thirds of the Board (with Dr. Eckhouse
 abstaining) is unable to agree upon the addition of two such individuals by
 June 7, 1999, ESC shareholders would be entitled to select the two
 additional directors from a list of four nominees two nominated by the
 Company and two nominated by Messrs. Genger and Gottstein at the meeting to
 be held on June 23, 1999.  Messrs. Genger and Gottstein are awaiting a
 final reply from the Company.

      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.




 CUSIP No. M40868107           13D
 --------------------------------------------------------------------------


 ITEM 7.   MATERIAL TO BE FILED AS EXHIBITS.

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

      Exhibit 21:    Letter, dated May 27, 1999, from Messrs. Genger and
                     Gottstein to Dr. Eckhouse






 CUSIP No. M40868107           13D
 --------------------------------------------------------------------------


                                 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 1, 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

 21             Letter, dated May 27, 1999, from
                Messrs. Genger and Gottstein to Dr. Eckhouse        6





                                                                 Exhibit 21



                               May 27, 1999


 Dr. Shimon Eckhouse
 ESC Medical Systems Ltd.
 P.O. Box 240
 Yokneam Industrial Park
 Yokneam, Israel 20692

 Dear Dr. Eckhouse:

           While we welcome the settlement reached in Israeli court
 yesterday moving the annual meeting date to June 23 from July 15 and
 consolidating it with the extraordinary meeting which we have called, we
 continue to believe that the shareholders would be best served by reaching
 an understanding with the current board, enabling us all to avoid an
 expensive and distracting proxy contest.

           Let us be perfectly clear:  the issue at stake is NOT who
 controls the Company but, rather, assuring the shareholders that an
 independent Board of Directors committed to protecting and servicing their
 best interest is in place.

           This cannot be achieved by the proposal in your letter of May 24,
 1999.  Your proposal simply does not meet the requirement that the Board be
 fully and totally independent and, therefore, not designated by the current
 Board or by management.  In addition, your proposal would create a
 potential for deadlock, since the Board would be comprised of an even
 number of directors.

           While we are not willing to compromise the objective that the
 vital interest of the shareholders be paramount, we are willing to make the
 following counterproposal in the expectation that your acceptance enables
 us all to avoid the distraction of a proxy contest and enables the Company
 to utilize all of its resources on its business:

      1.   The Board size would be fixed at eleven members;

      2.   Effective immediately, the two management directors, Hillel
           Bachrach and Karen Sarid, would tender their resignations from
           the Board;

      3.   Since your proposal indicates that you find Aharon Dovrat,
           Philip Friedman and Mark H. Tabak acceptable additions to
           the Board, all three individuals would be immediately added
           to the Board; and

      4.   Immediately after the removal and addition to the Board of the
           individuals set forth in clauses (2) and (3) above, the newly
           constituted Board would work together in order to identify and
           add two additional independent individuals to the Board in order
           to create an eleven-member Board.  Neither individual would have
           had any prior business or family affiliation with us, any current
           Board member or any current member of management.  If two-thirds
           of the Board (with you abstaining) agree on the two additional
           candidates, then they would be added immediately to the Board.
           In the event that two-thirds of the non-management Board members
           are unable to identify and agree upon the addition of two such
           individuals by June 7, 1999, the presently existing Board would
           be entitled to identify two nominees to the Board, and we would
           be entitled to identify two nominees to the Board.  The four
           nominees would then be presented to the shareholders for a vote
           at the shareholders meeting scheduled for June 23, 1999.  With
           respect to the four nominees, the two nominees receiving the
           largest number of affirmative votes at the meeting would then be
           added to the Board.  Both sides will agree to support the
           election of all other then current directors at the meeting.

           Your acceptance and implementation of this proposal would result
 in a deadlock-free Board consisting of eleven members, a majority of whom
 would be truly independent of management and of us.

           By now, I hope that it is unequivocally clear to you   as I
 expect it will be to our fellow shareholders   that the sole object is to
 enhance and deliver value to the Company's shareholders.  We are not
 seeking to take control of the Company.

           If your Board agrees with our proposal at its meeting on Friday
 May 28, we can move toward its prompt implementation and avoid the
 unnecessary expense of a proxy contest.

           We look forward to your reply.

                             Very truly yours,


 /s/ Arie Genger                                   /s/ Barnard J. Gottstein

 cc:  ESC Board of Directors





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