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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
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SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO 13d-2(b)
(Amendment No. 3)(1)
NCS HealthCare, Inc.
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(Name of Issuer)
Class A Common Stock, $.01 par value
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(Title of Class of Securities)
628874 10 9
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(CUSIP Number)
December 31, 1999
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(Date of Event Which Requires Filing of this Statement)
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Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[X] Rule 13d-1(d)
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(1) 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 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).
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13G
CUSIP NO. 628874 10 9 PAGE 2 OF 6 PAGES
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1. NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Kevin B. Shaw
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2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [ ]
Not Applicable
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3. SEC USE ONLY
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4. CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF 5. SOLE VOTING POWER 1,006,964
SHARES
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BENEFICIALLY 6. SHARED VOTING POWER 190,045
OWNED BY
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EACH 7. SOLE DISPOSITIVE POWER 1,006,964
REPORTING
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PERSON WITH 8. SHARED DISPOSITIVE POWER 190,045
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9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,197,009
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10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
[ ]
Not Applicable
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11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.4%
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12. TYPE OF REPORTING PERSON*
IN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
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ITEM 1(a). NAME OF ISSUER:
NCS HealthCare, Inc.
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ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
3201 Enterprise Parkway, Suite 220, Beachwood, OH 44122
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ITEM 2(a). NAME OF PERSON FILING:
Kevin B. Shaw
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ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:
3201 Enterprise Parkway, Suite 220, Beachwood, OH 44122
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ITEM 2(c). CITIZENSHIP:
United States
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ITEM 2(d). TITLE OF CLASS OF SECURITIES:
Class A Common Stock, $.01 par value
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ITEM 2(e) CUSIP NUMBER:
628874 10 9
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ITEM 3: IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR
13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS a:
(a) [ ] Broker or dealer registered under Section 15 of the Act,
(b) [ ] Bank as defined in Section 3(a)(6) of the Act,
(c) [ ] Insurance Company as defined in Section 3(a)(19) of the
Act,
(d) [ ] Investment Company registered under Section 8 of the
Investment Company Act,
(e) [ ] An investment adviser in accordance with Rule
13d-1(b)(l)(ii)(E),
(f) [ ] An employee benefit plan or endowment fund in accordance
with 13d-1(b)(1)(ii)(F),
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(g) [ ] A parent holding company or control person in accordance
with Rule 13d-1(b)(ii)(G),
(h) [ ] A savings association as defined in Section 3(b) of the
Federal Deposit Insurance Act,
(i) [ ] A church plan that is excluded from the definition of an
investment company under Section 3(c)(14) of the
Investment Company Act,
(j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J).
Not Applicable
If this statement is filed pursuant to Rule 13d-1(c), check this box.
ITEM 4. OWNERSHIP.
Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.
(a) Amount beneficially owned:
1,197,009 shares of Class A Common Stock (1)(2)(3)
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(b) Percent of class:
7.4%
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<TABLE>
<S> <C> <C> <C>
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote 1,006,964 (1)
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(ii) Shared power to vote or to direct the vote 190,045 (2)
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(iii) Sole power to dispose or to direct the disposition of 1,006,964 (1)
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(iv) Shared power to dispose or to direct the disposition of 190,045 (2)
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</TABLE>
Instruction. For computations regarding securities which represent a right
to acquire an underlying security, see Rule 13d-3(d)(1).
(1) Includes (a) 956,764 shares of Class B Common Stock, $.01 par value
("Class B Common Stock") and (b) 20,000 shares of Class A Common Stock
underlying options. Each share of Class B Common Stock is convertible
at any time into one share of Class A Common Stock.
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(2) Consists of (i) 5,675 shares of Class A Common Stock and (ii) 184,370
shares of Class B Common Stock owned of record by the reporting
person's spouse. Each share of Class B Common Stock is convertible at
any time into one share of Class A Common Stock.
(3) Assumes conversion of all shares of Class B Common Stock held by
reporting person into shares of Class A Common Stock.
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 [ ]. Not Applicable
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.
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
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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.
February 14, 2000
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(Date)
/s/ Kevin B. Shaw
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(Signature)
Kevin B. Shaw/President & CEO
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(Name/Title)
