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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13D
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. ________)*
Sabratek Corporation
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
78571U 10 8
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(CUSIP Number)
K. Shan Padda, Sabratek Corporation, 5601 West Howard Street,
Niles, Illinois 60714 - (847) 647-2760
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(Name, Address and Telephone Number of Person Authorized to
Receive Notices and Communications)
June 21, 1996
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(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 which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box / /.
Check the following box if a fee is being paid with the statement /x/. (A fee
is not required only if the reporting person: (1) has a previous statement on
file reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)
Note: Six copies of this statement, including all exhibits, should be filed
with the Commission. See Rule 13d-1(a) 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).
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SCHEDULE 13D
CUSIP NO. 78571U 10 8 PAGE OF PAGES
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1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
K. Shan Padda SSN: ###-##-####
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / /
(b) / /
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3 SEC USE ONLY
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4 SOURCE OF FUNDS*
00 PF
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5 CHECK BOX 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
United States of America
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NUMBER OF 7 SOLE VOTING POWER
SHARES
BENEFICIALLY 430,823
OWNED BY ---------------------------------------------------------------
EACH 8 SHARED VOTING POWER
REPORTING
PERSON WITH 0
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9 SOLE DISPOSITIVE POWER
430,823
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10 SHARED DISPOSITIVE POWER
0
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11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
430,823
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12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) / /
EXCLUDES CERTAIN SHARES*
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13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
5.34%
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14 TYPE OF REPORTING PERSON IN
IN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
(INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.
2 OF 7
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Item 1. Security and Issuer.
This statement on Schedule 13-D, dated September 30, 1996, filed by K.
Shan Padda, relates to the common stock, par value of $ .01 per share (the
"Sabratek Common Stock"), of Sabratek Corporation, a Delaware corporation (the
"Issuer" or "Sabratek"). The principal executive offices of the Issuer are
located at 5601 West Howard Street, Niles, Illinois 60714. All capitalized
terms used herein shall have the definitions set forth in the Schedule, except
as may otherwise be provided herein.
Item 2. Identity and Background.
This statement is being filed by K. Shan Padda, Chairman of the Board,
Chief Executive Officer, Treasurer and a director of Sabratek. His business
address is 5601 West Howard Street, Niles, Illinois 60714.
During the last five years, Mr. Padda has never been convicted in a
criminal proceeding (excluding traffic violations or similar misdemeanors), nor
has he been party to a civil proceeding of a judicial or administrative body of
competitive jurisdiction as a result of which Mr. Padda was or is subject to a
judgment, decree or final order enjoining future violations of, or prohibiting
or mandating activities subject to, federal or state securities laws or finding
any violation with respect to such laws.
Item 3. Source and Amount of Funds or Other Consideration.
Mr. Padda acquired 391,112 shares of Sabratek Common Stock in
consideration of personal services he rendered during the incorporation of
Sabratek. He purchased 315 shares of Sabratek Common Stock with his personal
fund. The option to purchase Sabratek Common Stock was acquired pursuant to
Sabratek's 1993 Employee Stock Options Plan.
Item 4. Purpose of Transaction.
The purpose of the 1993 Employee Stock Option Plan is to advance the
interests of the Issuer and its stockholders by enabling the Issuer to attract
and retain persons of ability to perform services to the Issuer and by
rewarding such persons who contribute to the achievement by the Issuer of its
economic objectives.
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Item 5. Interest in Securities of the Issuer.
As of September 30, 1996, Mr. Padda is deemed to beneficially own 430,823
shares of Sabratek Common Stock (approximately 5.34% of the Sabratek Common
Stock outstanding), which includes 39,395 shares subject to options exercisable
within 60 days. The percentage of Sabratek Common Stock outstanding is
calculated based upon information contained in the Issuer's Form 10-Q for the
quarter ended June 30, 1996 as filed pursuant to the Securities Exchange Act of
1934, as amended.
Item 6. Contracts, Arrangements, Understandings or Relationship with Respect to
Securities of the Issuer.
NONE
Item 7. Material to be Filed as Exhibits.
NONE
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: September 30, 1996
By: /s/ K. Shan Padda
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Name: K. Shan Padda
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