UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No.____)*
EPIX Medical, Inc.
------------------
(Name of Issuer)
Common Stock, $.01 par value
------------------------------
(Title of Class of Securities)
26881Q10
--------------
(CUSIP Number)
*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 ("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).
Page 1 of 7 pages
<PAGE>
- ------------------------- ---------------------------
|CUSIP NO. 237920-10-3 | 13G | Page 2 of 7 Pages |
| ----------- | | --- --- |
- ------------------------- ---------------------------
|--------|---------------------------------------------------------------------|
| 1 | NAME OF REPORTING PERSON |
| | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | Lauffer Grantor Retained Annuity Trust |
| | 04-6829383 |
|--------|---------------------------------------------------------------------|
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] |
| | (b) [ ] |
| | Not Applicable |
|--------|---------------------------------------------------------------------|
| 3 | SEC USE ONLY |
| | |
|--------|---------------------------------------------------------------------|
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | Massachusetts |
|--------|-----------------|--------|------------------------------------------|
| | 5 | SOLE VOTING POWER |
| | | 0 |
| NUMBER OF |--------|------------------------------------------|
| SHARES | 6 | SHARED VOTING POWER |
| BENEFICIALLY | | 811,237 |
| OWNED BY |--------|------------------------------------------|
| EACH | 7 | SOLE DISPOSITIVE POWER |
| REPORTING | | 0 |
| PERSON |--------|------------------------------------------|
| WITH | 8 | SHARED DISPOSITIVE POWER |
| | | 811,237 |
|--------|---------------------------------------------------------------------|
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 811,237 |
|--------|---------------------------------------------------------------------|
| 10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| | SHARES* [ ] |
| | |
|--------|---------------------------------------------------------------------|
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) |
| | 7.23% |
|--------|---------------------------------------------------------------------|
| 12 | TYPE OF REPORTING PERSON* |
| | 00 |
- --------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 2 of 7 pages
<PAGE>
- ------------------------- ---------------------------
|CUSIP NO. 237920-10-3 | 13G | Page 3 of 7 Pages |
| ----------- | | --- --- |
- ------------------------- ---------------------------
|--------|---------------------------------------------------------------------|
| 1 | NAME OF REPORTING PERSON |
| | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | Randall B. Lauffer |
| | ###-##-#### |
|--------|---------------------------------------------------------------------|
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] |
| | (b) [ ] |
| | Not Applicable |
|--------|---------------------------------------------------------------------|
| 3 | SEC USE ONLY |
| | |
|--------|---------------------------------------------------------------------|
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | United States |
|--------|-----------------|--------|------------------------------------------|
| | 5 | SOLE VOTING POWER |
| | | 267,761 |
| NUMBER OF |--------|------------------------------------------|
| SHARES | 6 | SHARED VOTING POWER |
| BENEFICIALLY | | 873,903 |
| OWNED BY |--------|------------------------------------------|
| EACH | 7 | SOLE DISPOSITIVE POWER |
| REPORTING | | 267,761 |
| PERSON |--------|------------------------------------------|
| WITH | 8 | SHARED DISPOSITIVE POWER |
| | | 873,903 |
|--------|---------------------------------------------------------------------|
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 1,141,664 |
|--------|---------------------------------------------------------------------|
| 10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| | SHARES* [ ] |
| | |
|--------|---------------------------------------------------------------------|
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) |
| | 10.18% |
|--------|---------------------------------------------------------------------|
| 12 | TYPE OF REPORTING PERSON* |
| | IN |
- --------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
Page 3 of 7 pages
<PAGE>
Item 1 (a) Name of Issuer.
EPIX Medical, Inc.
Item 1 (b) Address of Issuer's Principal Executive Office.
71 Rogers Street
Cambridge, Massachusetts 02142
<TABLE>
<CAPTION>
Item 2 (a) Name of Person Filing Item 2 (b) Address of Principal Business Item 2 (c) Citizenship
Office
<S> <C> <C>
Randall B. Lauffer EPIX Medical, Inc. United States
71 Rogers Street
Cambridge, Massachusetts 02142
Lauffer Grantor Retained Annuity EPIX Medical, Inc. Massachusetts
Trust c/o Randall B. Lauffer, Trustee
71 Rogers Street
Cambridge, Massachusetts 02142
</TABLE>
Item 2 (d) Title of Class of Securities.
Common Stock, $.01 par value per share
Item 2 (e) CUSIP Number.
26881Q10
Item 3 Type of Reporting Person.
Not applicable; this statement is filed pursuant to Rule 13d-1(c).
Item 4 Ownership.
Item 4 (a) Amount Beneficially Owned as of December 31, 1997.
Randall B. Lauffer 1,141,664(1)
Lauffer Grantor Retained Annuity Trust 811,237
Item 4 (b) Percentage of Class.
Randall B. Lauffer 10.18%
Lauffer Grantor Retained Annuity Trust 7.23%
- -----------------------
(1) Includes 46,666 shares held of record by Mr. Lauffer's wife. Also includes
16,000 shares held of record by The Lauffer Irrevocable Trust dated
September 22, 1995 and 811,237 shares held of record by the Lauffer Grantor
Retained Annuity Trust. The filing of this statement shall not be construed
as an admission that Mr. Lauffer is the beneficial owner of any of the
shares held of record by his wife or The Lauffer Irrevocable Trust dated
September 22, 1995.
Page 4 of 7 pages
<PAGE>
Item 4 (c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
Randall B. Lauffer 267,761
Lauffer Grantor Retained Annuity Trust 0
(ii) shared power to vote or to direct the vote:
Randall B. Lauffer 873,903
Lauffer Grantor Retained Annuity Trust 811,237
(iii) sole power to dispose or to direct the disposition of:
Randall B. Lauffer 267,761
Lauffer Grantor Retained Annuity Trust 0
(iv) shared power to dispose or to direct the disposition of:
Randall B. Lauffer 873,903
Lauffer Grantor Retained Annuity Trust 811,237
The Lauffer Grantor Retained Annuity Trust expressly disclaims
beneficial ownership of any shares of EPIX Medical, Inc., except any shares held
directly of record.
Item 5 Ownership of Five Percent or Less of a Class.
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; this statement is filed pursuant to Rule 13d-1(c).
Attached as Exhibit 1 hereto is a Joint Filing Agreement executed by
each of the filing persons pursuant to Rule 13d-1(f).
Page 5 of 7 pages
<PAGE>
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief,
each of the undersigned certifies that the information set forth in this
statement is true, complete and correct.
Dated: February 1, 1998
/s/ Randall B. Lauffer
---------------------------------
Randall B. Lauffer
LAUFFER GRANTOR RETAINED
ANNUITY TRUST
/s/ Randall B. Lauffer
---------------------------------
Name: Randall B. Lauffer
Its: Trustee
Page 6 of 7 pages
<PAGE>
Exhibit 1
---------
JOINT FILING AGREEMENT OF
RANDALL B. LAUFFER AND
LAUFFER GRANTOR RETAINED ANNUITY TRUST
The undersigned hereby agree that the Schedule 13G with respect to the
securities of EPIX Medical, Inc., dated as of even date herewith is filed on
behalf of each of us pursuant to and in accordance with provisions of Rule
13d-1(f) under the Securities Exchange Act of 1934, as amended.
Dated: February 1, 1998
/s/ Randall B. Lauffer
---------------------------------
Randall B. Lauffer
LAUFFER GRANTOR RETAINED
ANNUITY TRUST
/s/ Randall B. Lauffer
---------------------------------
Name: Randall B. Lauffer
Its: Trustee
Page 7 of 7 pages
