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UNITED STATES Expires: December 31, 1997
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SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
NOVAMETRIX MEDICAL SYSTEMS, INC.
(Name of Issuer)
COMMON STOCK
(Title of Class of Securities)
(CUSIP Number)
Martin I. Eisenstein Paul A. Cote, Esq.
184 Main St., P.O. Box 3070 512 Webster Road
Lewiston, ME 04243-3070 Lewiston, ME 04240
(Name, Address and Telephone Number of Person Authorized to Receive Notices and
Communications)
June 18, 1996
(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-l(b)(3) or (4), check the following box ___.
Check the following box if a fee is being paid with the statement __. (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).<PAGE>
SCHEDULE 13D
CUSIP No. Page of Pages
1. NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
See Attachment A
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) X
(b)
3. SEC USE ONLY
4. SOURCE OF FUNDS*
PF for all reporting persons.
5. CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS
2(d) or 2(e)
6. CITIZENSHIP OR PLACE OF ORGANIZATION
A
NUMBER OF 7. SOLE VOTING POWER
A. (51810+5780) E. 143,960 I. 128,750 M. 5,230 T. 10,900
SHARES B. -0- F. 5,650 J. 13,990 N. 7,100
C. 13,500 G. 74,100 K. 2,950 O. 59,000
D. 10,000 H. 6,000 L. 3,680 S. 1,300
BENEFICIALLY 8. SHARED VOTING POWER
A. 71,910 J. 25,945 Q. 21,000
OWNED BY B. 44,000 P. 21,000 R. 20,000
9. SOLE DISPOSITIVE POWER
EACH SAME AS 7
REPORTING 10. SHARED DISPOSITIVE POWER
SAME AS 8
PERSON WITH
11. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
A. 129,000 E. 143,960 I. 128,750 M. 5,230 Q. 21,000
B. 44,000 F. 5,650 J. 139,935 N. 7,100 R. 20,000
C. 13,500 G. 74,100 K. 2,950 O. 59,000 S. 1,300
D. 10,000 H. 6,000 L. 3,680 P. 21,000 T. 10,900
12. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
13. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
A. 2.1% D. .2% G. 1.2% J. 2.3% M. .1% P. .3% S. .1%
B. .7% E. 2.3% H. .1% K. .1% N. .1% Q. .3% T. .2%
C. .2% F. .1% I. 2.1% L. .1% O. 1.0% R. .3%
14. TYPE OF REPORTING PERSON *
00 (Group)
*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.
<PAGE>
ATTACHMENT A
A. Paul Cote, Esq. and Joan Cote
###-##-#### ###-##-####
B. Takuhe Ghugasian and Vartan Ghugasian
###-##-#### ###-##-####
C. Vartan Ghuguasian
###-##-####
D. William H. Johnson
###-##-####
E. John Orestis
###-##-####
F. Thomas B. Dunham
###-##-####
G. Sandra Dunham
429-80-12909
H. Armen Ghugasian
###-##-####
I. Richard Boulet
###-##-####
J. John Gross and Susan Gross
###-##-#### ###-##-####
K. Dana Gross
###-##-####
L. Andrew Gross
###-##-####
M. Lillian I. Allen
###-##-####
N. John C. Allen, Sr.
###-##-####
O. Roland R. Batson
###-##-####
P. Adrienne R. and Anthony N. Emmi
Q. Donn and Linda Gifford
###-##-####
R. Robert R. and Ginette Gladu
###-##-#### ###-##-####
S. Edgar Morin
###-##-####
T. Raymond E. Robichaud
###-##-####
<PAGE>
INSTRUCTIONS FOR COVER PAGE
(1) Names and Social Security Numbers of Reporting Persons - Furnish the full
legal name of each person for whom the report is filed - i.e., each person
required to sign the schedule itself - including each member of a group. Do
not include the name of a person required to be identified in the report
but who is not a reporting person. Reporting persons are also requested to
furnish their Social Security or I.R.S. identification numbers, although
disclosure of such numbers is voluntary, not mandatory (see "Special
Instructions for Complying with Schedule 13D" below).
(2) If any of the shares beneficially owned by a reporting person are held as
a member of a group and such membership is expressly affirmed, please check row
2(a). If the membership in a group is disclaimed or the reporting person
describes a relationship with other persons but does not affirm the existence
of a group, please check row 2(b) [unless a joint filing pursuant to Rule
13d-l(f)(1) in which case it may not be necessary to check row 2(b)].
(3) The 3rd row is for SEC internal use; please leave blank.
(4) Classify the source of funds or other Consideration used or to be used in
making purchases as required to be disclosed pursuant to Item 3 of Schedule
13D and insert the appropriate symbol (or symbols if more than one is necessary
in row (4):
Category of Source Symbol
Subject Company (Company whose securities are being acquired) SC
Bank BK
Affiliate (of reporting person) AF
Working Capital (of reporting person) WC
Personal Funds (of reporting person) PF
Other OO
(5) If disclosure of legal proceedings or actions is required pursuant to
either Items 2(d) or 2(e) of Schedule 13D, row 5 should be checked.
(6) Citizenship or Place of Organization - Furnish citizenship if the named
reporting person is a natural person. Otherwise, furnish place of
organization. (See Item 2 of Schedule 13D)
(7)- (11),(13) Aggregate Amount Beneficially Owned By Each Reporting Person,
Etc. - Rows (7) through (I 1) inclusive, and (I 3) are to be completed in
accordance with the provisions of Item 5 of Schedule 13D. All percentages are
to be rounded off to nearest tenth (one place after decimal point).
(12) Check if the aggregate amount reported as beneficially owned in row (I 1)
does not include shares which the reporting person discloses in the report but
as to which beneficial ownership is disclaimed pursuant to Rule 13d-4 [17 CFR
240.13d-41 under the Securities Exchange Act of 1934.
(14) Type of Reporting Person - Please classify each "reporting person"
according to the following breakdown and place the appropriate symbol (or
symbols, i.e., if more than one is applicable, insert all applicable symbols)
on the form:
Category Symbol
Broker-Dealer BD
Bank BK
Insurance Company IC
Investment Company IV
Investment Adviser IA
Employee Benefit Plan, Pension Fund or Endowment Fund EP
Parent Holding Company HC
Corporation CO
Partnership PN
Individual IN
Other OO
Notes:
Attach as many copies of the second part of the cover page as are needed, one
reporting person per page.
<PAGE>
Filing persons may, in order to avoid unnecessary duplication, answer items on
the schedules (Schedule 13D, 13G or 1413-1) by appropriate cross references to
an item or items on the cover page(s). This approach may only be used where
the cover page item or items provide all the disclosure required by the
schedule item. Moreover, such a use of a cover page item will result in the
item becoming a part of the schedule and accordingly being considered as
"filed" for purposes of Section 18 of the Securities Exchange Act or otherwise
subject to the liabilities of that section of the Act.
Reporting persons may comply with their cover page filing requirements by
filing either completed copies of the blank forms - available from the
Commission, printed or typed facsimiles, or computer printed facsimiles,
provided the documents filed have identical formats to the forms prescribed in
the Commission's regulations and meet existing Securities Exchange Act rules as
to such matters as clarity and size (Securities Exchange Act Rule 12b-12).
SPECIAL INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13D
Under Sections 13(d) and 23 of the Securities Exchange Act of 1934 and the
rules and regulations thereunder, the Commission is authorized to solicit the
information required to be supplied by this schedule by certain security
holders of certain issuers. Disclosure of the information specified in this
schedule is mandatory, except for Social Security or I.R.S. identification
numbers, disclosure of which is voluntary. The information will be used for
the primary purpose of determining and disclosing the holdings of certain
beneficial owners of certain equity securities. This statement will be made a
matter of public record. Therefore, any information given will be available
for inspection by any member of the public. Because of the public nature of
the information, the Commission call utilize it for a variety of purposes,
including referral to other governmental authorities or securities
self-regulatory organizations for investigatory purposes or in connection with
litigation involving the federal securities laws or other civil, criminal or
regulatory statements or provisions. Social Security or I.R.S. identification
numbers, if furnished, will assist the Commission in identifying security
holders and, therefore in promptly processing statements of beneficial
ownership of securities.
Failure to disclose the information requested by this schedule, except for
Social Security or I.R.S. identification numbers may result in civil or
criminal action against the persons involved for violation of the federal
securities laws and rules promulgated thereunder.
General Instructions
A.The item numbers and captions of the items shall be included but the text of
the items is to be omitted. The answers to the items shall be so prepared as
to indicate clearly the coverage of the items without referring to the text of
the items. Answer every item. If an item is inapplicable or the answer is in
the negative, so state.
B.Information contained in exhibits to the statements may be incorporated by
reference in answer or partial answer to any item or sub-item of the statement
unless it would render such answer misleading, incomplete, unclear or
confusing. Matter incorporated by reference shall be clearly identified in the
reference by page, paragraph, caption or otherwise. An express statement that
the specified matter is incorporated by reference shall be made at the
particular place in the statement where the information is required. A copy of
any information or a copy of the pertinent pages of a document containing such
information which is incorporated by reference shall be submitted with this
statement as an exhibit and shall be deemed to be filed with the Commission for
all purposes of the Act.
C.If the statement is filed by a general or limited partnership, syndicate, or
other group, the information called for by Items 2-6, inclusive, shall be given
with respect to (I) each partner of such general partnership: (ii) each partner
who is denominated as a general partner or who functions as a general partner
of such limited partnership; (iii) each member of such syndicate or group; and
(iv) each person controlling such partner or member. If the statement is filed
by a corporation or if a person referred to in (I), (ii), (iii) or (iv) of this
Instruction is a corporation, the information called for by the above mentioned
items shall be given with respect to (a) each executive officer and director of
such corporation; (b) each person controlling such corporation; and ___ each
executive officer and director of any corporation or other person ultimately in
control of such corporation.
Item 1. Security and Issuer
State the title of the class of equity securities to which this statement
relates and the name and address of the principal executive offices of the
issuer of such securities.
Item 2. Identity and Background
If the person filing this statement or any person enumerated in Instruction C
of this statement is a corporation, general partnership, limited partnership.
syndicate or other group of persons, state its name, the state or other place
of its organization, its principal business, the address of its principal
business, the address of its principal office and the information required by
(d) and (e) of this Item. If the person filing this statement or any person
enumerated in Instruction C is a natural person, provide the information
specified in (a) through (f) of this Item with respect to such person(s).
(a) Name;
(b) Residence or business address;
(c) Present principal occupation or employment and the name, principal
business and address of any corporation or other organization in which such
employment is conducted;
(d) Whether or not, during the last five years, such person has been convicted
in a criminal proceeding (excluding traffic violations or similar misdemeanors)
arid, if so, give the dates, nature of conviction, name and location of court,
and penalty imposed, or other disposition of the case;
(e) Whether or not, during the last five years, such person was a party to a
civil proceeding of a judicial or administrative body of competent jurisdiction
and as a result of such proceeding 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; and, if so, identify and describe such
proceedings and summarize the terms of such judgment, decree or final order;
and
(f) Citizenship.
Item 3. Source and Amount of Funds or Other Consideration
State the source arid the amount of funds or other consideration used or to
be used in making the purchases, and if any part of the purchase price is or
will be represented by funds or other consideration borrowed or otherwise
obtained for the purpose of acquiring, holding, trading or voting the
securities, a description of the transaction and the names of the parties
thereto. Where material, such information should also be provided with respect
to prior acquisitions not previously reported pursuant to this regulation. If
the source of' all or any part of the funds is a loan made in the ordinary
course of business by a bank, as defined in Section 3(a)(6) of the Act the name
of the bank shall not be made available to the public if the person at the time
of filing the statement so requests in writing and files such request, naming
such bank, with the Secretary of the Commission. If the securities were
acquired other than by purchase, describe the method of acquisition.
Item 4. Purpose of Transaction
State the purpose or purposes of the acquisition of securities of the issuer.
Describe any plans or proposals which the reporting persons may have which
relate to or would result in:
(a)The acquisition by any person of additional securities of the issuer, or the
disposition of securities of the issuer;
(b)An extraordinary corporate transaction, such as a merger, reorganization or
liquidation, involving the issuer or any of its subsidiaries;
(c)A sale or transfer of a material amount of assets of the issuer or any of
its subsidiaries;
(d)Any change in the present board of directors or management of the issuer,
including any plans or proposals to change the number of term of directors or
to fill any existing vacancies on the board;
(e)Any material change in the present capitalization or dividend policy of the
issuer;
(f)Any other material change in the issuer's business or corporate structure
including but not limited to, if the issuer is a registered closed-end
investment company, any plans or proposals to make any changes in its
investment policy for which a vote is required by section 13 of the Investment
Company Act of 1940;
(g)Changes in the issuer's charter, bylaws or instruments corresponding thereto
or other actions which may impede the acquisition of control of the issuer by
any person;
(h)Causing a class of securities of the issuer to be delisted from a national
securities exchange or to cease to be authorized to be quoted in an
inter-dealer quotation system of a registered national securities association;
(i)A class of' equity securities of the issuer becoming eligible for
termination of registration pursuant to Section 12(g)(4) of the Act; or
(j)Any action similar to any of those enumerated above.
Item 5. Interest in Securities of the Issuer
(a) State the aggregate number and percentage of the class of securities
identified pursuant to Item I (which may be based on the number of securities
outstanding as contained in the most recently available filing with the
Commission by the issuer unless the filing person has reason to believe such
information is not current) beneficially owned (identifying those shares which
there is a right to acquire) by each person named in Item 2. The above
mentioned information should also be furnished with respect to persons who,
together with any of the persons named in Item 2, comprise a group within the
meaning of Section 13(d)(3) of the Act;
(b) For each person named in response to paragraph (a), indicate the number
of shares as to which there is sole power to vote or to direct the vote, shared
power to vote or to direct the vote, sole power to dispose or to direct the
disposition, or shared power to dispose or to direct the disposition.
Provide the applicable information required by Item 2 with respect to each
person with whom the power to vote or to direct the vote or to dispose or
direct the disposition is shared;
(c) Describe any transactions in the class of securities reported on that
were effected during the past sixty days of since the most recent filing on
Schedule 13D (Sec. 240.13d-191), whichever is less, by the persons named in
response to paragraph (a).
Instruction. The description of a transaction required by Item 5___ shall
include, but not necessarily be limited to: (1) the identity of the person
covered by Item 5___ who effected the transaction; (2) the date of the
transaction; (3) the amount of securities involved; (4) the price per share or
unit; and (5) where and how the transaction was effected.
(d)If any other person is known to have the right to receive or the power to
direct the receipt of dividends from, or the proceeds from the sale of, such
securities, a statement to that effect should be included in response to this
item and, if such interest relates to more than five percent of the class, such
person should be identified. A listing of the shareholders of an investment
company registered under the Investment Company Act of 1940 or the
beneficiaries of an employee benefit plan, pension fund or endowment fund is
not required.
(e)If applicable, state the date on which the reporting person ceased to be the
beneficial owner of more than five percent of the class of securities.
Instruction. For computations regarding securities which represent a right
to acquire an underlying security, see Rule 13d-3(d)(1) and the note thereto.
Item 6. Contracts, Arrangements, Understandings or Relationships with Respect
to Securities of the Issuer.
Describe any contracts, arrangements, understandings or relationships (legal
or otherwise) among the persons named in Item 2 and between such persons and
any person with respect to any securities of the issuer, including but not
limited to transfer or voting of any of the securities, finder's fees, joint
ventures, loan or option arrangements, put or calls, guarantees of profits,
division of profits or loss, or the giving or withholding of proxies, naming
the persons with whom such contracts, arrangements, understandings or
relationships have been entered into. Include such information for any of the
securities that are pledged or otherwise subject to a contingency the
occurrence of which would give another person voting power or investment power
over such securities except that disclosure of standard default and similar
provisions contained in loan agreements need not be included.
Item 7. Material to Be Filed as Exhibits
The following shall be filed as exhibits: copies of written agreements
relating to the filing of joint acquisition statements as
required by Rule 13d-1(f) (Sec. 240.13d-1(f) and copies of all written
agreements, contracts, arrangements, understandings, plans or proposals
relating to (1) the borrowing of funds to finance the acquisition as disclosed
in Item 3; (2) the acquisition of issuer control, liquidation, sale of assets,
merger, or change in business or corporate structure or any other matter as
disclosed in Item 4; and (3) the transfer or voting of the securities, finder's
fees, joint ventures, options, puts, calls, guarantees of loans, guarantees
against loss or of profit, or the giving or withholding of any proxy as
disclosed in Item 6.
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.
June 20, 1996 Paul A. Cote
Date Signature
Paul Cote, Esq.
Name/Title
The original statement shall be signed by each person on whose behalf the
statement is filed or his authorized representative. If the statement is signed
on behalf of a person by his authorized representative (other than an executive
officer or general partner of this filing person), evidence of the
representative's authority to sign on behalf of such person shall be filed with
the statement, provided, however, that a power of attorney for this purpose
which is already on file with the Commission may be incorporated by reference.
The name and any title of each person who signs the statement shall be typed or
printed beneath his signature.
Attention: Intentional misstatements or omissions of fact constitute Federal
criminal violations (See 18 U.S.C. 1001)
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996 filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
PAUL A. COTE AND JOAN P. COTE
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Paul A. Cote, Esq. and Joan P. Cote
b. Residence or Business Address:
512 Webster Street
Lewiston, ME 04240
c. Present principal occupation and
name of employer: Lawyer, Cote, Cote & Hamann, P.A./Homemaker
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S. for both
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 129,000 (of which 58,880 represents warrants)
Percentage Ownership of Class: 2.1%
b. Shares of Sole Power to Vote: 51,810 (Paul) + 5,780 (Joan)
Shares of Joint Power to Vote: 71,910
Shares of Sole Power to Dispose: 51,810 (Paul) + 5,780 (Joan)
Shares of Joint Power to Dispose: 71,910
c. Purchases during the last 60 days: None
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
TAKUHE GHUGASIAN AND VARTAN GHUGASIAN
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Takuhe Ghugasian and Vartan Ghugasian
b. Residence or Business Address:
25 Fairfield Street
Watertown, MA 02172
c. Present principal occupation and
name of employer: Dentist/Homemaker
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S. for both
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 44,000 (of which 4,000 represents warrants)
Percentage Ownership of Class: .7%
b. Shares of Sole Power to Vote: 0
Shares of Joint Power to Vote: 44,000
Shares of Sole Power to Dispose: 0
Shares of Joint Power to Dispose: 44,000
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
VARTAN GHUGASIAN
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Vartan Ghugasian
b. Residence or Business Address:
25 Fairfield Street
Watertown, MA 02172
c. Present principal occupation and
name of employer: Dentist
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors of
the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 13,500 (of which 0 represents warrants)
Percentage Ownership of Class: .2%
b. Shares of Sole Power to Vote: 13,500
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 13,500
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
WILLIAM H. JOHNSON
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: William H. Johnson
b. Residence or Business Address:
P.O. Box 8060
Lewiston, ME 04240
c. Present principal occupation and
name of employer: Insurance Agent
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 10,000 (of which 0 represents warrants)
Percentage Ownership of Class: .2%
b. Shares of Sole Power to Vote: 10,000
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 10,000
Shares of Joint Power to Dispose 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
JOHN ORESTIS
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: John Orestis
b. Residence or Business Address:
P.O. Box 777
Lewiston, ME 04243-0777
c. Present principal occupation and
name of employer: Health care provider
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 143,960 (of which 69,460 represents warrants)
Percentage Ownership of Class: 2.3%
b. Shares of Sole Power to Vote: 143,960
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 143,960
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
THOMAS B. DUNHAM
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Thomas B. Dunham
b. Residence or Business Address:
5 Royal Point
Yarmouth, ME 04096
c. Present principal occupation and
name of employer: The Dunham Group
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 5,650 (of which _______ represents warrants)
(See Sandra Dunham)
Percentage Ownership of Class: .1%
b. Shares of Sole Power to Vote: 5,650
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 5,650
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
SANDRA DUNHAM
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Sandra Dunham
b. Residence or Business Address:
5 Royal Point
Yarmouth, ME 04092
c. Present principal occupation and
name of employer: The Dunham Group
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 74,100 (of which 20,080 represents warrants)
Percentage Ownership of Class: 1.2%
b. Shares of Sole Power to Vote: 74,100
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 74,100
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
ARMEN GHUGASIAN
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Armen Ghugasian
b. Residence or Business Address:
25 Fairfield Street
Watertown, MA 02172
c. Present principal occupation and
name of employer: Photographer
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 6,000 (of which 1,000 represents warrants)
Percentage Ownership of Class: .1%
b. Shares of Sole Power to Vote: 6,000
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 6,000
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
RICHARD BOULET
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Richard Boulet
b. Residence or Business Address:
8 Mountain Terrace
Lewiston, ME 04240
c. Present principal occupation and
name of employer: Retired
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 128,750 (of which 0 represents warrants)
Percentage Ownership of Class: 2.1%
b. Shares of Sole Power to Vote: 128,750
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 128,750
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
JOHN F. GROSS AND SUSAN T. GROSS
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: John F. Gross and Susan T. Gross
b. Residence or Business Address:
RFD #2, Box 5720
Winthrop, ME 04364
c. Present principal occupation and
name of employer: Winthrop Veterinary Hospital and Winthrop High
School
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of
Directors of the Corporation initiate a program, the objective of which is
to maximize shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 139,935 (of which 4,400 represents warrants)
Percentage Ownership of Class: 2.1%
b. Shares of Sole Power to Vote: 113,990
Shares of Joint Power to Vote: 25,945
Shares of Sole Power to Dispose: 113,990
Shares of Joint Power to Dispose: 25,945
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
DANA GROSS
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Dana Gross
b. Residence or Business Address:
RFD #2, Box 5720
Winthrop, ME 04364
c. Present principal occupation and
name of employer: Student
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 2,950 (of which 0 represents warrants)
Percentage Ownership of Class: .1%
b. Shares of Sole Power to Vote: 2,950
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 2,950
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
ANDREW GROSS
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Andrew Gross
b. Residence or Business Address:
202 Howard Street, Apt. 2
Burlington, VT 05401
c. Present principal occupation and
name of employer: Student
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 3,680 (of which 0 represents warrants)
Percentage Ownership of Class: .1%
b. Shares of Sole Power to Vote: 3,680
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 3,680
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
LILLIAN I. ALLEN
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Lillian I. Allen
b. Residence or Business Address:
17 Edmund Street
Springvale, ME 04083
c. Present principal occupation and
name of employer: Cormier Textiles
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 5,230 (of which 850 represents warrants)
Percentage Ownership of Class: .1%
b. Shares of Sole Power to Vote: 5,230
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 5,230
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
JOHN C. ALLEN, SR.
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: John C. Allen, Sr.
b. Residence or Business Address:
17 Edmund Street
Springvale, ME 04083
c. Present principal occupation and
name of employer: Loan Originator, Salem Five
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 7,100 (of which 830 represents warrants)
Percentage Ownership of Class: .1%
b. Shares of Sole Power to Vote: 7,100
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 7,100
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
ROLAND R. BATSON
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Roland R. Batson
b. Residence or Business Address:
10 Swan Road
Standish, ME 04084
c. Present principal occupation and
name of employer: Developer
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 59,000 (of which 24,000 represents warrants)
Percentage Ownership of Class: 1%
b. Shares of Sole Power to Vote: 59,000
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 59,000
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
ADRIENNE R. AND ANTHONY N. EMMI
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Adrienne R. and Anthony N. Emmi
b. Residence or Business Address:
660 Old Greene Road
Lewiston, ME 04240
c. Present principal occupation and
name of employer: Retired
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 21,000 (of which 0 represents warrants)
Percentage Ownership of Class: .3%
b. Shares of Sole Power to Vote: 0
Shares of Joint Power to Vote: 21,000
Shares of Sole Power to Dispose: 0
Shares of Joint Power to Dispose: 21,000
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
DONN AND LINDA GIFFORD
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Donn and Linda Gifford
b. Residence or Business Address:
RFD #2, Box 8070
Readfield, ME 04355
c. Present principal occupation and
name of employer: Petroleum Products Distribution/Law
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 21,000 (of which 5,000 represents warrants)
Percentage Ownership of Class: .3%
b. Shares of Sole Power to Vote: 0
Shares of Joint Power to Vote: 21,000
Shares of Sole Power to Dispose: 0
Shares of Joint Power to Dispose: 21,000
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
ROBERT R. AND GINETTE GLADU
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Robert R. and Ginette Gladu
b. Residence or Business Address:
P.O. Box 1037
Lewiston, ME 04243
c. Present principal occupation and
name of employer: Investor
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 20,000 (of which 0 represents warrants)
Percentage Ownership of Class: .3%
b. Shares of Sole Power to Vote: 0
Shares of Joint Power to Vote: 20,000
Shares of Sole Power to Dispose: 0
Shares of Joint Power to Dispose: 20,000
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
EDGAR MORIN
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Edgar Morin
b. Residence or Business Address:
RR 1, Box 2915
Sanford, ME 04073
c. Present principal occupation and
name of employer: Lunch Truck Operator
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 1,300 (of which 400 represents warrants)
Percentage Ownership of Class: .1%
b. Shares of Sole Power to Vote: 1,300
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 1,300
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
SCHEDULE 13D
Schedule 13D dated April 23, 1996, filed by the Paul A. Cote Group
regarding the common stock of Novametrix Medical Systems, Inc.
RAYMOND E. ROBICHAUD
ITEM 1 - Security and Issuer:
Novametrix Medical Systems, Inc.
Executive Office Address:
One Barnes Industrial Park Road
Wallingford, Connecticut 06492
ITEM 2 - Identity and Background
a. Name: Raymond E. Robichaud
b. Residence or Business Address:
P.O. Box 496
Sanford, ME 04073
c. Present principal occupation and
name of employer: Manager/Bartender
d. Criminal Convictions: None
e. Civil Judgments, etc.: None
f. Citizenship: U.S.
ITEM 3. Source and Amount of Funds or Other Consideration:
Personal Investment
<PAGE>
ITEM 4. Purpose of Transaction
The purpose of the group is to request that the Board of Directors
of the Corporation initiate a program, the objective of which is to maximize
shareholder values.
ITEM 5. Interest in Securities of Issuer
a. Number of Shares: 10,900 (of which 8,000 represents warrants)
Percentage Ownership of Class: .2%
b. Shares of Sole Power to Vote: 10,900
Shares of Joint Power to Vote: 0
Shares of Sole Power to Dispose: 10,900
Shares of Joint Power to Dispose: 0
c. Purchases during the last 60 days: None.
d. Power to Direct: None
e. Not applicable
ITEM 6. Contracts, Arrangements, Understandings or Relationships with
Respect to Securities of the Issuer.
See Attachments.
ITEM 7. Material to be Filed as Exhibits.
See Attachments.
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), __Paul A. Cote & Joan P. Cote _____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: April 13, 1996 Paul A. Cote
Name: Paul A. Cote
Residence or Business Address:
54 Pine St., P.O. Box 1229,
Lewiston, Maine 04243-1229
Principal Occupation: Attorney at Law
Joan P. Cote
Name: Joan P. Cote
Residence of Business Address:
512 Webster St., Lewiston, Maine 04240
Principal Occupation: Housewife
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ___Takuhe Ghugasian______________________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: April 11, 1996 Takuhe Ghugasian
Name: Takuhe Ghugasian
Residence or Business Address:
25 Fairfield Street
Watertown, MA 02172
Principal Occupation: Housewife
Takuhe Ghugasian
Name:
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ________Dr. Vartan Ghugasian_______________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: April 11, 1996 Vartan Ghugasian
Name: Dr. Vartan Ghugasian
Residence or Business Address:
25 Fairfield Street
Watertown, MA 02172
Principal Occupation: Dentist
Vartan Ghugasian
Name:
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), Armen Ghugasian______________________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: April 11, 1996 Armen Ghugasian
Name: Armen Ghugasian
Residence or Business Address:
25 Fairfield Street
Watertown, Mass. 02172
Principal Occupation: Photographer
Armen Ghugasian
Name:
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), _________William H. Johnson________________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: April 22, 1995 William H. Johnson
Name: William H. Johnson
Residence or Business Address:
P.O. Box 8060, Lewiston, Maine
Principal Occupation: Insurance Agent
Name: William H. Johnson
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ________John C. Orestis____________________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: April 16, 1996 John C. Orestis
Name: John C. Orestis
Residence or Business Address:
P.O. Box 777, Lewiston, ME 04243-0777
Principal Occupation: Health Care
Provider
Name:
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ____Thomas B. Dunham & Sandra Dunham_______________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 4/16/96 Thomas B. Dunham
Name: Thomas B. Dunham
Residence or Business Address:
5 Royall Point, Yarmouth, ME 04096
Principal Occupation: Industrial
& Commercial Real Estate Broker
Sandra Dunham
Name: Sandra Dunham
Residence or Business Address:
5 Royall Point, Yarmouth, ME 04096
Principal Occupation:
<PAGE>
April 16, 1996
TO WHOM IT MAY CONCERN:
Thomas and Sandra Dunham collectively own 20,080 warrants of Novametrix Medical
Systems, Inc. They are divided as follows:
Warrants (A) 11,790 WTS
Warrants (B) 8,290 WTS
Total: 20,080 WTS
Also, Thomas and Sandra Dunham collectively own 59,670 Common Shares of
Novametrix Medical Systems, Inc.
Name: Thomas B. Dunham 4/16/96
Thomas B. Dunham Date
Residence: 5 Royall Point, Yarmouth, ME 04096
Name: Sandra Dunham 4/21/96
Sandra Dunham
Residence: 5 Royall Point, Yarmouth, ME 04096
STATE OF MAINE
CUMBERLAND, SS.
Date 4/26/96
Personally appeared the above named Thomas and Sandra Dunham and acknowledged
this instrument to be their free act and deed and for the uses, purposes and
consideration mentioned therein.
Before me,
Evelyn M. Reynolds
Evelyn M. Reynolds
My Commission Expires
August 28, 2002
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ______Richard H. Boulet____________________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 4/15/96 Richard H. Boulet
Name: Richard H. Boulet
Residence or Business Address:
8 Mountview Terr., Lewiston ME 04240
Principal Occupation: Retired
Name:
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ______John F. & Susan T. Gross____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/17/96 John F. Gross
Name: John F. Gross
Residence or Business Address:
RFD #2 Box 5720, Winthrop, ME 04364
Principal Occupation: Veterinarian
Number of Shares Owned in Own Name: 96,775
Number of Shares Owned Jointly
(with Susan T.): 23,445
Number of Warrants Owned in Own Name: 1,900
Class B
Number of Warrants Owned Jointly
(with Susan T.): 2,500 Class A
Susan T. Gross
Name: Susan T. Gross
Residence or Business Address:
RFD #2 Box 5720, Winthrop, ME 04364
Principal Occupation: Educator
Number of Shares Owned in Own Name: 26,426
Number of Shares Owned Jointly
(with John F.): X
Number of Warrants Owned in Own Name: 0
Number of Warrants Owned Jointly
(with John F.): X
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ________________Dana Gross____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/9/96 Dana Gross
Name: Dana Gross
Residence or Business Address:
RFD #2 Box 5720, Winthrop, ME 04364
Principal Occupation: Student
Name:
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ________________Andrew Gross____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/9/96 Andrew Z. Gross
Name: Andrew Z. Gross
Residence or Business Address:
202 Howard St., Apt. Z, Burlington, VT 05401
Principal Occupation: Student
Name:
Residence or Business Address:
Principal Occupation:
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ______Lillian I. Allen____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/13/96 Lillian Allen
Name: Lillian Allen
Residence or Business Address:
17 Edmund St., Springvale, ME
Social Security Number: ###-##-####
Principal Occupation: Cormier Textiles
Number of Shares Owned in Own Name: 4,380
Number of Shares Owned Jointly
(with ):
Number of Warrants Owned in Own Name: 850
Number of Warrants Owned Jointly
(with ):
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ______John C. Allen, Sr.____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/13/96 John C. Allen, Sr.
Name: John C. Allen, Sr.
Residence or Business Address:
17 Edmund St., Springvale, ME 04083
Social Security Number: ###-##-####
Principal Occupation: Loan Originator Salem
Five
Number of Shares Owned in Own Name: 4,810
Number of Shares Owned Jointly
(with ):
Number of Warrants Owned in Own Name: 830
Number of Warrants Owned Jointly
(with ):
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ______John C. Allen, Sr.____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/13/96 John C. Allen, Sr.
Name: John C. Allen, Sr.
Residence or Business Address:
17 Edmund St., Springvale, ME 04083
Social Security Number: ###-##-####
Principal Occupation: Loan Originator Salem
Five Mortg.
Number of Shares Owned in Own Name: 1,460
Number of Shares Owned Jointly
(with ):
Number of Warrants Owned in Own Name:
Number of Warrants Owned Jointly
(with ):
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ______Roland R. Batson____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/12/96 Roland R. Batson
Name: Roland R. Batson
Residence or Business Address:
10 Swan Rd., Standish, ME 04084
Social Security Number: ###-##-####
Principal Occupation: Developer
Number of Shares Owned in Own Name: 35,000
Number of Shares Owned Jointly
(with ):
Number of Warrants Owned in Own Name: 24,000
Number of Warrants Owned Jointly
(with ):
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), __Adrienne R. & Anthony N. Emmi______________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: June 6, 1996 Anthony N. Emmi
Name: Andrew Z. Gross
Residence or Business Address:
660 Old Greene Rd., Lewiston, ME 04240
Principal Occupation: Retired
Adrienne R. Emmi
Name:
Residence or Business Address:
660 Old Greene Rd., Lewiston, ME 04240
Principal Occupation: Retired
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ___Donn and Linda Gifford____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/10/96 Donn Gifford
Name: Donn Gifford
Residence or Business Address:
RFD #2 Box 8070, Readfield, ME 04355
Social Security Number: ###-##-####
Principal Occupation: Petroleum Products
Distribution
Number of Shares Owned in Own Name:
Number of Shares Owned Jointly
(with Linda): 16,000
Number of Warrants Owned in Own Name:
Number of Warrants Owned Jointly
(with Linda): 5,000
<PAGE>
Linda Gifford
Name: Linda Gifford
Residence or Business Address:
RFD #2 Box 8070, Readfield, ME 04355
Principal Occupation: Law
Number of Shares Owned in Own Name:
Number of Shares Owned Jointly
(with Donn): 16,000
Number of Warrants Owned in Own Name:
Number of Warrants Owned Jointly
(with Donn): 5,000
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ___Robert & Ginette Gladu____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to 12/20/95 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: June 24, 1995 Robert R. Gladu
Name: Robert R. Gladu
Residence or Business Address:
P.O. Box 1037, Lewiston, ME 04243
Social Security Number: ###-##-####
Principal Occupation: Investor
Number of Shares Owned in Own Name:
Number of Shares Owned Jointly
(with Wife): 20,000
Number of Warrants Owned in Own Name: None
Number of Warrants Owned Jointly
(with ):
x Ginette Gladu
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ________Edgar Morin____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/12/96 Edgar A. Morin
Name: Edgar A. Morin
Residence or Business Address:
RR 1, Box 2915, Sanford, ME 04073
Social Security Number: ###-##-####
Principal Occupation: Lunch Truck
Number of Shares Owned in Own Name: 900
Number of Shares Owned Jointly
(with ):
Number of Warrants Owned in Own Name: 400
Number of Warrants Owned Jointly
(with ):
<PAGE>
CONSENT FORM AND CONFIRMATION
Regarding Novametrix Medical Systems, Inc.
I (we), ________Raymond E. Robichaud____________________, consent
(Print Name)
to the filing, with the Securities and Exchange Commission, by Paul A. Cote of
512 Webster Street, Lewiston, Maine of an amended Schedule 13D on my behalf as
well as other members of the group, formed for the purpose of requesting that
the Board of Directors of Novametrix Medical Systems, Inc. initiate a program,
the objective of which is to maximize shareholder values.
I (we) also confirm that, during the last five years, I (we) have not
been convicted in a criminal proceeding (excluding traffic violations or
similar misdemeanors) and not been 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.
I (we) also confirm that we have owned shares of stock of Novametrix
since prior to April 11, 1995 and intend to retain ownership of shares of stock
of Novametrix until at least August 31, 1996.
Dated: 6/12/96 Raymond E. Robichaud
Name: Raymond E. Robichaud
Residence or Business Address:
P.O. Box 496, Sanford, ME 04073
Social Security Number: ###-##-####
Principal Occupation: Manager/Bartender,
Private Social Club
Number of Shares Owned in Own Name: 2,900
Number of Shares Owned Jointly
(with ):
Number of Warrants Owned in Own Name: 8,000
Number of Warrants Owned Jointly
(with ):
