U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 10-KSB/A NO. 2
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 [Fee Required]
For the fiscal year ended February 28, 1995
[ ] TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 [No Fee Required]
For the transition period from_______ to________
Commission File No. 2-88678-NY
MEDI-DATA INTERNATIONAL, INC.
(Name of small business issuer in its charter)
New York 11-2653474
(State or other jurisdiction (I.R.S. Employer
of incorporation) Identification No.)
20 Red Ground Road, Old Westbury, New York 11568
(Address of principal executive offices)
Issuer's telephone number: (516) 997-1155
Securities registered under Section 12(b) of the Exchange Act: None
Securities registered under Section 12(g) of the Exchange Act:
Common Stock, $0.001 Par Value
(Title of Class)
Check whether the issuer (1) filed all reports required to be filed by
section 13 or 15(d) of the Exchange Act during the past 12 months (or for such
shorter period that the registrant was required to file such reports), and (2)
has been subject to such filing requirements for the past 90 days.
Yes [ X ] No [ ]
Number of shares outstanding of the issuer's common equity, as of August 1, 1996
(exclusive of securities convertible into common equity): 9,212,551
<PAGE>
This filing Form 10-KSB/A No. 1 amends the Annual Report on Form 10-KSB dated
May 26, 1995 of Medi-Data International Inc. (the Company). The undersigned
Registrant hereby amends the following items, financial statements, exhibits or
other portions of such report on Form 10-KSB dated May 26, 1995 (The "Form
10-KSB"), as set forth below:
Item 6. Management's Discussion and Analysis of Financial Condition and Results
of Operations.
The Company ceased all operations in April 1988. At the end of the Company's
fiscal year in February 1995, the Company had a shareholder deficiency in assets
of $29,192. The Company has a loan agreement with Terry Brooks, a principal
shareholder, to lend up to $100,000 to the Company. In January 1994, concurrent
with a change of ownership, Terry Brooks, principal shareholder and director,
loaned the Company $100,000. This loan bears interest at 10% per annum and is
secured by substantially all the assets of the Company. In addition, Terry
Brooks' IRA assumed a $25,000 loan from Marc Gold, the former president of the
Company. This loan is at the same interest rate. The proceeds of the loans were
used to prepay outstanding indebtedness to former shareholders. The loans have
been extended and are due July 1996.
Item 11. Security Ownership of Certain Beneficial Owners and Management.
The following table shows with respect to each officer and director and as to
each shareholder owning more than 5% of the Company's Common Stock beneficially
owned by them as of August 1, 1996.
Name of Individual No. of Shares % of Outstanding
Or Identity of Group Owned (1) Common Stock
Terry Brooks 5,500,000 (2) 60%
Terry Brooks IRA 2,500,000 27%
=====
All Officers and Directors (2 people) 5,500,000 (2) 60%
(1) - Based on the information furnished by the beneficial owners. Except as
otherwise indicated herein, each beneficial owner has sole voting power and sole
investment power with respect to all shares owned.
(2) - Includes 3,000,000 shares held by Ms. Brooks as custodian for her minor
children.
<PAGE>
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange
Act of 1934, the Registrant has duly caused this report to be signed by the
undersigned, thereunto duly authorized.
Dated: August 1, 1996 MEDI DATA INTERNATIONAL, INC.
/S/ TERRY BROOKS
Terry Brooks, President
<TABLE> <S> <C>
<ARTICLE> 5
<S> <C>
<PERIOD-TYPE> 12-MOS
<FISCAL-YEAR-END> FEB-28-1995
<PERIOD-END> FEB-28-1995
<CASH> 58,476
<SECURITIES> 0
<RECEIVABLES> 0
<ALLOWANCES> 0
<INVENTORY> 0
<CURRENT-ASSETS> 58,476
<PP&E> 140,546
<DEPRECIATION> 0
<TOTAL-ASSETS> 58,476
<CURRENT-LIABILITIES> 140,546
<BONDS> 0
0
0
<COMMON> 9,150
<OTHER-SE> 969,017
<TOTAL-LIABILITY-AND-EQUITY> 58,476
<SALES> 0
<TOTAL-REVENUES> 0
<CGS> 0
<TOTAL-COSTS> 11,434
<OTHER-EXPENSES> 0
<LOSS-PROVISION> 0
<INTEREST-EXPENSE> 15,251
<INCOME-PRETAX> (28,962)
<INCOME-TAX> 231
<INCOME-CONTINUING> (29,193)
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0
<NET-INCOME> (29,193)
<EPS-PRIMARY> (.01)
<EPS-DILUTED> (.01)
</TABLE>
