SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 7 )*
Health Outcomes Management, Inc.
(Formerly Data Med Clinical
Support Services, Inc.)
(Name of Issuer)
Common Stock, $.01 par value per share
Title of Class of Securities
42219F-10-5
(CUSIP Number)
Check the following box if a fee is being paid with this statement [ ]. (A fee
is not required only if the filing 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.)
*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).
- ----------------------------
| CUSIP No. 42219F-10-5 | 13G
- ------------------------------------------------------------------------------|
| 1 | NAME OF REPORTING PERSON -
| | S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | William A. Peter, Jr. |
| | S.S. # ###-##-#### |
|-----|-----------------------------------------------------------------------|
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* |
| | (a) [ ] |
| | (b) [ ] |
|-----|-----------------------------------------------------------------------|
| 3 | SEC USE ONLY |
| | |
| | |
|-----|-----------------------------------------------------------------------|
| 4 | CITIZENSHIP OR PLACE OF ORGANIZATION |
| | U.S.A. |
| | |
|-----|-----------------------------------------------------------------------|
| | 5 | SOLE VOTING POWER |
| | | 1,517,000 shares including warrants to acquire |
| NUMBER OF | | 115,000 common shares and options to acquire |
| SHARES | | 240,000 common shares. |
| BENEFICIALLY |-------|---------------------------------------------------|
| OWNED BY | 6 | SHARED VOTING POWER |
| EACH | | NONE |
| REPORTING |-------|---------------------------------------------------|
| PERSON | 7 | SOLE DISPOSITIVE POWER |
| WITH | | 1,517,000 shares including warrants to acquire |
| | | 115,000 common shares and options to acquire |
| | | 240,000 common shares |
| |-------|---------------------------------------------------|
| | 8 | SHARED DISPOSITIVE POWER |
| | | NONE |
|-----|-----------------------------------------------------------------------|
| 9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | 1,517,000 shares including warrants to acquire 115,000 common |
| | shares and options to acquire 240,000 common shares. |
| | |
|-----|-----------------------------------------------------------------------|
| 10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| | SHARES* |
| | |
|-----|-----------------------------------------------------------------------|
| 11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
| | 18.0% |
| | |
|-----|-----------------------------------------------------------------------|
| 12 | TYPE OF REPORTING PERSON* |
| | IN |
| | |
|-----|-----------------------------------------------------------------------|
*SEE INSTRUCTION BEFORE FILLING OUT!
Schedule 13G
Item 1(a) Name of Issuer: Health Outcomes Management, Inc. (Formerly
Data Med Clinical Support Services, Inc.)
Item 1(b) Address of Issuer's Principal Executive Offices:
2331 University Ave. SE, Minneapolis, MN 55414
Item 2(a) Name of Person Filing: William A. Peter, Jr.
Item 2(b) Address of Principal Business Office, or, if none, Residence:
2331 University Ave. SE, Minneapolis, MN 55414
Item 2(c) Citizenship: U.S.A.
Item 2(d) Title of Class of Securities:
Common Stock, $.01 par value per share
Item 2(e) CUSIP Number: Common Stock 42219F-10-5
Item 3 Filings made pursuant to Rule 13d-1(b) or 13d-2(b):
Not applicable
Item 4 Ownership. If the percent of the class owned, as of December
31 of the year covered by the statement (i.e. December 31,
1986) exceeds five percent, provide the following information
as of that date and identify those shares which there is a
right to acquire. (See the definition of "beneficial
ownership" enclosed herewith)
(a) Amount Beneficially Owned: 1,517,000 shares including
warrants to acquire 115,000 common shares and options to
acquire 240,000 common shares.
(b) Percent of Class: 18.0%
(c) Number of shares as to which such person has:
(1) sole power to vote or to direct the vote
1,517,000
(2) shared power to vote or to direct the vote 0
(3) sole power to dispose or to direct the
disposition of 1,517,000
(4) shared power to dispose or to direct the
disposition of 0
Item 5 Ownership of Five Percent or Less of a Class. If this
statement is being filed to report the fact that as of the
date hereof the reporting person has ceased to be the
beneficial owner of more than five percent of the class of
securities, check the following: [ ].
Item 6 Ownership of More than Five Percent on Behalf of Another
Person.
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.
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
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.
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.
Date: 02/06/96
Signature: /s/ William A. Peter, Jr.
Name/Title: William A. Peter, Jr. / CEO, President
The original statement shall be signed by each person on whose behalf the
statement is being 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 the 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.
Six copies of this Schedule 13G, including all exhibits (if any), with payment
of the Commission's fee (described below) shall be filed with the Commission. At
the time of filing, the reporting person shall pay a fee in the amount of $100,
payable by certified or cashier's check or bank money order to Securities and
Exchange Commission.
