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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 12b-25
Commission File Number __________
NOTIFICATION OF LATE FILING
(CHECK ONE): [ X ] Form 10-K and Form 10-KSB [ ] Form 20F [ ] Form 11-K
[ ] Form 10-Q and Form 10-QSB [ ] Form N-SAR
For Period Ended: March 31, 1996
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[ ] Transition Report on From 10-K [ ] Transition Report on Form 10-Q
[ ] Transition Report on Form 20-F [ ] Transition Report on Form N-SAR
[ ] Transition Report on Form 11-K
For the Transition Period Ended: ______________________________________________
READ ATTACHED INSTRUCTION SHEET BEFORE PREPARING FORM. PLEASE PRINT OR TYPE.
Nothing in this form shall be construed to imply that the Commission has
verified any information contained herein.
If the notification relates to a portion of the filing checked above,
identify the Items(s) to which the notification relates:
PART I - REGISTRANT INFORMATION
Full name of registrant Medical Technology Systems, Inc.
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Former name if applicable
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12920 Automobile Boulevard
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Address of principal executive office (STREET AND NUMBER)
Clearwater, FL 34622
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City, State and Zip Code
PART II - RULES 12b-25 (b) AND (c)
If the subject report could not be filed without unreasonable effort or
expense and the registrant seeks relief pursuant to Rule 12b-25(b), the
following should be completed. (Check box if appropriate)
[ X ] (a) The reasons described in reasonable detail in Part III of
this form could not be eliminated without unreasonable
effort or expense;
[ X ] (b) The subject annual report, semi-annual report, transition
report on Form 10-K, 20F, 11-K or Form N-SAR, or portion
thereof will be filed on or before 15th calendar day
following the prescribed due date; or the subject quarterly
report or transition report on Form 10-Q, or portion thereof
will be filed on or before the fifth calendar day following
the prescribed due date; and
[ ] (c) The accountant's statement or other exhibit required by
Rule 12b-25(c) has been attached if applicable.
PART III - NARRATIVE
State below in reasonable detail the reasons why Form 10-K and Form 10-KSB,
11-K, 20-F, 10-Q and Form 10-QSB, N-SAR or the transition report or portion
thereof could not be filed within the prescribed time period. (Attach extra
sheets if necessary.)
SEE EXHIBIT A
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PART IV - OTHER INFORMATION
(1) Name and telephone number of person to contact in regard to this
notification.
Todd Siegel 813 - 576-6311
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(Name) (Area code) (Telephone number)
(2) Have all other periodic reports required under Section 13 or 15(d)
of the Securities Exchange Act of 1934 or Section 30 of the Investment Company
Act of 1940 during the preceding 12 months or for such shorter period that the
registrant was required to file such report(s) been filed? If the answer is no,
identify report(s)
[ X ] Yes [ ] No
(3) Is it anticipated that any significant change in results of
operations from the corresponding period for the last fiscal year will be
reflected by the earnings statements to be included in the subject report or
portion thereof?
[ X ] Yes [ ] No
If so: attach an explanation of the anticipated change, both
narratively and quantitatively, and, if appropriate, state the reasons why a
reasonable estimate of the results cannot be made.
SEE EXHIBIT B
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(Name of registrant as specified in charter)
Has caused this notification to be signed on its behalf by the undersigned
thereunto duly authorized.
Date 6/25/96 By /s/ TODD E. SIEGEL
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TODD E. SIEGEL, PRESIDENT
INSTRUCTION: The form may be signed by an executive officer of the
registrant or by any other duly authorized representative. The name and title
of the person signing the form shall be typed or printed beneath the signature.
If the statement is signed on behalf of the registrant by an authorized
representative (other than an executive officer), evidence of the
representative's authority to sign on behalf of the registrant shall be filed
with the form.
ATTENTION
Intentional misstatements or omissions of fact constitute Federal
Criminal Violations (SEE 18 U.S.C. 1001)
GENERAL INSTRUCTIONS
1. This form if required by Rule 12b-25 of the General Rules and
Regulations under the Securities Exchange Act of 1934.
2. One signed original and four conformed copies of this form and
amendments thereto must be completed and filed with the Securities and Exchange
Commission, Washington, D.C. 20549, in accordance with Rule 0-3 of the General
Rules and Regulations under the Act. The information contained in or filed with
the Form will be made a matter of the public record in the Commission files.
3. A manually signed copy of the form and amendments thereto shall be
filed with each national securities exchange on which any class of securities of
the registrant is registered.
4. Amendments to the notifications must also be file on Form 12b-25, but
need not restate information that has been correctly furnished. The form shall
be clearly identified as an amended notification.
5. Electronic filers. This form shall not be used by electronic filers
unable to timely file a report solely due to electronic difficulties. Filers
unable to submit a report within the time period prescribed due to difficulties
in electronic filing should comply with either Rule 201 or Rule 202 of
Regulation S-T or apply for an adjustment in filing date pursuant to Rule 13(b)
of Regulation S-T.
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EXHIBIT A
Form 10-K cannot be filed within the prescribed time period due to the fact that
the consolidated financial statements of the registrant could not be completed.
Four of the registrant's principal operating subsidiaries filed for Chapter 11
bankruptcy during the registrant's fourth fiscal quarter. As a result, the
registrant has lacked the necessary resources to prepare the financial
statements on a timely basis.
Form 10-K will be filed on or before the 15th calendar day following the
prescribed due date.
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EXHIBIT B
Four of the registrant's principal operating subsidiaries filed for Chapter 11
bankruptcy during the registrant's fourth fiscal quarter.
The results of operation for the year end March 31, 1996 will reflect net losses
incurred by each of these subsidiaries. The registrant cannot accurately
determine the extent of these losses at this time.
