PRINCETON DENTAL MANAGEMENT CORP
NT 10-Q, 1999-08-16
HEALTH SERVICES
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<PAGE>   1
                     SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, DC 20549

                                 FORM 12b-25

                                              Commission File Number: 0-20222
                                                                      -------

                         NOTIFICATION OF LATE FILING

  (Check One): / / Form 10-K    / / Form 11-K    / / Form 20-F    /X/ Form 10-Q

              / /  Form N-SAR

For Period Ended:
                 --------------------------------------------------------------



/  /  Transition Report on Form 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 Item(s) to which the notification relates:
                                                        -----------------------

- -------------------------------------------------------------------------------



                       PART I.  REGISTRANT INFORMATION

Full name of registrant:  PRINCETON DENTAL MANAGEMENT CORPORATION
                        -------------------------------------------------------

Former name, if applicable:

                          7421 West 100th Place
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Address of principal executive office (Street and number):

                          BRIDGEVIEW, ILLINOIS
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City, State and Zip Code: 60455
                         ------------------------------------------------------



                      PART II.  RULE 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 appropriate box.)

/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, 20-F, 11-K or Form N-SAR, or portion thereof will be filed on or
     before the 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, 11-K, 20-F,
10-Q, N-SAR or the transition report portion thereof could not be filed within
the prescribed time period. (Attach extra sheets if needed.)

     The Company's Quarterly Report on Form 10-QSB for the period ended June 30,
1999 cannot be filed within the prescribed time period without unreasonable
effort or expense until the Company completes its accounting review and properly
accounts for certain expenses. The Form 10-QSB will be filed as soon as
reasonably practicable and in no event later than the fifth calendar day
following the prescribed due date.

<PAGE>   2
                         PART IV. OTHER INFORMATION

     (1) Name and telephone number of person to contact in regard to this
notification:

     FRANK L. LAPORT                   708                      974-4000
- -------------------------------------------------------------------------------
     (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 preceding 12 months or for such shorter period that the
registrant was required to file such report 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.

     The Company anticipates reporting a Net Loss of approximately $182,496
for the three month period ended June 30, 1999 versus a Net Loss of
approximately $294,738 for the three month period ended June 30, 1998; however,
as further set forth in Part III, the Company cannot provide an exact figure
until completing its accounting review and properly accounting for certain
expenses.

     In addition, as disclosed in previous filings, the Company also
anticipates reporting that, due to the Company's ongoing financial
difficulties, a substantial doubt has been raised as to the Company's ability
to continue as a going concern and that the Company is considering relief under
Chapter 11 of the United States Bankruptcy Code or some similar possibility.

                    PRINCETON DENTAL MANAGEMENT CORPORATION
- -------------------------------------------------------------------------------
                (Name of registrant as specified in charter)

Has caused this notification to be signed on its behalf by the undersigned
thereunto duly authorized.

Date August 16, 1999       By  /s/ Gary A. Lockwood
    --------------------   ----------------------------------------------------
                           Gary A. Lockwood
                           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 is 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 filed 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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