OMB APPROVAL
-----------------------------------------
OMB Number: 3235-0145
Expires: August 31, 1991
Estimated average burden
hours per response..................14.90
-----------------------------------------
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
Star Multi Care Services, Inc.
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock, $0.001 par value per share
- --------------------------------------------------------------------------------
(Title of Class of Securities)
855 156 105
-----------------------------------------
(CUSIP Number)
Check the following box if a fee is being paid with the statement [X]. (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.)
* 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 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).
SEC 1745 (12-91)
<PAGE>
13G
- --------------------------------------------------------------------------------
CUSIP NO. 855 156 105 PAGE 2 OF 5 PAGES
- --------------------------------------------------------------------------------
================================================================================
1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF
ABOVE PERSON
Stephen Sternbach
###-##-####
================================================================================
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_]
(b) [_]
================================================================================
3 SEC USE ONLY
================================================================================
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
================================================================================
5 SOLE VOTING POWER
659,600(1)
==================================================
6 SHARED VOTING POWER
NUMBER OF
SHARES - 0 -
BENEFICIALLY
OWNED BY ==================================================
EACH 7 SOLE DISPOSITIVE POWER
REPORTING
PERSON 659,600(1)
WITH
==================================================
8 SHARED DISPOSITIVE POWER
- 0 -
================================================================================
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
659,600(1)
================================================================================
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES* [_]
================================================================================
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
46%
================================================================================
12 TYPE OF REPORTING PERSON*
IN
================================================================================
*SEE INSTRUCTIONS BEFORE FILLING OUT!
(1) Numbers do not include 50% Stock Dividend (Record Date: 04/29/94;
Payable Date: 05/12/94) or two 6% Stock Dividends (Record Date:
05/15/95; Payable Date: 05/30/95 and Record Date: 12/22/95; Payable
Date: 01/12/96)
SEC 1745 (12-91)
<PAGE>
13G
- --------------------------------------------------------------------------------
CUSIP NO. 855 156 105 PAGE 3 OF 5 PAGES
- --------------------------------------------------------------------------------
Item 1(a) Name of Issuer:
Star Multi Care Services, Inc.
Item 1(b) Address of Issuer's Principal Executive Offices:
99 Railroad Station Plaza
Hicksville, NY 11801
Item 2(a) Name of Person Filing:
Stephen Sternbach
Item 2(b) Address of Principal Business Office or, if none, Residence:
99 Railroad Station Plaza.
Hicksville, NY 11801
Item 2(c) Citizenship:
United States of America
Item 2(d) Title of Class of Securities:
Common Stock, $.001 par value per share
Item 2(e) CUSIP Number:
855 156 105
Item 3 This statement is not filed pursuant to Rule 13d-1(b) or
13d-2(b)
Item 4(a) Amount Beneficially Owned
As of December 31, 1991:
659,600 shares.
Item 4(b) Percent of Class: 46%
Item 4(c) Number of share as to which such person has:
(i) sole power to vote or to direct the vote: 659,600
(ii) shared power to vote or to direct the vote: 0
(iii) sole power to dispose or to direct the disposition of:
659,600
(iv) shared power to dispose or to direct the disposition of:
0
Item 5 Ownership of Five Percent or Less of a Class:
Inapplicable.
Item 6 Ownership of More than Five Percent on Behalf of Another Person.
Inapplicable.
<PAGE>
13G
- --------------------------------------------------------------------------------
CUSIP NO. 855 156 105 PAGE 4 OF 5 PAGES
- --------------------------------------------------------------------------------
Item 7 Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on By the Parent Holding
Company.
Inapplicable.
Item 8 Identification and Classification of Members of the Group:
Inapplicable.
Item 9 Notice of Dissolution of Group:
Inapplicable.
Item 10 Certification:
Inapplicable.
<PAGE>
13G
- --------------------------------------------------------------------------------
CUSIP NO. 855 156 105 PAGE 5 OF 5 PAGES
- --------------------------------------------------------------------------------
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.
July 13, 1996
-----------------------------
(Date)
/s/ STEPHEN STERNBACH
-----------------------------
(Signature)
STEPHEN STERNBACH
-----------------------------
(Name)