<PAGE> 1
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OMB APPROVAL
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OMB Number: 3235-0145
Expires: October 31, 1997
Estimated average burden hours
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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
(Rule 13d-101)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO 13d-1(a) AND
AMENDMENTS THERETO FILED PURSUANT TO 13d-2(a)
(AMENDMENT NO. 1)(1)
PHYSICIAN SALES & SERVICE, INC.
- --------------------------------------------------------------------------------
(Name of Issuer)
- --------------------------------------------------------------------------------
Common Stock, $.01 Par Value Per Share
- --------------------------------------------------------------------------------
(Title of Class of Securities)
7194-OL-107
- --------------------------------------------------------------------------------
(CUSIP Number)
Stanton Keith Pritchard, Gulf South Medical Supply, Inc.
One Woodgreen Place, Madison, MS 39110
(610) 856-5900
- --------------------------------------------------------------------------------
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
December 14, 1997
- --------------------------------------------------------------------------------
(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to
report the acquisition which is the subject of this Schedule 13D, and is filing
this schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ].
NOTE: Six copies of this statement, including all exhibits, should be
filed with the Commission. See Rule 13d-1(a) for other parties to whom
copies are to be sent.
(Continued on following pages)
(Page 1 of 19 Pages)
- --------- -------------
(1) 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 on 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).
<PAGE> 2
CUSIP NO. 7194-OL-107 13D PAGE 2 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
Gulf South Medical Supply, Inc.
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
06-1251310
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
State of Delaware
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
8,098,523 (acquisition of such shares is
conditioned upon the occurrence of certain
events specified in a Stock Option
Agreement dated December 14, 1997 and filed
as Exhibit 2 to the Schedule 13D filed on
December 24, 1997, which is hereby
SHARES incorporated by reference).
BENEFICIALLY -------- ------------------------------------------
OWNED BY 8 SHARED VOTING POWER
EACH 2,719,423
REPORTING -------- ------------------------------------------
PERSON 9 SOLE DISPOSITIVE POWER
WITH 8,098,523 (acquisition of such shares is
conditioned upon the occurrence of certain
events specified in a Stock Option
Agreement dated December 14, 1997 and filed
as Exhibit 2 to the Schedule 13D filed on
December 24, 1997, which is hereby
incorporated by reference).
-------- -------------------------------------------
10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
10,817,946
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
21.8%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
CO
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 3
CUSIP NO. 7194-OL-107 13D PAGE 3 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
Delmer W. Dallas
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
- -------------------------------------------------------------------------------
8 SHARED VOTING POWER
SHARES
BENEFICIALLY 131,144
OWNED BY -------- -------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING 131,144 (subject to the restrictions set
PERSON forth in that certain Affiliate Agreement
WITH dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997, which is hereby
incorporated by reference).
-------- -------------------------------------------
10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
131,144
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
.3%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 4
CUSIP NO. 7194-OL-107 13D PAGE 4 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
Frederick E. Dell
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
SHARES -------- -------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY
239,449
EACH -------- -------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON
239,449 (subject to the restrictions set
forth in that certain Affiliate Agreement
dated December 14, 1997 and attached as
WITH Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
incorporated by reference).
-------- -------------------------------------------
10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
239,449
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
.6%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 5
CUSIP NO. 7194-OL-107 13D PAGE 5 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
T. O'Neal Douglas
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 18,000
-------- -------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON 18,000 (subject to the restrictions set
forth in that certain Affiliate Agreement
dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
WITH incorporated by reference).
-------- -------------------------------------------
10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
18,000
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
Less than .1%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 6
CUSIP NO. 7194-OL-107 13D PAGE 6 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
Fred Elefant
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- -------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
SHARES -------- -------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY
500,255
EACH -------- -------------------------------------------
REPORTING 9 SOLE DISPOSITIVE POWER
PERSON
500,255 (subject to the restrictions set
forth in that certain Affiliate Agreement
dated December 14, 1997 and attached as
WITH Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
incorporated by reference).
-------- -------------------------------------------
10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
500,255
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
1.2%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 7
CUSIP NO. 7194-OL-107 13D PAGE 7 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
Patrick C. Kelly
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 1,126,323
-------- -------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON 1,126,323 (subject to the restrictions set
forth in that certain Affiliate Agreement
dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
WITH incorporated by reference).
-------- -------------------------------------------
10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,126,323
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [X]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
2.7%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 8
CUSIP NO. 7194-OL-107 13D PAGE 8 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
Delores Kesler
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 1,500
-------- -------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON 1,500 (subject to the restrictions set
forth in that certain Affiliate Agreement
dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
incorporated by reference).
-------- -------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,500
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
less than .1%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 9
CUSIP NO. 7194-OL-107 13D PAGE 9 OF 19 PAGES
SCHEDULE 13D
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
William C. Mason
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY -0-
-------- -------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON -0-
-------- -------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
-0-
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
-0-
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 10
CUSIP NO. 7194-OL-107 13D PAGE 10 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
John F. Sasen, Sr.
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 229,844
-------- -------------------------------------------
9 SOLE DISPOSITIVE POWER
EACH 229,844 (subject to the restrictions set
REPORTING forth in that certain Affiliate Agreement
PERSON dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
incorporated by reference).
-------- -------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
229,844
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
.6%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 11
CUSIP NO. 7194-OL-107 13D PAGE 11 OF 19 PAGES
- --------- ----------------------------------------------------------------------
1 NAME OF REPORTING PERSON
David A. Smith
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 209,494
-------- -------------------------------------------
9 SOLE DISPOSITIVE POWER
EACH
REPORTING 209,494 (subject to the restrictions set
PERSON forth in that certain Affiliate Agreement
dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
incorporated by reference).
-------- -------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
209,494
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
.5%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 12
CUSIP NO. 7194-OL-107 13D PAGE 12 OF 19 PAGES
- --------- ----------------------------------------------------------------------
NAME OF REPORTING PERSON
James B. Stallings, Jr.
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 47,566
-------- -------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON 47,566 (subject to the restrictions set
forth in that certain Affiliate Agreement
dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
incorporated by reference).
-------- -------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
47,566
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
.1%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 13
CUSIP NO. 7194-OL-107 13D PAGE 13 OF 19 PAGES
- --------- ----------------------------------------------------------------------
NAME OF REPORTING PERSON
James L.L. Tullis
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
- --------- ----------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [X]
(b) [ ]
- --------- ----------------------------------------------------------------------
3 SEC USE ONLY
- --------- ----------------------------------------------------------------------
4 SOURCE OF FUNDS*
OO
- --------- ----------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED [ ]
PURSUANT TO ITEMS 2(d) or 2(e)
- --------- ----------------------------------------------------------------------
6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------- -------- -------------------------------------------
7 SOLE VOTING POWER
-0-
-------- -------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY 215,848
-------- -------------------------------------------
9 SOLE DISPOSITIVE POWER
EACH 215,848 (subject to the restrictions set
REPORTING forth in that certain Affiliate Agreement
PERSON dated December 14, 1997 and attached as
Exhibit 6 to the Schedule 13D filed on
December 24, 1997 which is hereby
incorporated by reference).
-------- -------------------------------------------
WITH 10 SHARED DISPOSITIVE POWER
-0-
- --------- ----------------------------------------------------------------------
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
215,848
- --------- ----------------------------------------------------------------------
12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN [ ]
SHARES*
- --------- ----------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
.5%
- --------- ----------------------------------------------------------------------
14 TYPE OF REPORTING PERSON *
IN
- --------- ----------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE> 14
CUSIP NO. 7194-OL-107 13D PAGE 14 OF 19 PAGES
This Schedule 13D Amendment No. 1 ("13D Amendment") amends the Schedule 13D
(the "Original 13D") filed on December 24, 1997 with the Securities and Exchange
Commission ("SEC") on behalf of Gulf South Medical Supply, Inc. ("GSMS"), Delmer
W. Dallas, Frederick E. Dell, T. O'Neal Douglas, Fred Elefant, Patrick C. Kelly,
Delores Kesler, William C. Mason, John F. Sasen, Sr., David A. Smith, James B.
Stallings, Jr. and James L.L. Tullis (individually, a "Reporting Person" and
collectively, "Reporting Persons"). The Original 13D contained inaccurate
information as to the shares beneficially owned by GSMS, Patrick C. Kelly, Fred
Elefant and James L.L. Tullis, and this 13D Amendment is being filed to correct
that information. Unless otherwise noted, the information contained in this 13D
Amendment amends and supplements information previously disclosed in the
Original 13D, and that Schedule 13D is hereby incorporated by reference.
Neither the filing of this statement on Schedule 13D nor any of its
contents shall be deemed to constitute an admission by GSMS or any of the
Reporting Persons that he, she or it is the beneficial owner of any of the
Common Stock referred to herein for purposes of Section 13(d) of the Securities
Exchange Act of 1934, as amended (the "Act"), or for any other purpose, and such
beneficial ownership is expressly disclaimed. Any information contained herein
as to any Reporting Person has been provided by such Reporting Person.
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
Item 5 of the Original 13D is replaced in its entirety with the following:
(a) - (b) As a result of the Voting Agreement, GSMS has shared power to
vote an aggregate of 2,719,423 shares of Issuer Common Stock (taking into
consideration the 737,739 options held by the Reporting Persons listed on
Schedule III) for the limited purposes described in Item 4 above, and such
shares constitute approximately 6.6% of the Issuer's Common Stock, based on an
aggregate of 40,696,097 shares issued and outstanding as of December 14, 1997.
To the extent that GSMS, as permitted by the Voting Agreement, requests proxies
to vote all of the shares of Issuer Common Stock subject to the Voting Agreement
and such proxies are so granted, GSMS will have the sole voting power with
respect to such shares in connection with any vote on the Merger, Merger
Agreement or the Amendment as described in Item 4.
If the Option is exercised, GSMS will have the right to acquire
8,098,523 shares of Issuer Common Stock. If acquired, GSMS would have sole
voting and dispositive power over such shares, and such shares would constitute
approximately 16.7% of the Issuer's Common Stock, based on an aggregate of
40,696,097 shares issued and outstanding as of December 14, 1997.
As a result of the Voting Agreement and if the Option is exercised, GSMS
may be deemed to beneficially own an aggregate of 10,817,946 shares of Issuer
Common Stock (taking into consideration the 737,739 options held by the
Reporting Persons listed on Schedule III), and such shares would constitute
approximately 21.8% of the Issuer's Common Stock, based on an aggregate of
40,696,097 shares issued and outstanding as of December 14, 1997.
<PAGE> 15
CUSIP NO. 7194-OL-107 13D PAGE 15 OF 19 PAGES
Set forth on Schedule III opposite each Reporting Person's name is (i) that
number of shares of Issuer Common Stock beneficially owned by such Reporting
Person as of the date hereof (identifying those shares which there is a right to
purchase) and (ii) the percentage of issued and outstanding Issuer Common Stock
that such shares represent (based on an aggregate of 40,696,097 shares of Issuer
Common Stock issued and outstanding as of December 14, 1997). As a result of and
subject to the Voting Agreement, each of the Reporting Persons, other then GSMS,
share voting power with GSMS to vote that number of shares of Issuer Common
Stock as is set forth on Schedule III opposite such Reporting Person's name for
the limited purposes described in Item 4 above.
Thomas G. Hixon owns 10,000 shares of Issuer Common Stock. To GSMS'
knowledge, no other shares of Issuer Common Stock are beneficially owned by any
of the other persons named in Schedule I.
(c) Neither GSMS, nor, to GSMS' knowledge, any person named in Schedule I,
has affected any transaction in the Issuer Common Stock during the past 60 days.
Each Reporting Person represents on behalf of itself that it has not affected
any transaction in Issuer Common Stock during the past 60 days.
(d) Not applicable.
(e) Not applicable.
<PAGE> 16
CUSIP NO. 7194-OL-107 13D PAGE 16 OF 19 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.
Date: January 16, 1998 GULF SOUTH MEDICAL SUPPLY, INC.
/s/ Stanton Keith Pritchard
---------------------------------------
By: Stanton Keith Pritchard
Title: Senior Vice President, Business
Development and Administration, Secretary and
General Counsel
<PAGE> 17
CUSIP NO. 7194-OL-107 13D PAGE 17 OF 19 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.
Date: January 16, 1998 /s/ James L.L. Tullis
/s/ Delores Kesler
/s/ Patrick C. Kelly
/s/ John F. Sasen, Sr.
/s/ David A. Smith
/s/ James B. Stallings, Jr.
/s/ Frederick E. Dell
/s/ Delmer W. Dallas
/s/ T. O'Neal Douglas
/s/ Fred Elefant
/s/ William C. Mason
<PAGE> 18
CUSIP NO. 7194-OL-107 13D PAGE 18 OF 19 PAGES
SCHEDULE I
<TABLE>
<CAPTION>
Name and Residence or
Business Address if Name and Address of any Corporation
different from that listed Principal Occupation or Other Organization in
in Column Three or Employment Which Employment is Conducted
-------------------------- -------------------- -----------------------------------
<S> <C> <C>
David L. Bogetz Senior Vice President, Private Equity ABN Amro Chicago Corporation
Management 208 South LaSalle, 10th Floor
Chicago, IL 60604
Guy W. Edwards Consultant Not applicable.
567 Arbor Drive
Madison, MS 39110
Melvin L. Hecktman President Hecktman Management
104 Wilmot Road, Suite 300
Deerfield, IL 60015
Thomas G. Hixon President, Chief Executive Officer and Gulf South Medical Supply, Inc.
Chairman of the Board One Woodgreen Place
Madison, MS 39110
William W. McInnes Retired Not applicable.
116 30th Avenue South
Nashville, TN 37212
Stanton Keith Pritchard Senior Vice President, Business Gulf South Medical Supply, Inc.
Development and Administration, One Woodgreen Place
Secretary and General Counsel Madison, MS 39110
Steven L. Richardson Senior Vice President, Operations Gulf South Medical Supply, Inc.
One Woodgreen Place
Madison, MS 39110
Edward Schulman Senior Vice President, Sales and Gateway Healthcare Corporation
Marketing 2900 Hungary Road, Suite 200
Richmond, VA 23228
John L. Vaughn, Jr. Vice President, Finance Gulf South Medical Supply, Inc.
One Woodgreen Place
Madison, MS 39110
Donna C.E. Williamson Not applicable. Not applicable.
345 Birch Street
Winnetka, IL 60093
</TABLE>
<PAGE> 19
[CUSIP NO. 7194-OL-107 #13D] [PAGE 19 OF 19 PAGES]
SCHEDULE III
<TABLE>
<CAPTION>
Percentage of Outstanding
Number of Shares of Issuer Shares of Issuer Common
Common Stock Stock as of
Individual Beneficially Owned December 14, 1997
- ----------------------------------------- -------------------------------- ---------------------------------
<S> <C> <C>
Gulf South Medical Supply, Inc. (1) 10,817,946 21.8%
- ----------------------------------------- -------------------------------- ---------------------------------
Delmer W. Dallas 131,144 .3%
- ----------------------------------------- -------------------------------- ---------------------------------
Frederick E. Dell (2) 239,449 .6%
- ----------------------------------------- -------------------------------- ---------------------------------
T. O'Neal Douglas 18,000 less than .1%
- ----------------------------------------- -------------------------------- ---------------------------------
Fred Elefant (2)(4) 500,255 1.2%
- ----------------------------------------- -------------------------------- ---------------------------------
Patrick C. Kelly (2)(3) 1,126,323 2.7%
- ----------------------------------------- -------------------------------- ---------------------------------
Delores Kesler 1,500 less than .1%
- ----------------------------------------- -------------------------------- ---------------------------------
William C. Mason -0- -0-
- ----------------------------------------- -------------------------------- ---------------------------------
John F. Sasen, Sr. (2) 229,844 .6%
- ----------------------------------------- -------------------------------- ---------------------------------
David A. Smith (2) 209,494 .5%
- ----------------------------------------- -------------------------------- ---------------------------------
James B. Stallings, Jr. (2) 47,566 .1%
- ----------------------------------------- -------------------------------- ---------------------------------
James L.L. Tullis (5) 215,848 .5%
- ----------------------------------------- -------------------------------- ---------------------------------
</TABLE>
(1) Includes shares subject to the Voting Agreement discussed in Item 4.
(2) Included in such beneficial ownership are shares of Common Stock issuable
upon the exercise of certain options exercisable immediately or within 60
days of December 14, 1997 as follows: Mr. Kelly, 411,806 shares; Mr. Sasen,
110,106 shares; Mr. Dell, 66,160 shares; Mr. Smith, 73,266 shares; Mr.
Stallings, 44,566 shares; Mr. Elefant, 17,539 shares; Mr. Tullis,
14,296 shares. Also included in such beneficial ownership are shares held
for the account of the Issuer's Employee Stock Ownership Plan as follows:
Mr. Kelly, 77,487 shares; Mr. Sasen, 18,872 shares; Mr. Smith,
25,959 shares; and Mr. Dell, 96,420 shares.
(3) Excludes 400,000 shares held in trust for Mr. Kelly's daughters.
(4) Includes 400,000 shares held in trust for Mr. Kelly's daughters for which
Mr. Elefant serves as co-trustee.
(5) Includes 127,881 shares owned by Tullis Dickerson Capital Focus, L.P. and
11,200 shares owned by Tullis-Dickerson Partners. Mr. Tullis is the general
partner of Tullis-Dickerson, the sole general partner of Tullis-Dickerson
Capital Focus, L.P.
