UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(Amendment No. 2)*
SYMBOLLON CORPORATION
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
87151H106
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(CUSIP Number)
October 22, 1999
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(Date of Event Which Requires Filing of This Statement)
Check the appropriate box to designate the Rule pursuant to which this Schedule
is field:
|_| Rule 13d-1(b)
|X| Rule 13d-(c)
|_| Rule 13d-1(d)
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SCHEDULE 13G
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CUSIP No. 87151H106 Page 2 of 5 Pages
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1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
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Richard M. Lilly - S.S. No. ###-##-####
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)|_|
(b)|_|
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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Number of 5 SOLE VOTING POWER 214,847 shares
Shares 6 SHARED VOTING POWER 73,263 shares
Beneficially 7 SOLE DISPOSITIVE POWER 214,847 shares
Owned by 8 SHARED DISPOSITIVE POWER 73,263 shares
Each
Reporting
Person
With
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
288,110
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10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* |_|
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.5%
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12 TYPE OF REPORTING PERSON*
IN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
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CUSIP No. 87151H106 Page 3 of 5 Pages
ATTACHMENT
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Item 1(a). Name of Issuer
Symbollon Corporation
Item 1(b). Address of Issuer's Principal Executive Offices
37 Loring Drive, Farmingham, MA 01702
Item 2(a). Name of Person Filing
Richard M. Lilly
Item 2(b). Address of Principal Business Office or, if None, Residence
11300 Sundance Lane, Boca Raton, Florida 33428
Item 2(c). Citizenship
See response to Number 4 on page 2.
Item 2(d). Title of Class of Securities
Class A Common Stock, par value $.001 per share
Item 2(e). CUSIP No.
87151H106
Item 3. If This Statement Is Filed Pursuant to Rules 13d-1(b), or
13d-2(b), Check Whether the Person Filing Is a
(a) [ ] Broker or Dealer registered under Section 15
of the Act
(b) [ ] Bank as defined in section 3(a)(6) of the Act
(c) [ ] Insurance Company as defined in Section 3(a)
(19) of the Act
(d) [ ] Investment Company registered under Section 8
of the Investment Company Act
(e) [ ] Investment Adviser registered in accordance
with Rule 13d-1(b)(1)(ii)(e);
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CUSIP No. 87151H106 Page 4 of 5 Pages
(f) [ ] Employee Benefit Plan, Pension fund which is
subject to the provisions of the Employee Retirement
Income Security Act of 1974 or Endowment Fund; see
Rule 13d-1(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with Rule
13d-1(b)(ii)(G) (Note: See Item 7)
(h) [ ] A savings association as defined in Section 3(b)
of the Federal Deposit Investment Act.
(i) [ ] A church plan that is excluded from the
definition of an investment company under Section
3(c)(14) of the Investment Company Act;
(j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)
(j).
If this Statement is filed pursuant to Rule 13d-1(c), check
this box [X].
Item 4. Ownership
Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.
(a) Amount beneficially owned: Richard M. Lilly beneficially owns
288,110 shares of Class A Common Stock of the Issuer and
75,110 currently vested warrants to purchase Class A Common
Stock. 23,900 shares of Class A Common Stock are registered in
the name of Richard M. Lilly IRA, 25,000 shares of Class A
Common Stock are registered in the name of Richard and Tina M.
Lilly, 5,000 shares of Class A Common Stock are registered to
each of Mr. Lilly's sons, Nicholas S. Lilly and James M. Lilly
and 14,748 warrants are registered in the name of Indianapolis
Securities.
(b) Percent of class:
7.5%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote. 214,847 shares
(ii) Shared power to vote or to direct the vote. 73,263 shares.
(iii) Sole power to dispose or to direct the disposition of 214,847
shares.
(iv) Shared power to dispose or to direct the disposition of 73,263
shares.
Item 5. Ownership of Five Percent or Less of a Class
Not Applicable.
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CUSIP No. 87151H106 Page 5 of 5 Pages
Item 6. Ownership of More Than Five Percent on Behalf of Another
Person
None.
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. Certifications
By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were not acquired and are not held for
the purpose of or with the effect of changing or influencing the control of the
issuer of the securities and were not acquired and are not held in connection
with or as a participant in any transaction having that purpose or effect.
SIGNATURE
After reasonable inquiry and to the best of the undersigned's knowledge
and belief, the undersigned certifies that the information set forth in this
statement is true, complete and correct.
Date: December 7, 1999
/s/ Richard M. Lilly
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Richard M. Lilly
