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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. _______)
Cambridge Heart, Inc.
---------------------
(Name of Issuer)
Common Stock, par value $.001 per share
---------------------------------------
(Title of Class of Securities)
131910101
(CUSIP Number)
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CUSIP NO. 131910101 13G PAGE 2 OF 7 PAGES
- ----------------------- ---------------------
- ------------------------------------------------------------------------------
NAME OF REPORTING PERSON
1 S.S. Or I.R.S. Identification Number of Above Persons
Marlene Krauss
SS# ###-##-####
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [x]
- ------------------------------------------------------------------------------
SEC USE ONLY
3
- ------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States of America
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SOLE VOTING POWER
5
NUMBER OF 483,538 shares of Common Stock
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
149,674 shares of Common Stock (consists of 35,384
OWNED BY shares of Common Stock held by KBL Healthcare, Inc.,
54,290 shares of Common Stock issuable to KBL
Healthcare, Inc. within 60 days of December 31, 1996
upon the exercise of warrants, and 60,000 shares of
Common Stock held by the Berk Krauss Foundation)
-----------------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7
REPORTING 483,538 shares of Common Stock
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
149,674 shares of Common Stock (consists of 35,384
shares of Common Stock held by KBL Healthcare, Inc.,
54,290 shares of Common Stock issuable to KBL
Healthcare, Inc. within 60 days of December 31, 1996
upon the exercise of warrants, and 60,000 shares of
Common Stock held by the Berk Krauss Foundation)
- ------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
926,796 shares of Common Stock (consists of 483,538 shares of Common Stock
held by Ms. Krauss, 177,300 shares of Common Stock held by Zachary C. Berk,
35,384 shares of Common Stock held by KBL Healthcare, Inc., 54,290 shares
of Common Stock issuable to KBL Healthcare, Inc. within 60 days of December
31, 1996 upon the exercise of warrants, 60,000 shares of Common Stock held
by the Berk Krauss Foundation, and 116,284 shares of Common Stock held in
trust for the benefit of the children of Ms. Krauss and Mr. Berk)
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CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
Not Applicable
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
11
9.1%
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TYPE OF REPORTING PERSON*
12
IN
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*SEE INSTRUCTION BEFORE FILLING OUT!
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CUSIP No. 131910101 Page 3 of 7
SCHEDULE 13G
Item 1(a). Name of Issuer:
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Cambridge Heart, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
- ------------------------------------------------------------
One Oak Park Drive
Bedford, MA 01730
Item 2(a). Name of Person Filing:
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Marlene Krauss
Item 2(b). Address of Principal Business Office or, if none, Residence:
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KBL Healthcare, Inc.
645 Madison Avenue
New York, NY 10022
Item 2(c). Citizenship:
- ------------------------
United States of America
Item 2(d). Title of Class of Securities:
- -----------------------------------------
Common Stock, par value $.001 per share
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CUSIP No. 131910101 Page 4 of 7
Item 2(e). CUSIP Number:
- -------------------------
131910101
Item 3:
- -------
Not Applicable
Item 4. Ownership:
- -------------------
(a) Amount Beneficially Owned:
926,796 shares of Common Stock (consists of 483,538 shares of Common
Stock held by Ms. Krauss, 177,300 shares of Common Stock held by
Zachary C. Berk, 35,384 shares of Common Stock held by KBL Healthcare,
Inc., 54,290 shares of Common Stock issuable to KBL Healthcare, Inc.
within 60 days of December 31, 1996 upon the exercise of warrants,
60,000 shares of Common Stock held by the Berk Krauss Foundation, and
116,284 shares of Common Stock held in trust for the benefit of the
children of Ms. Krauss and Mr. Berk)
(b) Percent of Class:
9.1%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
483,538 shares of Common Stock
(ii) shared power to vote or to direct the vote:
149,674 shares of Common Stock (consists of 35,384 shares of
Common Stock held by KBL Healthcare, Inc., 54,290 shares of
Common Stock issuable to KBL Healthcare, Inc. within 60 days of
December 31, 1996 upon the exercise of warrants, and 60,000
shares of Common Stock held by the Berk Krauss Foundation)
(iii) sole power to dispose or to direct the disposition of:
483,538 shares of Common Stock
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CUSIP No. 131910101 Page 5 of 7
(iv) shared power to dispose or to direct the disposition of:
149,674 shares of Common Stock (consists of 35,384 shares of
Common Stock held by KBL Healthcare, Inc., 54,290 shares of
Common Stock issuable to KBL Healthcare, Inc. within 60 days of
December 31, 1996 upon the exercise of warrants, and 60,000
shares of Common Stock held by the Berk Krauss Foundation)
Item 5. Ownership of Five Percent or Less of a Class:
- ------------------------------------------------------
Not Applicable
Item 6. Ownership of More Than Five Percent on Behalf of Another Person:
- -------------------------------------------------------------------------
Not Applicable
Item 7. Identification and Classification of the Subsidiary Which Acquired the
Security Being Reported on by the Parent Holding Company:
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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. Certification:
- ------------------------
Not Applicable
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CUSIP No. 131910101 Page 6 of 7
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.
February 13, 1997
-----------------
Date
/s/ Marlene Krauss
------------------
Marlene Krauss
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CUSIP No. 131910101 Page 7 of 7
Exhibit to Schedule 13G
This is to confirm that Marlene Krauss, Zachary C. Berk, the Berk Krauss
Foundation, KBL Healthcare, Inc., Eileen Caulfield Schwab, as trustee, U/A dtd
12/22/92 F/B/O Juliana Berk Krauss trust, Eileen Caulfield Schwab, as trustee,
U/A dtd 12/22/92 F/B/O Samara Rachel Berk trust, Eileen Caulfield Schwab, as
trustee, U/A dtd 12/22/92 F/B/O Louis Joeseph Berk trust, Eileen Caulfield
Schwab, as trustee, U/A dtd 12/22/92 F/B/O Elijah William Berk trust have all
agreed to file this Schedule with respect to their ownership and/or control, as
of the date of the Schedule 13G to which this Exhibit is attached, of 926,796
shares of Common Stock of Cambridge Heart, Inc., with the Securities and
Exchange Commission.
/s/ Marlene Krauss /s/ Zachary C. Berk
- -------------------------------- -----------------------------
Marlene Krauss Zachary C. Berk
BERK KRAUSS FOUNDATION KBL HEALTHCARE, INC.
By:/s/ Marlene Krauss By:/s/ Marlene Krauss
----------------------------- --------------------------
Marlene Krauss Marlene Krauss
By:/s/ Zachary C. Berk
-----------------------------
Zachary C. Berk
By:/s/ Eileen Caulfield Schwab
-----------------------------
Eileen Caulfield Schwab
/s/ Eileen Caulfield Schwab /s/ Eileen Caulfield Schwab
- ----------------------------- -----------------------------
Eileen Caulfield Schwab, Eileen Caulfield Schwab,
as trustee, U/A/ dtd 12/22/92 F/B/O as trustee, U/A/ dtd 12/22/92 F/B/O
Juliana Berk Krauss trust Louis Joeseph Berk trust
/s/ Eileen Caulfield Schwab /s/ Eileen Caulfield Schwab
- ----------------------------- -----------------------------
Eileen Caulfield Schwab, Eileen Caulfield Schwab,
as trustee, U/A/ dtd 12/22/92 F/B/O as trustee, U/A/ dtd 12/22/92 F/B/O
Samara Rachel Berk trust Elijah William Berk trust