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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
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SCHEDULE 13G
INFORMATION STATEMENT PURSUANT TO RULES 13d-1 and 13d-2
UNDER THE SECURITIES EXCHANGE ACT OF 1934
Selfcare, Inc.
(Name of Issuer)
Common Stock, Par Value $.001 Per Share
(Title of Class of Securities)
81631R 10 7
(CUSIP Number)
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CUSIP No. 81631R 10 7 13G Page 2 of 7 Pages
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1. NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Willard L. Umphrey
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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
U.S.A.
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NUMBER OF 5. SOLE VOTING POWER 225,572
SHARES
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BENEFICIALLY 6. SHARED VOTING POWER 249,934(1)
OWNED BY
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EACH 7. SOLE DISPOSITIVE POWER 225,572
REPORTING
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PERSON WITH 8. SHARED DISPOSITIVE POWER 249,934(1)
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9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING
PERSON
475,506
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CUSIP No. 81631R 10 7 13G Page 3 of 7 Pages
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10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES /X/
Such number excludes a warrant to purchase 234,000 shares of Common
Stock held by USB' 93 Technology Associates Limited Partnership, a
limited partnership whose general partner is USB' 93 Technology, Inc.,
a corporation whose president and chief executive officer is the
Reporting Person. Such number also excludes 70,508 shares of Common
Stock and a warrant to purchase 2,272 shares of Common Stock held by a
retirement account for the benefit of Leon Okurowski, an affiliate of
U.S. Boston Capital Corporation, of which the Reporting Person is one
of two trustees. The Reporting Person disclaims beneficial ownership
of the foregoing. In addition, such number does not include rights to
receive an aggregate of 152,352 shares of Common Stock on the date of
the earlier to occur of a change in control of the Issuer or January
15, 2000, which the Reporting Person received upon the cancellation of
certain warrants to acquire the same number of shares pursuant to a
negotiated transaction. Such number does not include a similar right
to receive 47,610 shares of Common Stock held by a retirement account
for the benefit of Leon Okurowski, an affiliate of U.S. Boston Capital
Corporation, of which the Reporting Person is one of two trustees.
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11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
7.9%
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12. TYPE OF REPORTING PERSON
IN
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CUSIP No. 81631R 10 7 13G Page 4 of 7 Pages
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ITEM 1(a). NAME OF ISSUER:
Selfcare, Inc.
ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
200 Prospect Street, Waltham, Massachusetts 02154
ITEM 2(a). NAME OF PERSON FILING:
Willard L. Umphrey
ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:
14 D North Commons, Lincoln, Massachusetts 01773
ITEM 2(c). CITIZENSHIP:
U.S.A.
ITEM 2(d) TITLE OF CLASS OF SECURITIES:
Common Stock, par value $.001 per share
ITEM 2(e) CUSIP NUMBER:
81631R 10 7
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR
13d-2(b), CHECK WHETHER THE PERSON FILING IS A:
Not applicable
ITEM 4. OWNERSHIP.
If the percent of the class owned, as of December 31 of the year
covered by the statement, or as of the last day of any month described in Rule
13d-1 (b)(2), if applicable, exceeds five percent, provide the following
information as of that date and identify those shares which there is a right to
acquire.
(a) Amount beneficially owned:
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CUSIP No. 81631R 10 7 13G Page 5 of 7 Pages
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475,506 (of which the Reporting Person has the right to
acquire 39,895 shares)
(b) Percent of class:
7.9%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote 225,572
(ii) Shared power to vote or to direct the vote 249,934(1)
(iii) Sole power to dispose or to direct the disposition of 225,572
(iv) Shared power to dispose or to direct the disposition of
249,572(1)
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.
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. 81631R 10 7 13G Page 6 of 7 Pages
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(1) Such number includes a warrant to purchase 136,500 shares of Common
Stock held by the Reporting Person's spouse.
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CUSIP No. 81631R 10 7 13G Page 7 of 7 Pages
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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
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Date
/s/ Willard L. Umphrey
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Signature
Willard L. Umphrey
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Name/Title
