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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. ________)*
MEDIRISK, INC.
- --------------------------------------------------------------------------------
(Name of Issuer)
COMMON STOCK
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(Title of Class of Securities)
584794 10 9
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(CUSIP Number)
*The remainder of this cover page shall be filled out for a reporting person's
initial filing of 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 in the remainder of this cover page shall not be
deemed to be "filed" for 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 1 of 8 pages
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CUSIP NO. 584794 10 9 SCHEDULE 13G PAGE 2 OF 8 PAGES
--------------------- ----- -----
(1) NAMES OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
BRANTLEY VENTURE PARTNERS II, L.P.
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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
OHIO
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(5) SOLE VOTING POWER
NUMBER OF 522,745 (SEE TEXT OF ITEM 4)
SHARES --------------------------------------------------------
BENEFICIALLY (6) SHARED VOTING POWER
OWNED BY
EACH --------------------------------------------------------
REPORTING (7) SOLE DISPOSITIVE POWER
PERSON WITH 522,745 (SEE TEXT OF ITEM 4)
--------------------------------------------------------
(8) SHARED DISPOSITIVE POWER
--------------------------------------------------------
(9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
522,745 (SEE TEXT OF ITEM 4)
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(10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN
SHARES* [ ]
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(11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
12.7
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(12) TYPE OF REPORTING PERSON*
PN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
PAGE 2 OF 8 PAGES
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CUSIP NO. 584794 10 9 SCHEDULE 13G PAGE 3 OF 8 PAGES
--------------------- ----- -----
(1) NAMES OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
MICHAEL J. FINN
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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
UNITED STATES
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(5) SOLE VOTING POWER
NUMBER OF
SHARES --------------------------------------------------------
BENEFICIALLY (6) SHARED VOTING POWER
OWNED BY 522,745 (SEE TEXT OF ITEM 4)
EACH --------------------------------------------------------
REPORTING (7) SOLE DISPOSITIVE POWER
PERSON WITH
--------------------------------------------------------
(8) SHARED DISPOSITIVE POWER
522,745 (SEE TEXT OF ITEM 4)
--------------------------------------------------------
(9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
522,745 (SEE TEXT OF ITEM 4)
---------------------------------------------------------------------
(10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN
SHARES* [ ]
---------------------------------------------------------------------
(11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
12.7
---------------------------------------------------------------------
(12) TYPE OF REPORTING PERSON*
IN
---------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
PAGE 3 OF 8 PAGES
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CUSIP NO. 584794 10 9 SCHEDULE 13G PAGE 4 OF 8 PAGES
--------------------- ----- -----
(1) NAMES OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS
ROBERT P. PINKAS
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(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
---------------------------------------------------------------------
(5) SOLE VOTING POWER
NUMBER OF
SHARES --------------------------------------------------------
BENEFICIALLY (6) SHARED VOTING POWER
OWNED BY 522,745 (SEE TEXT OF ITEM 4)
EACH --------------------------------------------------------
REPORTING (7) SOLE DISPOSITIVE POWER
PERSON WITH
--------------------------------------------------------
(8) SHARED DISPOSITIVE POWER
522,745 (SEE TEXT OF ITEM 4)
--------------------------------------------------------
(9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
522,745 (SEE TEXT OF ITEM 4)
---------------------------------------------------------------------
(10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9 EXCLUDES CERTAIN
SHARES* [ ]
---------------------------------------------------------------------
(11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
12.7
---------------------------------------------------------------------
(12) TYPE OF REPORTING PERSON*
IN
---------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
PAGE 4 OF 8 PAGES
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ITEM 1.
(a) Name of Issuer: MEDIRISK, INC.
(b) Address of Issuer's Principal Executive Offices:
TWO PIEDMONT CENTER, SUITE 400, 3565 PIEDMONT ROAD, N.E., ATLANTA,
GEORGIA 30305-1502
ITEM 2.
(a) Name of Person Filing
(i) BRANTLEY VENTURE PARTNERS II, L.P.
(ii) MICHAEL J. FINN
(iii) ROBERT P. PINKAS
(b) Address of Principal Business Office or, if none, Residence
(i)-(iii) 20600 CHAGRIN BOULEVARD, SUITE 1150, TOWER EAST,
CLEVELAND, OHIO 44122
(c) Citizenship
(i) OHIO
(ii) UNITED STATES
(iii) UNITED STATES
(d) Title of Class of Securities
(i)-(iii) COMMON STOCK
(e) CUSIP Number
(i)-(iii) 584794109
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13-D-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 under section 203 of the
Investment Advisers Act of 1940
(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 section 240.13d-1(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with section
240.13d-1(b)(ii)(G) (Note: See Item 7)
(h) [ ] Group, in accordance with section 240.13d-1(b)(1)(ii)(H)
ITEM 4. OWNERSHIP
(a) Amount Beneficially Owned
(i)-(iii) 522,745, of which 425,305 shares are owned and
97,440 are issuable upon the exercise of certain warrants
at an exercise price of $1.54 per share.
(b) Percent of Class
(i)-(iii) 12.7%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
(i) 522,745
(ii) shared power to vote or to direct the vote
(ii) AND (iii) 522,745
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(iii) sole power to dispose or to direct the disposition of
(i) 522,574
(iv) shared power to dispose or to direct the disposition of
(ii) AND (iii) 572,574
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
If this statement is being filed to report the fact that as of the date
hereof the reporting person has ceased to be the beneficial owner of more than
five percent of the class of securities, check the following [ ].
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
MESSRS. FINN AND PINKAS ARE PARTNERS OR PARTNERS OF PARTNERS OF
BRANTLEY VENTURE PARTNERS II, L.P. AND, AS SUCH, MAY BE DEEMED TO
SHARE VOTING AND INVESTMENT POWER WITH RESPECT TO SHARES OWNED BY
BRANTLEY VENTURE PARTNERS II, L.P.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE
SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY
RESPONSE: NOT APPLICABLE
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP
RESPONSE: NOT APPLICABLE
ITEM 9. NOTICE OF DISSOLUTION OF GROUP
RESPONSE: NOT APPLICABLE
ITEM 10. CERTIFICATION
By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were acquired in the ordinary course
of business and were not acquired for the purpose of and do not have the effect
of changing or influencing the control of the issuer of such securities and
were not acquired in connection with or as a participant in any transaction
having such purpose or effect.
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.
BRANTLEY VENTURE PARTNERS II. L.P.
BY: ROBERT P. PINKAS, A GENERAL PARTNER OF A
GENERAL PARTNER
2/7/1997
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Date
/s/ Robert P. Pinkas
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Signature
General Partner
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Name/Title
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MICHAEL J. FLINN
2/7/1997
--------------------------------
Date
/s/ Michael J. Finn
--------------------------------
Signature
--------------------------------
Name/Title
ROBERT P. PINKAS
2/7/1997
--------------------------------
Date
/s/ Robert J. Pinkas
--------------------------------
Signature
--------------------------------
Name/Title
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EXHIBIT A TO SCHEDULE 13G
-------------------------
We, the undersigned, hereby express our agreement that the attached
Schedule 13G is filed on behalf of each of us.
February 7, 1997
BRANTLEY VENTURE PARTNERS II, L.P.
BY: ROBERT P. PINKAS, A GENERAL PARTNER OF A
GENERAL PARTNER
2/7/1997
--------------------------------------------
Date
/s/ Robert P. Pinkas
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Signature
General Partner
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Name/Title
MICHAEL J. FINN
2/7/1997
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Date
/s/ Michael J. Finn
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Signature
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Name/Title
ROBERT P. PINKAS
2/7/1997
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Date
/s/ Robert P. Pinkas
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Signature
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Name/Title
Page 8 of 8 pages
