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OMB APPROVAL
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OMB Number: 3235-0145
UNITED STATES Expires: December 31, 1997
SECURITIES AND EXCHANGE COMMISSION Estimated average burden
Washington, D.C. 20549 hours per form.......14.90
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SCHEDULE 13D
(Rule 13D-101)
Under the Securities Exchange Act of 1934
(Amendment No. 1)
KIRLIN HOLDING CORP. .
(Name of Issuer)
Common Stock, $.0001 par value per share
(Title Class of Securities)
497629 10 5
(CUSIP Number)
Peter M. Ziemba, Esq.
Graubard Mollen & Miller
600 Third Avenue
New York, New York 10016-2097
(212) 818-8800
(Name, Address and Telephone Number of Person Authorized to Receive
Notices and Communications)
July 24, 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.
*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
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).
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CUSIP No. 497 629 10 5 13D 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
Anthony J. Kirincic
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a)|_|
(b)|X|
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3 SEC USE ONLY
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4 SOURCE OF FUNDS*
PF
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5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT
TO ITEMS 2(d) OR 2(e) |_|
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6 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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| 7 SOLE VOTING POWER
|
| 345,000
NUMBER OF |-----------------------------------------------------------
SHARES | 8 SHARED VOTING POWER
BENEFICIALLY |
OWNED BY | 0
EACH |-----------------------------------------------------------
REPORTING | 9 SOLE DISPOSITIVE POWER
PERSON |
WITH | 345,000
|-----------------------------------------------------------
| 10 SHARED DISPOSITIVE POWER
|
| 0
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11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
345,000
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12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
|_|
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13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
25.4%
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14 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
(INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.
<PAGE>
Item 1. Security and Issuer
The class of equity securities to which this Schedule relates
is the common stock, $.0001 par value ("Common Stock"), of Kirlin Holding Corp.
("Issuer"), a Delaware corporation, whose principal executive offices are
located at 6901 Jericho Turnpike, Syosset, New York 11791.
The percentage of beneficial ownership reflected in this
Schedule is based upon 1,360,132 shares of Common Stock outstanding at August
11, 1997, which number has been obtained from Issuer's Quarterly Report on Form
10-QSB for the quarter ended June 30, 1997.
Item 2. Identity and Background
(a) Name: This Schedule is being filed on behalf of Anthony J. Kirincic
("Kirincic").
(b) Business Address: Kirincic has a business address of c/o Kirlin
Securities, Inc., 6901 Jericho Turnpike, Syosset, New York 11791.
(c) Principal Business: Kirincic is the President and Chief Financial
Officer of the Issuer and its wholly-owned subsidiary, Kirlin Securities, Inc.
The Issuer, through its subsidiary, is primarily engaged in securities
brokerage, securities trading and investment banking.
(d) During the last five years, Kirincic has not been convicted in any
criminal proceeding.
(e) During the last five years, Kirincic has not been a party to any civil
proceeding of a judicial or administrative body of competent jurisdiction
resulting in any judgment, decree or final order against him enjoining him from
engaging in future violations of, or prohibiting or mandating activities subject
to federal or state securities laws or finding any violation with respect to
such laws.
Item 3. Source and Amounts of Funds or Other Consideration
Kirincic expended $55,000 in personal funds in connection with
the exercise of options to purchase 10,000 shares of Common Stock as part of the
transactions requiring the filing of this Amendment No. 1.
Item 4. Purpose of Transaction
Kirincic exercised options to purchase 10,000 shares of Common
Stock for Investment. Kirincic surrendered and exchanged for cash options to
purchase 61,046 shares of Common Stock for cash pursuant to an exchange offer
made by the Issuer to the holders of all outstanding options to purchase Common
Stock. Kirincic may acquire or dispose of additional shares of the Issuer, but
does not presently intend to do so, although this intention may change depending
upon market conditions. Kirincic has no present plans which relate to or would
result in: an extraordinary corporate transaction, such as a merger,
reorganization or liquidation, involving the Issuer or any of its subsidiaries;
a sale or transfer of a material amount of assets of the Issuer or any of its
subsidiaries; any change in the present Board of Directors or management of the
Issuer, including any plans or proposals to change the number or term of
directors or to fill any existing vacancies on the board (although in connection
with the adoption of new requirements for quotation of the Issuer's Common Stock
on The Nasdaq SmallCap Market it is expected that the Issuer will increase its
Board of
3 of 5
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Directors to include one or more additional "independent" directors); any
material change in the present capitalization or dividend policy of the Issuer;
any other material change in the Issuer's business or corporate structure;
changes in the Issuer's charter, bylaws or instruments corresponding thereto or
other actions which may impede the acquisition of control of the Issuer by any
person; causing a class of securities of the Issuer to be delisted from a
national securities exchange or to cease to be authorized to be quoted in an
inter-dealer quotation system of a registered national securities association;
causing a class of equity securities of the Issuer to become eligible for
termination of registration pursuant to Section 12(g)(4) of the Securities and
Exchange Act of 1934; or any action similar to the above.
Item 5. Interest in Securities of the Issuer
(a) Kirincic beneficially owns 345,000 shares of Common Stock,
or approximately 25.4% of the outstanding shares of Common Stock of the Issuer.
(b) Kirincic has sole voting and dispositive power with
respect to the 345,000 shares of Common Stock owned by him.
(c) On July 23, 1997, Kirincic exercised an option to purchase
10,000 shares of Common Stock at a price of $5.50 per share. On July 24, 1997,
Kirincic surrendered and exchanged the following options for cash pursuant to an
exchange offer made by the Issuer to the holders of all outstanding options to
purchase Common Stock of the Issuer: 8,000 then currently exercisable options
with an exercise price of $5.50 per share at an exchange rate of $1.75 per
option; 15,000 then not exercisable options with an exercise price of $5.50 per
share at an exchange rate of $1.75 per option; 8,046 then currently exercisable
options with an exercise price of $11.00 per share at an exchange rate of $1.25
per option; and 30,000 then currently exercisable options at $11.00 per share at
an exchange rate of $1.25 per option.
(d) No one other than Kirincic has the right to receive or the
power to direct the receipt of dividends from, or the proceeds from the sale of,
the shares of Common Stock beneficially owned by Kirincic.
(e) Not applicable.
Item 6. Contracts, Agreements, Understandings or Relationships with Respect to
Securities of Issuer
Not applicable.
Item 7. Materials to be Filed as Exhibits
Not applicable.
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SIGNATURE
After reasonable inquiry and to the best of knowledge and
belief, it is certified that the information set forth in this statement is
true, complete and correct.
Dated: September 11, 1997
By: /s/ Anthony J. Kirincic
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Anthony J. Kirincic
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