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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. 10)*
Allou Healthcare, Inc.
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(Name of Issuer)
Common Stock, $.001 par value per share
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(Title of Class of Securities)
019782 10 1
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(CUSIP Number)
December 31, 2002
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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 Statement
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[X] Rule 13d-1(d)
*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 in 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).
CUSIP No. 019782 10 1 13G Page 2 of 6 Pages
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1 NAME OF REPORTING PERSON
Jack Jacobs
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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 of America
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NUMBER OF
SHARES 5 SOLE VOTING POWER
BENEFICIALLY 616,535 (representing 2,255,535 votes)
OWNED BY -------------------------------------------------------------
EACH
REPORTING 6 SHARED VOTING POWER
PERSON 0
WITH -------------------------------------------------------------
7 SOLE DISPOSITIVE POWER
616,535
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8 SHARED DISPOSITIVE POWER
0
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
616,535
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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
7.6% (representing 16.8% of voting power)
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12 TYPE OF REPORTING PERSON*
IN
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CUSIP No. 019782 10 1 13G Page 3 of 6 Pages
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ITEM 1.
(a) Name of Issuer
Allou Healthcare, Inc.
(b) Address of Issuer's Principal Executive Offices:
Allou Healthcare, Inc.
50 Emjay Boulevard
Brentwood, New York 11717
ITEM 2.
(a) Name of Person Filing:
Jack Jacobs
(b) Address of Principal Business Office or, if none, Residence:
c/o Allou Healthcare, Inc.
50 Emjay Boulevard
Brentwood, New York 11717
(c) Citizenship:
United States of America
(d) Title of Class of Securities:
Common Stock, par value $.001 per share
(e) CUSIP Number:
019782 10 1
CUSIP No. 019782 10 1 13G Page 4 of 6 Pages
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ITEM 3. If this statement is filed pursuant to ss.ss.240.13d-1(b) or
240.13d-2(b) or (c), check whether the person filing is a:
(a) |_| Broker or dealer registered under section 15 of the Act
(15 U.S.C. 78o).
(b) |_| Bank as defined in section 3(a)(6) of the Act
(15 U.S.C. 78c).
(c) |_| Insurance company as defined in section 3(a)(19) of the Act
(15 U.S.C. 78c).
(d) |_| Investment company registered under section 8 of the
Investment Company Act of 1940 (15 U.S.C. 80a-8).
(e) |_| An investment adviser in accordance with
ss.240.13d-1(b)(1)(ii)(E);
(f) |_| An employee benefit plan or endowment fund in accordance with
ss.240.13d-1(b)(1)(ii)(F);
(g) |_| A parent holding company or control person in accordance with
ss.240.13d-1(b)(1)(ii)(G);
(h) |_| A savings associations as defined in Section 3(b) of the
Federal Deposit Insurance Act (12 U.S.C. 1813);
(i) |_| A church plan that is excluded from the definition of an
investment company under section 3(c)(14) of the Investment
Company Act of 1940 (15 U.S.C. 80a-3);
(j) |_| Group, in accordance withss.240.13d-1(b)(1)(ii)(J).
ITEM 4. OWNERSHIP. As of December 31, 2001:
(a) Amount beneficially owned: 616,535 shares.
(i) Includes the following shares of Class A Common Stock, par
value $.001 per share (the "Class A Common Stock"), held by Mr.
Jacobs: 130,500 shares of Class A Common Stock and 76,285 shares of
Class A Common Stock issuable upon the exercise of stock options that
are exercisable within 60 days.
(ii) Includes the following shares of Class B Common Stock, par
value $.001 per share (the "Class B Common Stock"), held by Mr.
Jacobs: 293,750 shares of Class B Common Stock and 116,000 of shares
Class B Common Stock issuable upon the exercise of stock options that
are exercisable within 60 days.
CUSIP No. 019782 10 1 13G Page 5 of 6 Pages
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Each share of Class B Common Stock has five votes per share; each share of
Class A Common Stock has one vote per share.
(b) Percent of Class: 7.6% (representing 16.8% of voting power)
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote: 616,535
(representing 2,255,535 votes)
(ii) shared power to vote or to direct the vote: 0
(iii) sole power to dispose or to direct the disposition of:
616,535
(iv) shared power to dispose or to direct the disposition of: 0
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.
CUSIP No. 019782 10 1 13G Page 6 of 6 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 7, 2002
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Date
/s/ Jack Jacobs
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Signature
Jack Jacobs
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Name/Title