Schedule 13G Amendment No. 3

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

SCHEDULE 13G

 

UNDER THE SECURITIES EXCHANGE ACT OF 1934

(Amendment No. 3)

 

 

SRI/Surgical Express, Inc.

(Name of Issuer)

Common Stock

(Title of Class of Securities)

 

 

78464W104

                                (CUSIP Number)                                

December 31, 2006

(Date of Event Which Requires Filing of this Statement)

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

x Rule 13d-1(c)

¨ Rule 13d-1(d)

CUSIP NO. 78464W104     Page 2 of 7

 

  1  

NAME OF REPORTING PERSON

I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)

    
                Wayne R. Peterson    
  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 of America    

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

     5    SOLE VOTING POWER
 
                  50,608
    6    SHARED VOTING POWER
 
                  788,953
    7    SOLE DISPOSITIVE POWER
 
                  50,608
    8    SHARED DISPOSITIVE POWER
 
                  788,953
  9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON    
                839,561    
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES   ¨
         
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9  
                13.0%    
12   TYPE OF REPORTING PERSON  
                IN    

 

CUSIP NO. 78464W104     Page 3 of 7

 

  1  

NAME OF REPORTING PERSON

I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)

    
                Peterson Partners, Ltd.    
  2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  
  (a)  ¨  
    (b)  ¨    
  3   SEC USE ONLY  
         
  4   CITIZENSHIP OR PLACE OF ORGANIZATION  
                Colorado    

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

     5    SOLE VOTING POWER
 
                  0
    6    SHARED VOTING POWER
 
                  715,300
    7    SOLE DISPOSITIVE POWER
 
                  0
    8    SHARED DISPOSITIVE POWER
 
                  715,300
  9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON    
                715,300    
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES   ¨
         
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9  
                11.1%    
12   TYPE OF REPORTING PERSON  
                PN    

 

CUSIP NO. 78464W104     Page 4 of 7

 

  1  

NAME OF REPORTING PERSON

I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)

    
                Peterson Holdings, Inc.    
  2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP  
  (a)  ¨  
    (b)  ¨    
  3   SEC USE ONLY  
         
  4   CITIZENSHIP OR PLACE OF ORGANIZATION  
                Colorado    

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

     5    SOLE VOTING POWER
 
                  0
    6    SHARED VOTING POWER
 
                  715,300
    7    SOLE DISPOSITIVE POWER
 
                  0
    8    SHARED DISPOSITIVE POWER
 
                  715,300
  9   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON    
                715,300    
10   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES   ¨
         
11   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9  
                11.1%    
12   TYPE OF REPORTING PERSON  
                CO    

 

      Page 5 of 7

 

Item 1.  

(a)

   Name of Issuer:      
    SRI/Surgical Express, Inc.      
Item 1.  

(b)

   Address of Issuer’s Principal Executive Offices:      
   

12425 Racetrack Road

Tampa, FL 33626

      
Item 2.  

(a)

   Name of Person Filing:      
   

(1) Wayne R. Peterson

      
   

(2) Peterson Partners, Ltd.

      
   

(3) Peterson Holdings, Inc.

      
Item 2.  

(b)

   Address of Principal Business Office or if None, Residence:      
   

(1) 2779 Camden Road

      Clearwater, Florida 33759

      
   

(2) 700 N. Colorado Blvd., PMB 323

      Denver, CO 80206-4036

      
   

(3) 700 N. Colorado Blvd., PMB 323

      Denver, CO 80206-4036

      
Item 2.  

(c)

   Citizenship:      
 

(1)

   United States of America      
 

(2)

   Colorado      
 

(3)

   Colorado      
Item 2.  

(d)

   Title of Class of Securities:      
    Common Stock      
Item 2.  

(e)

   Cusip Number:      
    78464W104      
Item 3.   Statements filed pursuant to Rule 13d-1(b), or 13d-2(b) or (c):   
  Not applicable.   

Page 6 of 7

 

Item 4.    Ownership      
   (a)       Amount Beneficially Owned:   
         (1) 839,561*   
         (2) 715,300   
         (3) 715,300   
         *This amount includes (1) 42,608 shares of Common Stock owned by the Wayne R. Peterson Grantor Retained Annuity Trust, of which Mr. Peterson is trustee, (2) 42,609 shares of Common Stock owned by the Theresa A. Peterson Grantor Retained Annuity Trust, of which Mrs. Peterson, Mr. Peterson’s wife, is trustee, (3) 31,044 shares of Common Stock owned by Mr. and Mrs. Peterson as tenants by the entireties, and (4) 715,300 shares of Common Stock owned by Peterson Partners, Ltd., a Colorado limited partnership, of which Peterson Holdings, Inc., a Colorado corporation, is the general partner. Mr. and Mrs. Peterson jointly own all of the issued and outstanding voting stock of Peterson Holdings, Inc. This amount also includes 8,000 shares of Common Stock issuable on exercise of stock options held by Mr. Peterson that are currently exercisable.   
   (b)       Percent of Class:   
         (1) 13.0%   
         (2) 11.1%   
         (3) 11.1%   
   (c)       Number of shares as to which such person has:   
      (1):         
         (i)    sole power to vote or to direct the vote:   
           

50,608

   
         (ii)    shared power to vote or to direct the vote:   
           

788,953

   
         (iii)    sole power to dispose or to direct the disposition of:   
           

50,608

   
         (iv)    shared power to dispose or to direct the disposition of:   
           

788,953

   
      (2):         
         (i)    sole power to vote or to direct the vote:   
            0   
         (ii)    shared power to vote or to direct the vote:   
            715,300   
         (iii)    sole power to dispose or to direct the disposition of:   
            0   
         (iv)    shared power to dispose or to direct the disposition of:   
            715,300   
      (3):         
         (i)    sole power to vote or to direct the vote:   
            0   
         (ii)    shared power to vote or to direct the vote:   
            715,300   
         (iii)    sole power to dispose or to direct the disposition of:   
            0   
         (iv)    shared power to dispose or to direct the disposition of:   
            715,300   

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:   
   Theresa A. Peterson, Mr. Peterson’s wife, has the power to direct the receipt of dividends from, or the proceeds from the sale of, (1) 42,609 shares of Common Stock owned by the Theresa A. Peterson Grantor Retained Annuity Trust, of which Mrs. Peterson is trustee, (2) 31,044 shares of Common Stock owned by Mr. and Mrs. Peterson as tenants by the entireties, which power is shared with Mr. Peterson, and (3) 715,300 shares of Common Stock owned by Peterson Partners, Ltd., which power is shared with Mr. Peterson.   

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:   
   By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of such securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.   

Page 7 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.

Dated: February 13, 2007

 

/s/ Wayne R. Peterson

   PETERSON PARTNERS, LTD.
WAYNE R. PETERSON    
    By:   Peterson Holdings, Inc., its general partner
    By:  

/s/ Wayne R. Peterson

      Wayne R. Peterson, President
PETERSON HOLDINGS, INC.    
By:  

/s/ Wayne R. Peterson

    
  Wayne R. Peterson, President