SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN THE STATEMENTS FILED PURSUANT TO RULES
13d-1(b), (c), AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE
13d-2(b)
(Amendment No.1)*
Crdentia Corp
----------------
(Name of Issuer)
Common Stock, $0.0001 par value
-------------------------------
(Title of Class of Securities)
225235100
--------------
(CUSIP Number)
September 30, 2004
-------------------------------------------------------
(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)
*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 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 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).
SCHEDULE 13G
CUSIP NO. 225235100 Page 2 of 6
_____________________________________________________________________________
NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (Entities Only)
1
Michael A. Roth and Brian J. Stark, as joint filers pursuant to
Rule 13d-1(k)
_____________________________________________________________________________
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [X]
(b) [ ]
_____________________________________________________________________________
3 SEC USE ONLY
_____________________________________________________________________________
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
_____________________________________________________________________________
NUMBER OF 5 SOLE VOTING POWER
SHARES 0
______________________________________________________________
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY 1,350,000 shares of Common Stock (See Item 4)
______________________________________________________________
EACH 7 SOLE DISPOSITIVE POWER
REPORTING 0
______________________________________________________________
PERSON 8 SHARED DISPOSITIVE POWER
WITH 1,350,000 shares of Common Stock (See Item 4)
_____________________________________________________________________________
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,350,000 shares of Common Stock (See 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)
10.3% (See Item 4)
_____________________________________________________________________________
12 TYPE OF REPORTING PERSON
IN
_____________________________________________________________________________
SCHEDULE 13G
CUSIP NO. 225235100 Page 3 of 6
Item 1(a). Name of Issuer:
Crdentia Corp. (the "Issuer")
Item 1(b). Address of Issuer's Principal Executive Offices:
14114 Dallas Parkway, Suite 600
Dallas, TX 75254
Items 2(a),
(b) and (c). Name of Persons Filing, Address of Principal Business Office
and Citizenship:
This Amendment No. 1 to Schedule 13G is being filed on behalf of
Michael A. Roth and Brian J. Stark, as joint filers
(collectively, the "Reporting Persons").
The Reporting Persons have entered into a Joint Filing Agreement,
a copy of which is filed with this Amendment No. 1 to Schedule
13G as Exhibit 1, pursuant to which the Reporting Persons have
agreed to file this Amendment No. 1 to Schedule 13G jointly in
accordance with the provisions of Rule 13d-1(k) of the Securities
Exchange Act of 1934, as amended.
The principal business office of the Reporting Persons is 3600
South Lake Drive, St. Francis, WI 53235. The Reporting Persons
are citizens of the United States of America.
Item 2(d). Title of Class of Securities:
Common Stock, par value $0.0001 per share, of the Issuer (the
"Common Stock")
Item 2(e). CUSIP Number:
225235100
Item 3. Not applicable
Item 4. Ownership.
(a) Amount beneficially owned:
1,350,000 shares of Common Stock*
(b) Percent of class:
Based on 13,083,818 shares of Common Stock of the Issuer, as
indicated by the Issuer, outstanding as of October 13, 2004, the
Reporting Persons hold approximately 10.3%* of the issued and
outstanding Common Stock of the Issuer.
SCHEDULE 13G
CUSIP NO. 225235100 Page 4 of 6
(c) Number of shares to which such person has:
(i) Sole power to vote or direct the vote: 0
(ii) Shared power to vote or direct the vote: 1,350,000
shares of Common Stock*
(iii) Sole power to dispose or to direct the disposition
of: 0
(iv) Shared power to dispose of or direct the disposition
of: 1,350,000 shares of Common Stock*
*The Reporting Persons beneficially own an aggregate of 1,350,000
shares of Common Stock. The foregoing amount of Common Stock and
percentage ownership represent the combined indirect holdings of
Michael A. Roth and Brian J. Stark.
All of the foregoing represents an aggregate of 1,350,000 shares
of Common Stock held directly by SF Capital Partners Ltd. ("SF
Capital"). The Reporting Persons are the Managing Members of
Stark Offshore Management, LLC ("Stark Offshore"), which acts as
investment manager and has sole power to direct the management of
SF Capital. Through Stark Offshore, the Reporting Persons possess
sole voting and dispositive power over all of the foregoing
shares. Therefore, for the purposes of Rule 13d-3 under the
Exchange Act, the Reporting Persons may be deemed to be the
beneficial owners of, but hereby disclaim such beneficial
ownership of, the foregoing shares.
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 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 a Group.
Not applicable
SCHEDULE 13G
CUSIP NO. 225235100 Page 5 of 6
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 the securities and were
not acquired and are not held in connection with or as a
participant in any transaction having that purpose or effect.
SCHEDULE 13G
CUSIP NO. 225235100 Page 6 of 6
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: October 29, 2004
/s/ Michael A. Roth
-----------------------
Michael A. Roth
/s/ Brian J. Stark
-----------------------
Brian J. Stark
SCHEDULE 13G
CUSIP NO. 225235100
Exhibit 1
JOINT FILING AGREEMENT
In accordance with Rule 13d-1(k) under the Securities Exchange Act of 1934,
as amended, the undersigned agree to the joint filing on behalf of each of them
of a statement on Amendment No. 1 to Schedule 13G (including amendments thereto)
with respect to 1,350,000 shares of Common Stock of Crdentia Corp. and further
agree that this Joint Filing Agreement shall be included as an exhibit to such
joint filings.
The undersigned further agree that each party hereto is responsible for the
timely filing of such Amendment No. 1 to Schedule 13G and any amendments
thereto, and for the completeness and accuracy of the information concerning
such party contained therein; provided, however, that no party is responsible
for the completeness or accuracy of the information concerning any other party
making the filing, unless such party knows or has reason to believe that such
information is inaccurate.
IN WITNESS WHEREOF, the parties have executed this Joint Filing Agreement
on October 29, 2004.
/s/ Michael A. Roth
-----------------------
Michael A. Roth
/s/ Brian J. Stark
-----------------------
Brian J. Stark