-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, AhDbihUB8mBuvRunGLE5YvSZJqdlI8EUh2yiakuOrhdrDvTqlSizpIZw1FEZe6Jc T0U1brsTBYvhvBwlkpjYjw== 0000929624-98-000341.txt : 19980218 0000929624-98-000341.hdr.sgml : 19980218 ACCESSION NUMBER: 0000929624-98-000341 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980217 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NOTIFY CORP CENTRAL INDEX KEY: 0001031980 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 770382248 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-52797 FILM NUMBER: 98543021 BUSINESS ADDRESS: STREET 1: 1054 S DE ANZA BLVD., STE 105 CITY: SAN JOSE STATE: CA ZIP: 95129 BUSINESS PHONE: 4087777927 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LARSON GAYLAN I CENTRAL INDEX KEY: 0001054546 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 1054 S DEANZA BLVD CITY: SAN JOSE STATE: CA ZIP: 95129 MAIL ADDRESS: STREET 1: 1054 S DEANZA BLVD CITY: SAN JOSE STATE: CA ZIP: 95129 SC 13G 1 SCHEDULE 13G --------------------------- OMB APPROVAL --------------------------- OMB number: 3235-0145 Expires: December 31, 1997 Estimated average burden hours per response... 14.90 --------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 Notify Corporation ------------------------------------------------------------- (Name of Issuer) Common Stock --------------------------------------------------- (Title of Class of Securities) 669956 10 4 ----------------------------------------- (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 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). Page 1 of 4 Pages - ----------------------- --------------------- CUSIP NO. 669956 10 4 13G PAGE 2 OF 4 PAGES - ----------------------- --------------------- - ------------------------------------------------------------------------------ NAME OF REPORTING PERSON 1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Gaylan I. Larson - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* 2 (a) [_] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States of America - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF 198,019 SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 N/A OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING 198,019 PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 N/A - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 198,019 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10 - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11 5.6% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON* 12 IN - ------------------------------------------------------------------------------ *SEE INSTRUCTION BEFORE FILLING OUT! - ---------------------- -------------------- CUSIP No. 669956 10 4 13G Page 3 of 4 Pages - ---------------------- -------------------- Item 1(a) Name of Issuer: Notify Corporation (b) Address of Issuer's Principal Executive Offices: 1054 S. DeAnza Blvd., Suite 105 San Jose, CA 95129 Item 2(a) Name of Person Filing: Gaylan I. Larson (b) Address of Principal Business Office or, if none, Residence: 1054 S. DeAnza Blvd., Suite 105 San Jose, CA 95129 (c) Citizenship: USA (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 669956 10 4 ITEM 3 IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR 13d-2(b), CHECK WHETHER THE PERSON IS A: N/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: 198,019 (b) Percent of Class: 5.6% (c) Number of shares as to which such person has: i) sole power to vote or to direct the vote 198,019 ii) shared power to vote or to direct the vote N/A iii) sole power to dispose or to direct the disposition of 198,019 iv) shared power to dispose or to direct the disposition of N/A 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 [_] N/A ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. N/A ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. N/A ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP N/A ITEM 9 NOTICE OF DISSOLUTION OF THE GROUP N/A - ----------------------- --------------------- CUSIP No. 669956 10 4 13G Page 4 of 4 Pages - ----------------------- --------------------- ITEM 10. 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. February 17, 1998 ---------------------------------------------- Date /s/ Gaylan I. Larson ---------------------------------------------- Signature Vice President of Operations ---------------------------------------------- Name/Title -----END PRIVACY-ENHANCED MESSAGE-----