-----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, MoCvwOQ64zv06ldLibYgORBiMaoneUHCTdSvJrH1OQLc9ZDccApSGDcdnrbeMtWu 3FB0qB5boixBBLEn9oiXdQ== 0000941310-97-000003.txt : 19970222 0000941310-97-000003.hdr.sgml : 19970222 ACCESSION NUMBER: 0000941310-97-000003 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COMMUNICATIONS SYSTEMS INC CENTRAL INDEX KEY: 0000022701 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 410957999 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-33776 FILM NUMBER: 97535541 BUSINESS ADDRESS: STREET 1: 213 S MAIN ST CITY: HECTOR STATE: MN ZIP: 55342 BUSINESS PHONE: 6128486231 MAIL ADDRESS: STREET 1: 213 MAIN STREET STREET 2: P O BOX 777 CITY: HECTOR STATE: MN ZIP: 55342 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SAMPSON CURTIS A CENTRAL INDEX KEY: 0000941310 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: PO BOX 777 STREET 2: 213 MAIN ST CITY: HECTOR STATE: MN ZIP: 55342 BUSINESS PHONE: 3208486231 MAIL ADDRESS: STREET 1: PO BOX 777 STREET 2: S MAIN ST CITY: HECTOR STATE: MN ZIP: 55342 SC 13G/A 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 6) COMMUNICATIONS SYSTEMS, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 203900 10 5 (CUSIP Number) Check the following box if a fee is being paid with this statement __.(A fee is not required only if he filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) *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). (Continued on following page(s)) Page 1 of 3 Pages - -------------------------------------------------------------------------------- CUSIP NO.203900 10 5 13G Page 2 of 3 Pages - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- NAME OF REPORTING PERSON 1 S.S. OR IRS IDENTIFICATION NO. OF ABOVE PERSON Curtis A. Sampson ###-##-#### - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) ---- N/A (b) ---- - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION UNITED STATES - ------------------------------------------------------------------------------- ------------------------------------------------------- 5 SOLE VOTING POWER 1,298,728 NUMBER OF ------------------------------------------------------- ------------------------------------------------------- SHARES 6 SHARED VOTING POWER BENEFICIALLY 374,488 OWNED BY ------------------------------------------------------- ------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER REPORTING 1,298,728 PERSON ------------------------------------------------------- ------------------------------------------------------- WITH 8 SHARED DISPOSITIVE POWER 374,488 ------------------------------------------------------- - ------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,673,216 - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXLCUDES CERTAIN SHARES N/A - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 18.37% - ------------------------------------------------------------------------------- - ------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------- 2 Page 3 of 3 Pages The undersigned hereby amends Item 4 of his Schedule 13G relating to the common stock of Communications Systems, Inc., so as to read as follows: ITEM 4. OWNERSHIP The following ownership of Curtis A. Sampson as of December 31, 1996 in the common stock of Communications Systems, Inc. was as follows: (a) Amount Beneficially Owned 1,673,216 (b) Percent of Voting Shares Outstanding 18.37% (c) Number of shares as to which person has: (i) Sole power to vote or direct the vote: 1,298,728 (ii) Shared power to vote or direct the vote: 374,488 (iii) Sole power to dispose or direct the disposition of: 1,298,728 (iv) Shared power to dispose or direct the disposition of: 374,488 The shares listed above include 1,239,728 shares owned by Mr. Sampson directly, 59,000 shares issuable upon exercise of currently exercisable stock options, 13,898 shares owned by Mr.Sampson's wife, 339,441 shares owned by the Communications Systems, Inc. Employee Stock Ownership Plan ("CSI ESOP") and 21,149 shares owned by the Hector Communications Corporation Employee Stock Ownership Plan of which Mr. Sampson is a co-trustee ("Hector ESOP"). Mr. Sampson disclaims any beneficial ownership of the shares owned by his wife and disclaims any beneficial ownership of the shares owned by the CSI and Hector ESOP's in excess of the shares allocated to his account, which totaled 20,662 at December 31, 1996. 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. Date: February 11, 1997 /s/ Curtis A. Sampson Curtis A. Sampson -----END PRIVACY-ENHANCED MESSAGE-----