-----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, S5WfQ+CTm1IrgPv4Yov6b6XoE/vYgY60FhLzXrrbL3sTwx0TeswCiL0HiT01Kkcx Oa3YjnsSuuBvvpCO4uQsLQ== 0000900520-04-000004.txt : 20040211 0000900520-04-000004.hdr.sgml : 20040211 20040211172522 ACCESSION NUMBER: 0000900520-04-000004 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 2 FILED AS OF DATE: 20040211 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SCOTTS LIQUID GOLD INC CENTRAL INDEX KEY: 0000088000 STANDARD INDUSTRIAL CLASSIFICATION: PERFUMES, COSMETICS & OTHER TOILET PREPARATIONS [2844] IRS NUMBER: 840920811 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-10347 FILM NUMBER: 04587414 BUSINESS ADDRESS: STREET 1: 4880 HAVANA ST CITY: DENVER STATE: CO ZIP: 80239 BUSINESS PHONE: 3033734860 MAIL ADDRESS: STREET 1: PO BOX 39S CITY: DENVER STATE: CO ZIP: 80219-0019 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SCOTTS LIQUID GOLD INC EMPLOYEE STOCK OWNERSHIP PLAN CENTRAL INDEX KEY: 0000900520 IRS NUMBER: 841320456 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 4880 HAVANA ST CITY: DENVER STATE: CO ZIP: 80239 BUSINESS PHONE: 303-373-4860 MAIL ADDRESS: STREET 1: 4880 HAVANA ST CITY: DENVER STATE: CO ZIP: 80239 SC 13G 1 r13gesop021104.txt 13-G FOR ESOP - TEXT FORMAT UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 16)* Scott's Liquid Gold-Inc. (Name of Issuer) Common Stock $0.10 Par Value (Title of Class of Securities) 810202101 (CUSIP Number) __________________ (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [ X ]Rule 13d-1(b) [ ]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). CUSIP No. 810202101 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Scott's Liquid Gold-Inc. Employee Stock Ownership Plan 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) ________________________________________________ (b) ________________________________________________ 3. SEC Use Only 4. Citizenship or Place of Organization Denver, Colorado, Unites States of America Number of Shares Beneficially Owned Each Person With 5. Sole Voting Power 1,079,052 6. Shared Voting Power _________ 7. Sole Dispositive Power _________ 8. Shared Dispositive Power _________ 9. Aggregate Amount Beneficially Owned by Each Person 1,079,052 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) _________ 11. Percent of Class Represented by Amount in Row (9) 10.4% 12. Type of Reporting Person (See Instructions) EP Item 1. (a) Name of Issuer Scott's Liquid Gold-Inc. (b) Address of Issuer's Principal Executive Offices 4880 Havana Street, Denver, Colorado 80239 Item 2. (a) Name of Person Filing Scott's Liquid Gold-Inc. Employee Stock Ownership Plan (b) Address of Principal Business Office or, if none, Residence 4880 Havana Street, Denver, Colorado 80239 (b) Citizenship Denver, Colorado, United States of America (c) Title of Class of Securities Common Stock $0.10 Par Value (e) CUSIP Number 810202101 Item 3. If this statement is filed pursuant to Section 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 Section 240.13d-1(b)(1)(ii)(E); (f) [ X ] An employee benefit plan or endowment fund in accordance with Section 240.13d-1(b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with Section 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 with Section 240.13d-1(b)(1)(ii)(J). Item 4. Ownership. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 1,079,052. (b) Percent of class: 10.4%. (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: 1,079,052. (ii) Shared power to vote or to direct the vote: __________________. (iii) Sole power to dispose or to direct the disposition of _________________. (iv) Shared power to dispose or to direct the disposition of _______________. 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. In the event of cash dividend on common stock of Scott's Liquid Gold-Inc. (the "Company"), the Company may in its discretion pay the cash dividend with respect to common stock of the Company held by the Plan either directly to participants or to the trustee, the trustee allocates the dividend to the participants' accounts. Proceeds of the dividend are then invested at the direction of the committee administering the Plan. In addition, proceeds from the sale of common stock held by the Plan are invested at the direction of the committee Administering the Plan. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person. 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 acquired and are held in the ordinary course of business and 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. 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 11, 2004 Date /s/ Jeffry B. Johnson Signature Jeffry B. 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