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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
(RULE 13d-102)
INFORMATION STATEMENT
PURSUANT TO RULES 13d-1 AND 13d-2
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. __)1
SAGEBRUSH, INC.
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(Name of Issuer)
COMMON STOCK
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(Title of Class of Securities)
786680 10 8
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(CUSIP Number)
1 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).
Page 1 of 5 Pages
(Cover Page continued on page 2)
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13G
CUSIP No. 786680 10 8 Page 2 of 5 pages
-----------
================================================================================
1 NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Michael A. Shubert/###-##-####
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (See Instructions)
(a) [ ]
(b) [ ]
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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5 SOLE VOTING POWER
NUMBER OF
SHARES 340,295
BENEFI-
CIALLY ---------------------------------------------------------
OWNED BY 6 SHARED VOTING POWER
EACH
REPORTING 0
PERSON ---------------------------------------------------------
WITH 7 SOLE DISPOSITIVE POWER
340,295
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8 SHARED DISPOSITIVE POWER
0
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
340,295
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES
CERTAIN SHARES (See Instructions)
[X]
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
5.4%
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12 TYPE OF REPORTING PERSON (See Instructions)
IN
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ITEM 1.
(a) Name of Issuer: Sagebrush, Inc.
(b) Address of Issuer's Principal Executive Offices:
112 Main Street, P.O. Box 730
Claremont, North Carolina 28610
ITEM 2.
(a) Name of Person Filing: Michael A. Shubert
(b) Address of Principal Business Office or, if none, Residence:
112 Main Street, P.O. Box 730
Claremont, North Carolina 28610
(c) Citizenship: United States
(d) Title of Class of Securities: Common Stock
(e) CUSIP Number: 786680 10 8
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR 13d-2(b),
CHECK WHETHER THE PERSON FILING IS A:
Not applicable.
ITEM 4. OWNERSHIP
See blocks 5 through 11 of the Cover Page. Such amounts
exclude (a) options to purchase 33,900 shares (none of which
are currently exercisable or exercisable within 60 days after
December 31, 1996) held by Mr. Shubert and (b) 10,000 shares
held by Mr. Shubert's wife. Mr. Shubert disclaims beneficial
ownership of the shares held by his wife, and this Schedule
13G shall not be construed as an admission that Mr. Shubert
is, for purposes of Sections 13(d) or 13(g) of the Securities
Exchange Act of 1934, the owner of such shares.
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
Not applicable.
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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 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
Not applicable.
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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 7, 1997
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Date
/s/ Michael A. Shubert
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Signature
Michael A. Shubert
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Name