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OMD Number: 3235-0145
Expirco: December 31, 1997
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hours per response...14.90
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Information Statement Pursuant to Rules 13d-1 and 13d-2
Under the Securities Exchange Act of 1934
(Amendment No. )*
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FEMRX, INC.
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(Name of Issuer)
COMMON STOCK, $.001 PAR VALUE
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(Title of Class of Securities)
314463 10 0
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(CUSIP Number)
Check the following box if a fee is being paid with this statement / /. (A
fee is not required only if the 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 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
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CUSIP No. 314463 10 0 13G Page 2 of 5 Pages
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(1) Names of Reporting Persons. S.S. or I.R.S. Identification Nos. of Above
Persons
George and Nancy Savage Living Trust
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(2) Check the Appropriate Box if a Member (a) / /
of a Group* (b) / /
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(3) SEC Use Only
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(4) Citizenship or Place of Organization
California, United States
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Number of Shares (5) Sole Voting Power
Beneficially 448,128
Owned by --------------------------------------------------
Each Reporting (6) Shared Voting Power
Person With -0-
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(7) Sole Dispositive Power
448,128
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(8) Shared Dispositive Power
-0-
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(9) Aggregate Amount Beneficially Owned by Each Reporting Person
448,128
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(10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares*
N/A
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(11) Percent of Class Represented by Amount in Row (9)
5.1%
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(12) Type of Reporting Person*
00 - Trust
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*SEE INSTRUCTION BEFORE FILLING OUT!
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ITEM 1.
(a) Name of Issuer: FEMRX, INC.
(b) Address of Issuer's Principal Executive Offices:
1221 INNSBRUCK DRIVE
SUNNYVALE, CA 94089
ITEM 2.
(a) Name of Person Filing: GEORGE AND NANCY SAVAGE LIVING TRUST
(b) Address of Principal Business Office or, if None, Residence:
C/O FEMRX, INC.
1221 INNSBRUCK DRIVE
SUNNYVALE, CA 94089
(c) Citizenship: CALIFORNIA, UNITED STATES
(d) Title of Class of Securities: COMMON STOCK
(e) CUSIP Number: 314463 10 0
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13D-1(B),OR 13D-2(B),
CHECK WHETHER THE PERSON FILING IS A:
(a) / / Broker of 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 13d-1(b)(1)(ii)(F),
(g) / / Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G);
SEE Item 7,
(h) / / Group, in accordance with Rule 13d-1(b)(1)(ii)(H).
NOT APPLICABLE.
ITEM 4. OWNERSHIP
If the percent of the class owned, as of December 31 of the year covered by
the statement, or as of the last day of any month described in Rule 13d-1(b)(2),
if applicable, exceeds five percent, provide the following information as of
that date and identify those shares which there is a right to acquire.
(a) Amount Beneficially Owned: 448,128
Page 3 of 5 pages
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(b) Percent of Class: 5.1%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote: 448,128
(ii) shared power to vote or to direct the vote: -0-
(iii) sole power to dispose or to direct the disposition of: 448,128
(iv) shared power to dispose or to direct the disposition of: -0-
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 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.
Page 4 of 5 pages
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ITEM 10. CERTIFICATION
NOT APPLICABLE.
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 12, 1997
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Date
/s/ George M. Savage
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George M. Savage, Trustee
Page 5 of 5 pages
