UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
----------------------------------------------------------------------
SCHEDULE 13G
INFORMATION STATEMENT PURSUANT TO RULE 13D-1 AND 13D-2
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. )*
FUSION MEDICAL TECHNOLOGIES
---------------------------------------------
(NAME OF ISSUER)
COMMON STOCK
---------------------------------------------
(TITLE OF CLASS OF SECURITIES)
361128101
---------------------------------------------
(CUSIP NUMBER)
*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 11 Pages
<PAGE>
|--------------------| |--------------------|
|CUSIP NO. 361128101 | 13G | Page 2 of 11 Pages |
|--------------------| |--------------------|
|--------------------------------------------------------------------|
| 1|NAME OF REPORTING PERSON |
| |S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | |
| | AMC Partners 89, L.P. (AMCP89) |
| | 77-0209833 |
| | |
|--|-----------------------------------------------------------------|
| 2|CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (A) [ ] |
| | (B) [X] |
|--|-----------------------------------------------------------------|
| 3|SEC USE ONLY |
| | |
| | |
|--|-----------------------------------------------------------------|
| 4|CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | CALIFORNIA |
|--------------------------------------------------------------------|
| |5|SOLE VOTING POWER |
| | | 708,492 shares of Common Stock |
| NUMBER OF |-|----------------------------------------------|
| SHARES |6|SHARED VOTING POWER |
| BENEFICIALLY | | |
| OWNED BY |-|----------------------------------------------|
| EACH |7|SOLE DISPOSITIVE POWER |
| REPORTING | | 708,492 shares of Common Stock |
| PERSON |-|----------------------------------------------|
| WITH |8|SHARED DISPOSITIVE POWER |
| | | |
|--------------------------------------------------------------------|
| 9|AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 708,492 shares |
|--|-----------------------------------------------------------------|
|10|CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| |SHARES * |------| |
| | |------| |
|--|-----------------------------------------------------------------|
|11|PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
| | |
| | 10.2% |
|--|-----------------------------------------------------------------|
|12|TYPE OF REPORTING PERSON * |
| | |
| | PN |
|--------------------------------------------------------------------|
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
|--------------------| |--------------------|
|CUSIP NO. 361128101 | 13G | Page 3 of 11 Pages |
|--------------------| |--------------------|
|--------------------------------------------------------------------|
| 1|NAME OF REPORTING PERSON |
| |S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | |
| | Asset Management Associates 1989, L.P. (AMA89) |
| | 77-0209834 |
| | |
|--|-----------------------------------------------------------------|
| 2|CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (A) [ ] |
| | (B) [X] |
|--|-----------------------------------------------------------------|
| 3|SEC USE ONLY |
| | |
| | |
|--|-----------------------------------------------------------------|
| 4|CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | CALIFORNIA |
|--------------------------------------------------------------------|
| |5|SOLE VOTING POWER |
| | | 708,492 shares of Common Stock, except |
| | | that AMC Partners 89, L.P. (AMCP89), the |
| | | general partner of AMA89 may be deemed to |
| NUMBER OF | | have shared power to vote these shares |
| SHARES |-|----------------------------------------------|
| BENEFICIALLY |6|SHARED VOTING POWER |
| OWNED BY | | see response to Row 5 |
| EACH |-|----------------------------------------------|
| REPORTING |7|SOLE DISPOSITIVE POWER |
| PERSON | | 708,492 shares of Common Stock, except |
| WITH | | that AMCP89 may be deemed to have shared |
| | | power to dispose of these shares |
| |-|----------------------------------------------|
| |8|SHARED DISPOSITIVE POWER |
| | | see response to Row 7 |
|--------------------------------------------------------------------|
| 9|AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 708,492 shares |
|--|-----------------------------------------------------------------|
|10|CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| |SHARES * |------| |
| | |------| |
|--|-----------------------------------------------------------------|
|11|PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
| | |
| | 10.2% |
|--|-----------------------------------------------------------------|
|12|TYPE OF REPORTING PERSON * |
| | |
| | PN |
|--------------------------------------------------------------------|
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
|--------------------| |--------------------|
|CUSIP NO. 361128101 | 13G | Page 4 of 11 Pages |
|--------------------| |--------------------|
|--------------------------------------------------------------------|
| 1|NAME OF REPORTING PERSON |
| |S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | |
| | John F. Shoch |
| | ###-##-#### |
| | |
|--|-----------------------------------------------------------------|
| 2|CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (A) [ ] |
| | (B) [X] |
|--|-----------------------------------------------------------------|
| 3|SEC USE ONLY |
| | |
| | |
|--|-----------------------------------------------------------------|
| 4|CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | United States |
|--------------------------------------------------------------------|
| |5|SOLE VOTING POWER |
| | | |
| NUMBER OF |-|----------------------------------------------|
| SHARES |6|SHARED VOTING POWER |
| BENEFICIALLY | | 709,492 shares of Common Stock |
| OWNED BY |-|----------------------------------------------|
| EACH |7|SOLE DISPOSITIVE POWER |
| REPORTING | | |
| PERSON |-|----------------------------------------------|
| WITH |8|SHARED DISPOSITIVE POWER |
| | | 709,492 shares of Common Stock |
|--------------------------------------------------------------------|
| 9|AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 709,492 shares |
|--|-----------------------------------------------------------------|
|10|CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| |SHARES * |------| |
| | |------| |
|--|-----------------------------------------------------------------|
|11|PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
| | |
| | 10.2% |
|--|-----------------------------------------------------------------|
|12|TYPE OF REPORTING PERSON * |
| | |
| | IN |
|--------------------------------------------------------------------|
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
|--------------------| |--------------------|
|CUSIP NO. 361128101 | 13G | Page 5 of 11 Pages |
|--------------------| |--------------------|
|--------------------------------------------------------------------|
| 1|NAME OF REPORTING PERSON |
| |S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | |
| | Craig C. Taylor |
| | ###-##-#### |
| | |
|--|-----------------------------------------------------------------|
| 2|CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (A) [ ] |
| | (B) [X] |
|--|-----------------------------------------------------------------|
| 3|SEC USE ONLY |
| | |
| | |
|--|-----------------------------------------------------------------|
| 4|CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | United States |
|--------------------------------------------------------------------|
| |5|SOLE VOTING POWER |
| | | 3,000 shares of Common Stock |
| NUMBER OF |-|----------------------------------------------|
| SHARES |6|SHARED VOTING POWER |
| BENEFICIALLY | | 708,492 shares of Common Stock |
| OWNED BY |-|----------------------------------------------|
| EACH |7|SOLE DISPOSITIVE POWER |
| REPORTING | | 3,000 shares of Common Stock |
| PERSON |-|----------------------------------------------|
| WITH |8|SHARED DISPOSITIVE POWER |
| | | 708,492 shares of Common Stock |
|--------------------------------------------------------------------|
| 9|AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 711,492 shares |
|--|-----------------------------------------------------------------|
|10|CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| |SHARES * |------| |
| | |------| |
|--|-----------------------------------------------------------------|
|11|PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
| | |
| | 10.3% |
|--|-----------------------------------------------------------------|
|12|TYPE OF REPORTING PERSON * |
| | |
| | IN |
|--------------------------------------------------------------------|
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
|--------------------| |--------------------|
|CUSIP NO. 361128101 | 13G | Page 6 of 11 Pages |
|--------------------| |--------------------|
|--------------------------------------------------------------------|
| 1|NAME OF REPORTING PERSON |
| |S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | |
| | W. Ferrell Sanders |
| | ###-##-#### |
| | |
|--|-----------------------------------------------------------------|
| 2|CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (A) [ ] |
| | (B) [X] |
|--|-----------------------------------------------------------------|
| 3|SEC USE ONLY |
| | |
| | |
|--|-----------------------------------------------------------------|
| 4|CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | United States |
|--------------------------------------------------------------------|
| |5|SOLE VOTING POWER |
| | | |
| NUMBER OF |-|----------------------------------------------|
| SHARES |6|SHARED VOTING POWER |
| BENEFICIALLY | | 708,492 shares of Common Stock |
| OWNED BY |-|----------------------------------------------|
| EACH |7|SOLE DISPOSITIVE POWER |
| REPORTING | | |
| PERSON |-|----------------------------------------------|
| WITH |8|SHARED DISPOSITIVE POWER |
| | | 708,492 shares of Common Stock |
|--------------------------------------------------------------------|
| 9|AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 708,492 shares |
|--|-----------------------------------------------------------------|
|10|CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| |SHARES * |------| |
| | |------| |
|--|-----------------------------------------------------------------|
|11|PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
| | |
| | 10.2% |
|--|-----------------------------------------------------------------|
|12|TYPE OF REPORTING PERSON * |
| | |
| | IN |
|--------------------------------------------------------------------|
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
|--------------------| |--------------------|
|CUSIP NO. 361128101 | 13G | Page 7 of 11 Pages |
|--------------------| |--------------------|
|--------------------------------------------------------------------|
| 1|NAME OF REPORTING PERSON |
| |S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON |
| | |
| | Franklin P. Johnson, Jr. |
| | ###-##-#### |
| | |
|--|-----------------------------------------------------------------|
| 2|CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (A) [ ] |
| | (B) [X] |
|--|-----------------------------------------------------------------|
| 3|SEC USE ONLY |
| | |
| | |
|--|-----------------------------------------------------------------|
| 4|CITIZENSHIP OR PLACE OF ORGANIZATION |
| | |
| | United States |
|--------------------------------------------------------------------|
| |5|SOLE VOTING POWER |
| | | |
| NUMBER OF |-|----------------------------------------------|
| SHARES |6|SHARED VOTING POWER |
| BENEFICIALLY | | 708,492 shares of Common Stock |
| OWNED BY |-|----------------------------------------------|
| EACH |7|SOLE DISPOSITIVE POWER |
| REPORTING | | |
| PERSON |-|----------------------------------------------|
| WITH |8|SHARED DISPOSITIVE POWER |
| | | 708,492 shares of Common Stock |
|--------------------------------------------------------------------|
| 9|AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON |
| | |
| | 708,492 shares |
|--|-----------------------------------------------------------------|
|10|CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN |
| |SHARES * |------| |
| | |------| |
|--|-----------------------------------------------------------------|
|11|PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 |
| | |
| | 10.2% |
|--|-----------------------------------------------------------------|
|12|TYPE OF REPORTING PERSON * |
| | |
| | IN |
|--------------------------------------------------------------------|
* SEE INSTRUCTIONS BEFORE FILLING OUT!
<PAGE>
Item 1(a) Name of Issuer: Page 8 of 11 Pages
--------------
Fusion Medical Technologies, Inc.
Item 1(b) Address of Issuer's Principal Executive Offices:
-----------------------------------------------
1615 Plymouth Street
Mountain View, CA 94043
Item 2(a) Name of Person Filing:
---------------------
AMC Partners 89, L.P. (AMCP89)
Asset Management Associates 1989, L.P. (AMA89)
John F. Shoch (JFS)
Craig C. Taylor (CCT)
W. Ferrell Sanders (WFS)
Franklin P. Johnson, Jr. (FPJ)
AMCP89 is the general partner of AMA89
JFS, CCT, WFS and FPJ are the general partners of AMCP89
Item 2(b) Address of Principal Business Office:
------------------------------------
2275 East Bayshore Road, Suite 150
Palo Alto, CA 94303
Item 2(c) Citizenship:
-----------
AMCP89 and AMA89 : California
JFS, CCT, WFS, FPJ : United States
Item 2(d) Title of Class of Securities:
----------------------------
Common Stock
Item 2(e) CUSIP Number:
------------
361128101
Item 3. Type of Reporting Person:
------------------------
Not applicable
Item 4. Ownership:
----------
See Rows 5 through 11 of cover pages
<PAGE>
Page 9 of 11 Pages
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. ( )
Item 6. Ownership of More than Five Percent on behalf of Another
Person:
--------------------------------------------------------
Under certain circumstances set forth in the AMA89 and the
AMCP89 Limited Partnership Agreements, the General Partners
and Limited Partners of each of such partnerships have the
right to receive dividends from, or the proceeds from the
sale of, the Common Stock of Issuer owned by each such fund
Item 7. Identification and Classification of the Subsidiary which
Acquired the Security Being Reporting on by the Parent
Holding Company:
---------------------------------------------------------
Not Applicable
Item 8. Identification and Classification of Members of the Group.
---------------------------------------------------------
See Exhibit A. The Reporting Persons may be deemed to be
a Group for the purposes of Section 13(d) and 13(g) of the
Act and the rules thereunder, although each expressly
disclaims any assertion or presumption that it or the other
persons on whose behalf this Statement is filed constitute
a Group. The filing of this Statement should not be
construed to be an admission that any of the Reporting
Persons is a member of a Group consisting of one or more
such persons.
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 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 purposes or effect.
[EXHIBITS]
[A: Joint Filing Statement]
<PAGE>
Page 10 of 11 Pages
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 3, 1997
Asset Management Associates 1989, L.P.
/s/ Craig C. Taylor
--------------------------------------
General Partner of AMC Partners 89, L.P.
the General Partner of Asset Management
Associates 1989, L.P.
AMC Partners 89, L.P.
/s/ Craig C. Taylor
--------------------------------------
General Partner
/s/ John F. Shoch
--------------------------------------
John F. Shoch
/s/ Craig C. Taylor
--------------------------------------
Craig C. Taylor
/s/ W. Ferrell Sanders
--------------------------------------
W. Ferrell Sanders
/s/ Franklin P. Johnson
--------------------------------------
Franklin P. Johnson, Jr.
<PAGE>
Page 11 of 11 Pages
EXHIBIT A
JOINT FILING AGREEMENT
----------------------
Pursuant to Rule 13d-1(f)(1), we, the undersigned, hereby
express our agreement that the attached Schedule 13G is
filed on behalf of each of us.
Date: February 3, 1997
Asset Management Associates 1989, L.P.
/s/ Craig C. Taylor
--------------------------------------
General Partner of AMC Partners 89, L.P.
the General Partner of Asset Management
Associates 1989, L.P.
AMC Partners 89, L.P.
/s/ Craig C. Taylor
--------------------------------------
General Partner
/s/ John F. Shoch
--------------------------------------
John F. Shoch
/s/ Craig C. Taylor
--------------------------------------
Craig C. Taylor
/s/ W. Ferrell Sanders
--------------------------------------
W. Ferrell Sanders
/s/ Franklin P. Johnson
--------------------------------------
Franklin P. Johnson, Jr.
