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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. _______)*
Closure Medical Corporation
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Name of Issuer
Common Stock, par value $.01 per share
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(Title of Class of Securities)
189093 10 7
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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 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
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CUSIP NO. 189093 10 7 13G PAGE 2 OF 5 PAGES
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NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Robert V. Toni
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CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [_]
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SEC USE ONLY
3
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CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States of America
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SOLE VOTING POWER
5
NUMBER OF 733,320/(1)/
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
N/A
OWNED BY
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EACH SOLE DISPOSITIVE POWER
7
REPORTING 733,320/(1)/
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
N/A
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
733,320/(1)/
- ------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
N/A
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
11
6.0%
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TYPE OF REPORTING PERSON*
12
IN
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*SEE INSTRUCTION BEFORE FILLING OUT!
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FOOTNOTES TO COVER PAGE
OF SCHEDULE 13G
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ROBERT V. TONI
1. Includes 13,320 shares of Common Stock issuable upon the exercise of
stock options exercisable within 60 days of December 31, 1996.
Page 3 of 5 pages
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SCHEDULE 13G
Item 1. (a) Name of Issuer: Closure Medical Corporation, a Delaware
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corporation (the "Company")
(b) Address of Issuer's Principal Executive Offices: 5265
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Capital Boulevard, Raleigh, North Carolina 27616
Item 2. (a) Name of Person Filing: Robert V. Toni
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(b) Address of Principal Business Office or, if none, Residence:
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c/o Closure Medical Corporation, 5265 Capital Boulevard, Raleigh, North Carolina
27616
(c) Citizenship: United States of America
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(d) Title of Class of Securities: Common Stock, par value $.01
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per share ("Common Stock")
(e) CUSIP Number: 189093 10 7
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Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-
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2(b), check whether the person filing is a: N/A
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Item 4. Ownership. For information concerning the ownership of Common
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Stock of the Company by Mr. Toni, see Items 5 through 9 and 11 of the cover page
to this Schedule 13G and the footnote thereto.
Item 5. Ownership of Five Percent or Less of a Class. N/A
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Item 6. Ownership of More than Five Percent on Behalf of Another Person.
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N/A
Item 7. Identification and Classification of the Subsidiary Which
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Acquired the Security Being Reported on By the Parent Holding Company. N/A
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Item 8. Identification and Classification of Members of the Group. N/A
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Item 9. Notice of Dissolution of Group. N/A
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Item 10. Certification. N/A
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Page 4 of 5 pages
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Signature
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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 6, 1997
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Date
/s/ Robert V. Toni
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Signature
Robert V. Toni
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Name
Page 5 of 5 pages