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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. ______________)*
CompuRAD, Inc.
(NAME OF ISSUER)
Common Stock
(TITLE OF CLASS OF SECURITIES)
20482A 10 2
(CUSIP NUMBER)
*The remainder of this cover page shall be filled out for a reporting person's
initial filing of 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
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CUSIP NO. 20482A 10 2 13G PAGE 2 OF 5 PAGES
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1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Wibowo, Henky S.S. # ###-##-####
Widjaja, Suryanty S.S. # ###-##-####
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a)
(b) X
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
Wibowo, Henky - Indonesia
Widjaja, Suryanty - Indonesia
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NUMBER OF SHARES 5 SOLE VOTING POWER
BENEFICIALLY 0
OWNED BY EACH -----------------------------------------------------------
REPORTING 6 SHARED VOTING POWER
PERSON WITH 517,500
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7 SOLE DISPOSITIVE POWER
0
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8 SHARED DISPOSITIVE POWER
517,500
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
Wibowo, Henky 517,500
Widjaja, Suryanty 517,500
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
Wibowo, Henky 13.4%
Widjaja, Suryanty 13.4%
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12 TYPE OF REPORTING PERSON*
Wibowo, Henky = IN
Widjaja, Suryanty = IN
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*SEE INSTRUCTION BEFORE FILLING OUT
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CUSIP No. 20482A 10 2 Page 3 of 5
Pages
ITEM 1.
(a) Name of Issuer
CompuRAD, Inc.
(b) Address of Issuer's Principal Executive Offices
1350 North Kolb Road
Tucson, Arizona 85715
ITEM 2.
(a) Name of Person Filing
Wibowo, Henky and Suryanty Widjaja
(b) Address of Principal Business Office or, if none, Residence
1350 North Kolb Road
Tucson, Arizona 85715
(c) Citizenship - Indonesia
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number
20482A 10 2
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR 13d-2(b),
CHECK WHETHER THE PERSON IS A:
This statement is not being filed pursuant to Rule 13d-1(b) or 13d-2(b).
ITEM 4. OWNERSHIP
(a) Amount Beneficially Owned
Henky Wibowo and Suryanty Widjaja beneficially own a total of
517,500 shares of common
stock as husband and wife, community property.
(b) Percent of Class
Henky Wibowo and Suryanty Widjaja beneficially own 13.4% of
CompuRAD, Inc. common stock.
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote: 0
(ii) shared power to vote or to direct the vote: Henky Wibowo
and Suryanty Widjaja share 517,500 shares of common
stock
(iii) sole power to dispose or direct the disposition of: 0
(iv) shared power to dispose or direct the disposition of:
Henky Wibowo and Suryanty Widjaja share 517,500 shares
of
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CUSIP No. 20482A 10 2 Page 4 of 5
Pages
common stock
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.
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CUSIP No. 20482A 10 2 Page 5 of 5
Pages
ITEM 10.
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.
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.
2/11/97 2/11/97
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Date Date
/s/Henky Wibowo /s/Suryanty Widjaja
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Signature Signature
Henky Wibowo Suryanty Widjaja
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Name/Title Name/Title
