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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. 4)*
SKYLINE CHILI, INC.
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(Name of Issuer)
COMMON STOCK
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(Title of Class of Securities)
830821104
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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 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. 830821104 13G
1 NAMES OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Lawrence R. Burtschy
###-##-####
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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
U.S. Citizen
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Number of Shares 5 SOLE VOTING POWER 51,434
Beneficially Owned
by Each Reporting ---------------------------------------------------
Person With
6 SHARED VOTING POWER 217,877
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7 SOLE DISPOSITIVE POWER 51,434
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8 SHARED DISPOSITIVE POWER 217,877
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
269,311
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10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
(See Instructions)
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
7.9%
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12 TYPE OF REPORTING PERSON (See Instructions)
IN
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ITEM 1.
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(a) Name of Issuer
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Skyline Chili, Inc.
(b) Address of Issuer's Principal Executive Offices
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4180 Thunderbird Lane
Fairfield, Ohio 45014
ITEM 2.
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(a) Name of Person Filing
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Lawrence R. Burtschy
(b) Address of Principal Business Office
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14 Fulton Street
P.O. Box 933
Charleston, S.C. 29402
(c) Citizenship
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U.S. Citizen
(d) Title of Class of Securities
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Common Stock - no par value
(e) CUSIP No.
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830821104
ITEM 3.
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N/A
ITEM 4.
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Ownership
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(a) AMOUNT BENEFICIALLY OWNED - 269,311 shares. This amount includes
51,434 shares owned by Mr. Burtschy in his name alone, 30,000 shares
owned jointly by Mr. Burtschy and his spouse, with whom he shares voting
and dispositive powers, 43,027 shares owned by L.R. Burtschy & Co., an
Ohio corporation of which Mr. Burtschy is the Chairman, 67,550 shares
owned by Mr. Burtschy's
PAGE 3 of 5 PAGES
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spouse in her name alone, and 77,300 shares owned by the
George C. Hillenbrand September 11, 1985 Trust, of which Mr. Burtschy is
one of three co-trustees with shared voting and dispositive powers. Mr.
Burtschy disclaims any beneficial ownership in the Trust's shares, other
than the shared voting and dispositive powers. Nothing in this Schedule
13G should be construed as an admission by Mr. Burtschy that he
beneficially owns any of the shares owned by his spouse.
(b) PERCENT OF CLASS - 7.9%
(c) See Items 5 through 8 of the Cover Page.
ITEM 5.
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OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS - N/A
ITEM 6.
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OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON - N/A
ITEM 7.
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IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE
SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY - N/A
ITEM 8.
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IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP - N/A
ITEM 9.
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NOTICE OF DISSOLUTION OF GROUP - N/A
ITEM 10.
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CERTIFICATION - N/A
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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.
2/11/97
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Date
/s/ Mark J. Zummo
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Signature
Mark J. Zummo
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Mark J. Zummo, for Lawrence R. Burtschy,
pursuant to Limited Power of Attorney
dated 03/18/94 and filed with Amendment
No. 2 to Schedule 13G
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