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OMB APPROVAL
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION OMB Number: 3235-0145
Washington, D.C. 20549 Expires: October 31, 1994
Estimated average burden
hours per response . . 14.90
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 14 )*
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FURON COMPANY
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(Name of Issuer)
Common Stock, without par value
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(Title of Class of Securities)
361106-10-7
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(CUSIP Number)
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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 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).
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CUSIP No. 361106-10-7 13G Page 2 of 4 Pages
NAME OF REPORTING PERSON
1 S.S. or I.R.S IDENTIFICATION NO. OF ABOVE PERSON
Peter Churm
SSN: ###-##-####
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [ ]
(b) [X]
SEC USE ONLY
3
CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States of America
SOLE VOTING POWER
5
NUMBER OF 756,123
SHARES ------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
0
OWNED BY ------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7
REPORTING 756,123
PERSON ------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
0
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
756,123
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
11
8.5%
TYPE OF REPORTING PERSON*
12
IN
*SEE INSTRUCTION BEFORE FILLING OUT!
Page 2
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Page 3 of 4 Pages
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ITEM 1(a) NAME OF ISSUER:
Furon Company
ITEM 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
29982 Ivy Glenn Drive
Laguna Niguel, CA 92677
ITEM 2(a) NAME OF PERSON FILING:
Peter Churm
ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:
29982 Ivy Glenn Drive
Laguna Niguel, CA 92677
ITEM 2(c) CITIZENSHIP:
United States of America
ITEM 2(d) TITLE OF CLASS OF SECURITIES:
Common Stock, without par value
ITEM 2(e) CUSIP NUMBER:
361106-10-7
ITEM 3 Rules 13d-1(b) and 13d-2(b):
Inapplicable
ITEM 4 OWNERSHIP:
(a) Amount Beneficially Owned: 756,123*
(b) Percent of Class: 8.5%
(c) Number of Shares as to Which Such Person Has:
(i) sole power to vote or to direct
the vote: 756,123*
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* Includes (i) 423,725 shares held of record by Mr. Churm as Trustee of the
Churm Community Property Trust (of which Mr. Churm's spouse and sons are
beneficiaries), 308,311 shares subject to stock options which are exercisable
within 60 days of December 31, 1993, and 384 shares held for Mr. Churm's
account under the Company's Employee Stock Ownership Plan (fractional shares
have been disregarded). Mr. Churm has sole voting and dispositive power with
respect to all of these shares.
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Page 4 of 4 Pages
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(ii) shared power to vote or to direct
the vote: -0-
(iii) sole power to dispose or to direct
the disposition of: 756,123*
(iv) shared power to dispose or to direct
the disposition of: -0-
ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS:
Inapplicable
ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER
PERSON:
See the footnote to Item 4
ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT
HOLDING COMPANY:
Inapplicable
ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP:
Inapplicable
ITEM 9 NOTICE OF DISSOLUTION OF GROUP:
Inapplicable
ITEM 10 CERTIFICATION:
Inapplicable
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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.
January 6, 1994
/s/ Peter Churm
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Peter Churm
