UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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SCHEDULE 13D
Under
THE SECURITIES EXCHANGE ACT OF 1934
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GEORGIA BONDED FIBERS, INC.
(Name of Issuer)
COMMON STOCK, $.10 PAR VALUE
(Title of Class of Securities)
373136209
(CUSIP Number)
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James C. Kostelni, Chairman and President
Georgia Bonded Fibers, Inc.
One Bontex Drive
Buena Vista, VA 24416-0751
(703) 261-2181
(Name, Address and Telephone Number of Person
Authorized to Receive Notices and Communications)
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June 27, 1996
(Date of Event which Requires
Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to
report the acquisition which is the subject of this Schedule 13D, and is
filing this schedule because of Rule 13d-1(b)(3) or (4), check the following
box [ ].
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Check the following box if a fee is being paid with the statement [X]. (A
fee is not required only if the reporting 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 information required on 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.
CUSIP No. 373136209
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(1) Name of Reporting Person.
S.S. or I.R.S. Identification Nos.
of Above Person
Dolores Kostelni SS# ###-##-####
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(2) Check the Appropriate Box if a Member (a) [ ]
of a Group (See Instructions) (b) [X]
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(3) SEC Use Only
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(4) Source of Funds (See Instructions)
00 (Reporting Person acquired the subject 675,507 shares by
operation of law in her capacity as an executor of the Estate of
Marie G. Surmonte)
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(5) Check if Disclosure of Legal Proceedings [ ]
is Required Pursuant to Items 2(d) or 2(e)
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(6) Citizenship or Place of Organization
United States
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Number of Shares (7) Sole Voting
Beneficially Owned Power 8,500 shares
by Each Reporting ----------------------------------------------------
Person With
(8) Shared Voting
Power 675,507 shares
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(9) Sole Dispositive
Power 8,500 shares
----------------------------------------------------
(10) Shared Dispositive
Power 675,507 shares
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(11) Aggregate Amount Beneficially Owned
by Each Reporting Person 784,007 shares
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(12) Check if the Aggregate Amount in Row [ ]
(11) Excludes Certain Shares (See
Instructions)
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(13) Percent of Class Represented by Amount
in Row (11)
49.85%
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(14) Type of Reporting Person (See
Instructions)
IN
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ITEM 1. Security and Issuer
The class of securities to which this statement relates is Common
Stock, $.10 par value, of Georgia Bonded Fibers, Inc. ("BONTEX"), a New
Jersey corporation. The address of BONTEX's principal executive offices is
15 Nuttman Street, Newark, New Jersey 07013-3508.
ITEM 2. Identity and Background
This statement is being filed by Dolores Kostelni. Mrs. Kostelni's
occupation is as a cook book author and food writer, and her residence
address is Rt. 4, Box 251, Turtle Brooke Lane, Lexington, Virginia 24450.
Mrs. Kostelni is a citizen of the United States.
Mrs. Kostelni has not, during the last five years, been convicted in a
criminal proceeding (excluding traffic violations or similar misdemeanors).
Further, Mrs. Kostelni has not, during the last five years, been a party to a
civil proceeding of a judicial or administrative body of competent
jurisdiction which resulted in Mrs. Kostelni being subject to a judgment,
decree or final order enjoining future violations of, or prohibiting or
mandating activities subject to, federal or state securities laws or finding
any violation with respect to such laws.
ITEM 3. Source and Amount of Funds or Other Consideration
Not applicable. This schedule is being filed to report Mrs. Kostelni's
acquisition of beneficial ownership of 675,507 shares of BONTEX common stock,
as a result of her appointment and qualification as an executor of the estate
of Marie G. Surmonte (the "Estate").
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ITEM 4. Purpose of Transaction
The purpose of the acquisition is to administer the Estate. Unless
otherwise sooner disposed of by the Estate, the shares of BONTEX common stock
beneficially owned by Mrs. Kostelni as an executor of the Estate ultimately
will be distributed pursuant to the terms of the will of Marie G. Surmonte to
Mrs. Kostelni and certain designated other beneficiaries. No determination
has been made at this time regarding whether any shares of BONTEX common
stock will be disposed of by the Estate.
ITEM 5. Interest in Securities of the Issuer
(a) Mrs. Kostelni is the beneficial owner of 784,007 shares of BONTEX
common stock, which represent approximately 49.86% of BONTEX's issued and
outstanding common stock. Mrs. Kostelni beneficially owns 675,507 of such
shares as an executor. Patricia M. Tischio, an individual, 6 Stonecrop Road,
Norwalk, Connecticut 06851, and First Union National Bank, a national banking
association organized under the laws of the United States, 303 Broad Street,
Red Bank, New Jersey 07701, also are executors of the Estate and have a
beneficial ownership interest in those 675,507 shares (representing
approximately 42.9% of BONTEX's issued and outstanding common stock).
(b) Mrs. Kostelni has sole voting power and sole dispositive power with
respect to 8,500 shares of the BONTEX common stock of which she is the
beneficial owner. Mrs. Kostelni, Mrs. Tischio and First Union National Bank
have shared voting power and shared dispositive power with respect to the
675,507 shares of BONTEX common stock which they hold as executors of the
Estate.
(c) Mrs. Kostelni has not had any transactions in BONTEX common stock
during the past sixty days, except as described above.
(d) Not applicable.
(e) Not applicable.
ITEM 6. Contracts, Arrangements, Understandings or Relationships With
Respect to Securities of the Issuer
None.
ITEM 7. Material to Be Filed as Exhibits
None.
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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.
July 8, 1996
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(Date)
s/Dolores Kostelni
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Dolores Kostelni
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