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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 17 )*
JACLYN, INC.
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock, par value $1.00 per share
- --------------------------------------------------------------------------------
(Title of Class of Securities)
469772 10 7
------------------------
(CUSIP Number)
Check the following box if a fee is being paid with the statement [ ]. (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 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).
SEC 1745 (12-91) Page 1 of 5 pages
<PAGE>
13G
CUSIP No. 469772 10 7 Page 2 of 5 Pages
------------- --- ---
================================================================================
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Bonnie Sue Levy
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
- 0 -
NUMBER OF --------------------------------------------------
SHARES 6 SHARED VOTING POWER
BENEFICIALLY
OWNED BY - 0 -
EACH
REPORTING --------------------------------------------------
PERSON 7 SOLE DISPOSITIVE POWER
WITH
226,952
--------------------------------------------------
8 SHARED DISPOSITIVE POWER
- 0 -
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
226,952
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES* [ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
8.4%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
SEC 1745 (12-91) Page 2 of 5 pages
<PAGE>
Page 3 of 5 Pages
AMENDMENT NO. 17
-to-
SCHEDULE 13G
---------------
Item 1(a) Name of Issuer:
Jaclyn, Inc.
Item 1(b) Address of Issuer's Principal Executive Offices:
635 59th Street
West New York, New Jersey 07093
Item 2(a) Name of Person Filing:
Bonnie Sue Levy
Item 2(b) Address of Principal Business Office or, if None,
Residence:
635 59th Street
West New York, New Jersey 07093
Item 2(c) Citizenship:
United States
Item 2(d) Title of Class of Securities:
Common Stock, par value $1.00 per share ("Common Stock")
Item 2(e) CUSIP Number:
469772 10 7
Item 3 If this statement is filed pursuant to Rules 13d-1(b), or
13d-2(b), check whether the person filing is a:
(a) [ ] Broker or dealer under Section 15 of the Act,
(b) [ ] Bank as defined in Section 3 (a) (6) of the Act,
<PAGE>
Page 4 of 5 Pages
(c) [ ] Insurance Company as defined in Section 3 (a)
(19) of the Act,
(d) [ ] Investment Company registered under Section 8
of the Investment Company Act,
(e) [ ] Investment Adviser registered under Section 203
of the Investment Advisers Act of 1940,
(f) [ ] Employee Benefit Plan, Pension Fund which is
subject to the provisions of the Employee
Retirement Income Security Act of 1974 or
Endowment Fund,
(g) [ ] Parent Holding Company, in accordance with Rule
13d-1 (b) (ii) (G),
(h) [ ] Group, in accordance with Rule 13d-1 (b)(1)(ii)
(H).
Not applicable
Item 4 Ownership:
The following information is as of December 31, 1995:
(a) Amount Beneficially Owned:
226,952 shares of Common Stock. This amount
includes 14,288 shares of Common Stock held of
record by Mrs. Levy as custodian for the benefit
of her children, with respect to which Mrs. Levy
disclaims beneficial ownership, 3,860 shares
allocated to Mrs.Levy's account under the Jaclyn,
Inc. Employee Stock Ownership Plan and 5,000
shares which Mrs. Levy may acquire pursuant to
presently exercisable stock options.
(b) Percent of Class: 8.4%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
none
(ii) Shared power to vote or to direct the vote:
none
(iii) Sole power to dispose or to direct the
disposition of:
226,952
(iv) Shared power to dispose or to direct the
disposition of: none
<PAGE>
Page 5 of 5 Pages
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.
Item 10 Certification.
Not Applicable.
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.
Dated: February 6, 1996
/s/ Bonnie Sue Levy
---------------------------------
Bonnie Sue Levy
