SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 16)*
JACOBSON STORES INC.
(Name of Issuer)
Common Stock, $1 par value
(Title of Class of Securities)
469834 10 5
(CUSIP Number)
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).
(Continued on following pages)
Page 1 of 5 Pages
<PAGE>
CUSIP No. 469834 10 5 13G
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
MARK K. ROSENFELD
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ]
(b) [X]
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
5 SOLE VOTING POWER
NUMBER OF
SHARES 1,501
BENEFICIALLY
OWNED BY 6 SHARED VOTING POWER
EACH
REPORTING 830,420.3
PERSON
WITH 7 SOLE DISPOSITIVE POWER
1,501
8 SHARED DISPOSITIVE POWER
830,420.3
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
831,921.3
10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
14.4%
12 TYPE OF REPORTING PERSON
IN
Page 2 of 5 pages
<PAGE>
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Item 1(a). Name of Issuer:
Jacobson Stores Inc.
Item 1(b). Address of Issuer's Principal Executive Offices:
3333 Sargent Road
Jackson, Michigan 49201
Item 2(a). Name of Person Filing:
Mark K. Rosenfeld
Item 2(b). Business Address:
3333 Sargent Road
Jackson, Michigan 49201
Item 2(c). Citizenship:
United States
Item 2(d). Title of Class of Securities:
Common Stock, $1 par value
Item 2(e). CUSIP Number:
469834 10 5
Item 3. If this statement is filed pursuant to Rules 13d-1(b) or
13d-2(b):
(Inapplicable)
Page 3 of 5 pages
<PAGE>
Item 4. Ownership:
(a) Amount Beneficially Owned: 831,921.3 shares
(b) Percent of Class: 14.4%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
1,501
(ii) shared power to vote or to direct the vote:
830,420.3
(iii) sole power to dispose or to direct the
disposition of: 1,501
(iv) shared power to dispose or to direct the
disposition of: 830,420.3
Pursuant to Rule 13d-4, the undersigned hereby declares
that the filing of this statement shall not be construed
as an admission that the undersigned is, for the purposes
of Section 13(d) or 13(g) of the Securities Exchange Act
of 1934, the beneficial owner of the following securities
covered by this statement:
519,064.3 shares of a total of 830,420.3 shares subject
to a Voting and Transfer Restriction Agreement,
effective December 31, 1990, among Robert L., David
A., and Mark K. Rosenfeld, and the wife of each of
them.
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.
The following persons have the right to receive
dividends from, or the proceeds from the sale of, the
following securities referred to in this statement (refer
to answer to Item 4):
519,064.3 shares: Robert L. Rosenfeld, David A.
Rosenfeld, the wife of each of them, and
the issue of David A. Rosenfeld.
Page 4 of 5 pages
<PAGE>
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)
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 10, 1995.
/s/ Mark K. Rosenfeld
----------------------------
Mark K. Rosenfeld
Page 5 of 5 pages
