UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 21)*
JACOBSON STORES INC.
(Name of Issuer)
Common Stock, $1 par value
(Title of Class of Securities)
469834 10 5
(CUSIP Number)
December 14, 1999
------------------------------------------------
(Date of Event Which Requires Filing of This Statement)
Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:
[ ] Rule 13d - 1(b)
[ ] Rule 13d - 1(c)
[ X ] Rule 13d - 1(d)
* 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
CUSIP No. 469834 10 5
1 NAMES OF REPORTING PERSONS
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (Entities only).
ROBERT L. 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 328,590-1/3
BENEFICIALLY
OWNED BY 6 SHARED VOTING POWER
EACH
REPORTING 25,730
PERSON
WITH 7 SOLE DISPOSITIVE POWER
328,590-1/3
8 SHARED DISPOSITIVE POWER
25,730
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
354,320-1/3
10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
6.1%
12 TYPE OF REPORTING PERSON
IN
Page 2 of 5
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 49201-8847
Item 2(a). Name of Person Filing:
Robert L. Rosenfeld
Item 2(b). Residence Address:
4535 Fourth Road North
Arlington, Virginia 22203-2342
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) or (c):
(Inapplicable)
Page 3 of 5
Item 4. Ownership:
(a) Amount Beneficially Owned: 354,320-1/3 shares
(b) Percent of Class: 6.1 %
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
328,590-1/3*
(ii) shared power to vote or to direct the vote:
25,730
(iii) sole power to dispose or to direct the disposition of:
328,590-1/3*
(iv) shared power to dispose or to direct the disposition of:
25,730
* Includes 2,500 stock option shares (treated as if exercised).
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:
23,585 shares held by the undersigned as Trustee of various
trusts for the benefit of the issue of David A. Rosenfeld and
the issue of Mark K. Rosenfeld.
Item 5. Ownership of Five Percent or Less of a Class.
(Inapplicable)
Page 4 of 5
Item 6. Ownership of More than Five Percent on Behalf of Another Person.
The reporting person's wife has the right to receive or the power to
direct the receipt of dividends from, or the proceeds from the sale
of, 18,418 common shares she owns and shares such power over the
7,312 common shares the reporting person and his wife own jointly.
The reporting person's nieces and nephews, as beneficiaries of
various trusts, have the right to receive or the power to direct the
receipt of dividends from, or the proceeds from the sale of, 23,585
common shares held by the reporting person as trustee for their
benefit.
Item 7. Identification and Classification of the Subsidiary Which
Acquired the Security Being Reported on by the Parent Holding
Company or Control Person.
(Inapplicable)
Item 8. Identification and Classification of Members of the Group.
(Inapplicable)
Item 9. Notice of Dissolution of Group.
(Inapplicable)
Item 10. Certifications.
(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 3 , 2000
---------------------
/s/ Robert L. Rosenfeld
------------------------
Robert L. Rosenfeld
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