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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. 8)*
BUSH INDUSTRIES, INC.
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(Name of Issuer)
Class A Common Stock
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(Title of Class of Securities)
123164 10 5
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(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).
Page 1 of 4 Pages
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- ----------------------- ---------------------
CUSIP NO. 123164 10 5 13G PAGE 2 OF 4 PAGES
- ----------------------- ---------------------
- ------------------------------------------------------------------------------
NAME OF REPORTING PERSON
1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Paul S. Bush
- ------------------------------------------------------------------------------
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
2 (a) [_]
(b) [_]
- ------------------------------------------------------------------------------
SEC USE ONLY
3
- ------------------------------------------------------------------------------
CITIZENSHIP OR PLACE OF ORGANIZATION
4
United States
- ------------------------------------------------------------------------------
SOLE VOTING POWER
5
NUMBER OF 2,555,449
SHARES -----------------------------------------------------------
SHARED VOTING POWER
BENEFICIALLY 6
0
OWNED BY
-----------------------------------------------------------
EACH SOLE DISPOSITIVE POWER
7
REPORTING 3,011,805
PERSON -----------------------------------------------------------
SHARED DISPOSITIVE POWER
WITH 8
0
- ------------------------------------------------------------------------------
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
9
3,011,805
- ------------------------------------------------------------------------------
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
10
X
- ------------------------------------------------------------------------------
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
11
32.4%
- ------------------------------------------------------------------------------
TYPE OF REPORTING PERSON*
12
IN
- ------------------------------------------------------------------------------
*SEE INSTRUCTION BEFORE FILLING OUT!
Page 2 of 4 pages
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Page 3 of 4 pages
Except as expressly amended below, the Schedule 13G previously filed by
Paul S. Bush with respect to the shares of Class A Common Stock of Bush
Industries, Inc. and as heretofore amended, remains in full force and effect.
Item 4 is hereby amended in its entirety to ready as follows:
Item 4. Ownership.
---------
(a) Amount beneficially owned: 3,011,805(1)
(b) Percent of class: 32.4%
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote: 2,555,449
(ii) Shared power to vote or to direct the vote: -0-
(iii) Sole power to dispose or direct the disposition of: 3,011,805
(iv) Shared power to dispose or direct the disposition of: -0-
- ----------------------
(1) Includes 450,000 shares of Class A Common Stock issuable upon exercise of
outstanding stock options owned of record by Mr. Bush; 6,356 shares of
Class A Common Stock acquired by Mr. Bush in connection with Bush
Industries, Inc.'s 401-K Plan, and which shares are held by the Plan and
allocated to Mr. Bush's account in accordance with the terms of such
Plan; and 2,512,372 shares of Class A Common Stock issuable upon
conversion of a like number of shares of Class B Common Stock owned of
record by Mr. Bush. Such shares exclude 227,984 shares of Class A Common
Stock held as custodian and/or in trust for the benefit of Mr. Bush's
children and 46,079 shares of Class A Common Stock issuable upon exercise
of a like number of shares of Class B Common Stock held as custodian
and/or in trust for the benefit of Mr. Bush's children, and with respect
to all of such shares Mr. Bush disclaims beneficial ownership. Such
shares exclude 1,653 shares of Class A Common Stock held of record by Mr.
Bush's daughter and 3,307 shares of Class A Common Stock issuable upon
exercise of like number of shares of Class B Common Stock held by record
by Mr. Bush's daughter and with respect to which Mr. Bush disclaims
beneficial ownership. The number of shares of Class A Common Stock owned
by Mr. Bush have been adjusted for the five-for-four stock split
effectuated by Bush Industries, Inc. in the form of a twenty-five percent
stock dividend.
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Page 4 of 4 pages
SIGNATURE PAGE
--------------
After reasonable inquiry and to the best of my knowledge and belief, I hereby
certify that the information set forth in this statement is true, complete and
correct.
Dated: October 23, 1995 /s/ Paul S. Bush
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Paul S. Bush