UNITED STATES THIS DOCUMENT IS A
SECURITIES AND EXCHANGE COMMISSION COPY OF THE SCHEDULE
Washington, D.C. 20549 13G FILED ON
FEBRUARY 18, 1997
PURSUANT TO A RULE
SCHEDULE 13G 201 TEMPORARY HARD-
SHIP EXEMPTION.
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
Elmer's Restaurants, Inc.
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock
- --------------------------------------------------------------------------------
(Title of Class of Securities)
289393100
------------------------------
(CUSIP Number)
*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 5 pages
<PAGE>
SCHEDULE 13G
------------
CUSIP No. 289393100 Page 2 of 5
---------
1) NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Dale M. Elmer ###-##-####
--------------------------------------------------------------------------
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 of America
--------------------------------------------------------------------------
5) SOLE VOTING POWER
NUMBER OF 0
--------------------------------------------------
SHARES
6) SHARED VOTING POWER
BENEFICIALLY
152,153
OWNED BY --------------------------------------------------
EACH 7) SOLE DISPOSITIVE POWER
REPORTING 0
--------------------------------------------------
PERSON
8) SHARED DISPOSITIVE POWER
WITH
152,153
--------------------------------------------------
9) AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
152,153
--------------------------------------------------------------------------
10) CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES* [ ]
--------------------------------------------------------------------------
11) PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
10.1%
--------------------------------------------------------------------------
12) TYPE OF REPORTING PERSON*
IN
--------------------------------------------------------------------------
Page 2 of 5 pages
<PAGE>
Item 1. Issuer
(a) The name of the Issuer is Elmer's Restaurants, Inc.
(b) The Issuer's executive offices are located at 11802 SE Stark Street,
Portland, OR 97216.
Item 2. Reporting Person and Security
(a) This Statement is filed by Mr. Dale M. Elmer, an individual.
(b) Mr. Elmer's home address is 4250 Stardust Place, Bermuda Dunes, CA
92201.
(c) Mr. Elmer is a citizen of the United States of America.
(d) This Statement relates to shares of Common Stock of Elmer's
Restaurants, Inc.
(e) The CUSIP number assigned to the Common Stock of the Issuer is
289393100.
Item 3. Filings Pursuant to Rule 13d-1(b) or 13d-2(b)
Not applicable.
Item 4. Ownership
(a) Under the rules and regulations of the Securities and Exchange
Commission, Mr. Elmer may be deemed to be the beneficial owner of a total of
152,153 shares of the Issuer Common Stock.
(b) Mr. Elmer's beneficial ownership of the Issuer Common Stock
represented approximately 10.1% of the 1,499,263 issued and outstanding shares
on August 16, 1996, as reported in the Issuer's proxy statement.
(c) Mr. Elmer has shared power to direct the voting and to dispose or to
direct the disposition of the outstanding shares that he beneficially owns.
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.
Page 3 of 5 pages
<PAGE>
Item 9. Notice of Dissolution of Group
Not applicable.
Item 10. Certification
Not applicable.
Page 4 of 5 pages
<PAGE>
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.
February 14, 1997
-----------------------------------------
Date
DALE M. ELMER
-----------------------------------------
Dale M. Elmer
Page 5 of 5 pages
