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FORM 3
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a)
of the Public Utility Holding Company Act of 1935 or Section 30(f) of the
Investment Company Act of 1940
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<S> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date
Griswold, Kathy Statement Trading Symbol of Original
- ---------------------------------------- (Month/Day/Year) Penobscot Shoe Company (PSO) (Month/Day/Year)
(Last) (First) (Middle) 11/23/99 ------------------------------ -------------------------
45 East Avenue ---------------------------- 5. Relationship of Reporting 7. Individual or Joint/
- ---------------------------------------- 3. IRS or Social Security Person to Issuer Group Filing (Check
(Street) Number of Reporting (Check all applicable) Applicable Line)
Person (Voluntary) X Director ___ 10% Owner X Form filed by One
Rochester NY 14604 ___ Officer ___ Other Reporting Person
- -------------------------------------- ---------------------------- (give title below) (specify below) __ Form filed by More
(City) (State) (Zip) than One Reporting
--------------------------- Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct (D) or Beneficial
(Instr. 4) Indirect (I) Ownership (Instr. 4)
(Instr. 5)
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Common Stock, $1.00 par value 1,135,265 (I) By PSC Acquisition Corp.,
a wholly owned
subsidiary of Riedman
Corporation of which I
am a beneficial owner. I
am also a director of
PSC Acquisition Corp.
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*If the form is filed by more than one Reporting Person, see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Responses) (Bulletin No. 177, 10-15-97)
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership
Expiration Date Derivative Security Exercise Form of (Instr. 5)
(Month/Day/ (Instr. 4) Price of Deriv-
Year) Deri- ative
vative Security:
Security Direct
------------------------------------------------- (D) or
Date Expira- Amount or Indirect (I)
Exercis- tion Title Number (Instr. 5)
able Date of Shares
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Explanation of Responses:
By: /s/ Kathy Griswold 12/6/99
**Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------------ ----------
Violations. **Signature of Reporting Person Date
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note. File three copies of this Form, one of which must be manually signed. Page 2
If space provided is insufficient, See Instruction 6 for procedure. (Bulletin No. 177, 10-15-97)
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