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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. 9)*
Plasti-Line, Inc.
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(Name of Issuer)
Common Stock, par value $0.001 per share
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(Title of Class of Securities)
727540106
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(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 4 pages
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<TABLE>
<CAPTION>
<S> <C>
- --------------------------------------------- --------------------------------------------
CUSIP NO. 727540106 13G PAGE 2 OF 4 PAGES
- --------------------------------------------- --------- ---------
- --------------------------------------------- --------------------------------------------
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1 NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
James R. Martin
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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5 SOLE VOTING POWER
NUMBER OF
SHARES 0
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BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY
0
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EACH 7 SOLE DISPOSITIVE POWER
REPORTING
0
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PERSON 8 SHARED DISPOSITIVE POWER
WITH
0
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [ ]
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0
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12 TYPE OF REPORTING PERSON
IN
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</TABLE>
Page 2 of 4 pages
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<TABLE>
<CAPTION>
ITEM 1.
<S> <C> <C>
(a) Name of Issuer Plasti-Line, Inc.
(b) Address of Issuer's Principal Executive Offices P.O. Box 59043
Knoxville, Tennessee 37950
ITEM 2.
(a) Name of Person Filing James R. Martin
(b) Address of Principal Business Office or, if none, Residence P.O. Box 59043
Knoxville, Tennessee 37950
(c) Citizenship United States
(d) Title of Class of Securities Common Stock, $0.001 per
share
(e) CUSIP Number 727540106
ITEM 3. N/A
ITEM 4. OWNERSHIP
(a) Amount Beneficially Owned: 0(1)
(b) Percent of Class 0(1)
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote 0(1)
(ii) shared power to vote or to direct the vote 0(1)
(iii) sole power to dispose or to direct the disposition of 0(1)
(iv) shared power to dispose or to direct the disposition of 0(1)
</TABLE>
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(1)Excluded from this filing is 1,766,169 shares of common stock, par value
$0.001 per share, of the Company beneficially owned by Mr. Martin which are
being reported on Schedule 13D as a result of a change in the investment intent
of Mr. Martin. Such Schedule 13D is being filed at the same time as this
Amendment No. 9 to Schedule 13G.
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
If this statement is being filed to report the fact that as of the date hereof
the reporting person has ceased to be the beneficial owner of more than five
percent of the class of securities, check the following | |(2).
- -------------------------
(2) As a result of a change in investment intent, Mr. Martin is no longer
eligible to use Schedule 13G. See footnote to Item 4 for explanation.
Page 3 of 4 pages
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ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
N/A
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE
SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY
N/A
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP
N/A
ITEM 9. NOTICE OF DISSOLUTION OF GROUP
N/A
ITEM 10. CERTIFICATION
N/A
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: November 17, 1997
/s/ JAMES R. MARTIN
---------------------------------
James R. Martin
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