UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
CUSA TECHNOLOGIES, INC.
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(Name of Issuer)
Common Stock, par value $.001
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(Title of Class of Securities)
126586106
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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>
CUSIP No. 126586106 13G
1. NAME OF REPORTING PERSON
Joseph F. Jerkovich (SS ####-##-####)
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
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
5. SOLE VOTING POWER 500,000
6. SHARED VOTING POWER -0-
7. SOLE DISPOSITIVE POWER 500,000
8. SHARED DISPOSITIVE POWER -0-
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
500,000
10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
N/A
11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9. 5.61%
12. TYPE OF REPORTING PERSON* IN
<PAGE>
Item 1 (a). Name of Issuer: CUSA Technologies, Inc.
(b). Address of Issuer's Principal Executive Offices:
986 W. Atherton Drive
Salt Lake City, Utah 84123
Item 2 (a). Name of Person Filing: Joseph F. Jerkovich
(b). Address of Principal Business Office or, if None, Residence:
986 W. Atherton Drive
Salt Lake City, Utah 84123
(c). Citizenship: United States
(d). Title of Class of Securities: Common Stock, par value $.001
(e). CUSIP No.: 126586106
(a) Item 3. This Statement is Not Filed Pursuant to Rules 13d-(b), or
13d-2(b).
Item 4. Ownership
(a) Amount Beneficially Owned 500,000
(b) Percent of Class 5.61
(c) Number of Shares as to which such person has:
(i) sole power to vote or to direct the vote 500,000
(ii) shared power to vote or to direct the vote -0-
(iii) sole power to dispose or to direct the
disposition of 500,000
(iv) shared power to dispose or to direct the
disposition of -0-
Item 5. Ownership of Five Percent or Less of a Class
N/A
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
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 17, 1997
Joseph F. Jerkovich
/s/ Joseph F. Jerkovich
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Signature
