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).
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CUSIP No. 126586106 13G
1. NAME OF REPORTING PERSON
Gary L. Leavitt (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 260,100
6. SHARED VOTING POWER 707,330
7. SOLE DISPOSITIVE POWER 260,100
8. SHARED DISPOSITIVE POWER 707,330
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
967,430
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. 10.54%
12. TYPE OF REPORTING PERSON* IN
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CUSIP No. 126586106 13G
1. NAME OF REPORTING PERSON
Karen Leavitt
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 -0-
6. SHARED VOTING POWER 497,360
7. SOLE DISPOSITIVE POWER -0-
8. SHARED DISPOSITIVE POWER 497,360
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
497,360
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. 5.60%
12. TYPE OF REPORTING PERSON* IN
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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). Names of Persons Filing:
Gary L. Leavitt and Karen Leavitt (the "Reporting Persons")
(b). Address of Principal Business Office or, if None, Residence
986 W. Atherton Drive
Salt Lake City, UT 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
Amount beneficially owned by Mr. Leavitt as of
December 31, 1996: 967,430
Amount beneficially owned by Mrs. Leavitt as of
December 31, 1996: 497,360
(b) Percent of Class
Percent of class owned by Mr. Leavitt as of December 31, 1996: 10.54%
Percent of class owned by Mrs. Leavitt as of December 31, 1996: 5.6%
(c) Number of Shares as to which such person has:
(i) sole power to vote or to direct the vote:
As of December 31, 1996, Mr. Leavitt had sole power to vote
or direct the vote of 260,100 shares underlying currently exercisable
options. Mrs. Leavitt did not have the sole power to vote or to direct
the vote of any shares.
(ii) shared power to vote or to direct the vote:
As of December 31, 1996, Mr. Leavitt had shared power to vote or direct
the vote of 707,330 shares which includes 497,360 shares held by the
Reporting Persons as joint tenants and 100,000 shares held by the
Lynette Leavitt Family Trust and 109,970 shares held by the Lyman
Leavitt Family Trust, of which, in both cases, Mr. Leavitt is one of
three trustees who have shared power to direct the vote of the shares.
(iii) sole power to dispose or to direct the
disposition of:
As of December 31, 1996, Mr. Leavitt had sole power to dispose or
direct the disposition of 260,100 shares underlying currently
exercisable options. Mrs. Leavitt did not have the sole power to
dispose or direct the disposition of any shares.
.
(iv) shared power to dispose or to direct the
disposition of:
As of December 31, 1996, Mr. Leavitt had shared power to dispose or to
direct the disposition of 707,330 shares which includes 497,360 shares
held by the Reporting Persons as joint tenants and 100,000 shares held
by the Lynette Leavitt Family Trust and 109,970 shares held by the
Lyman Leavitt Family Trust (collectively, the "Trust Shares"), of
which, in both cases, Mr. Leavitt is one of three trustees. However,
since Mr. Leavitt's power to dispose or to direct the disposition of
the Trust Shares is subject to the approval of one of the other
trustees, who is also the grantor of the trust res, Mr. Leavitt
disclaims the power to dispose or to direct the disposition of the
Trust Shares.
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
N/A
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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.
Date: February 17, 1997
Gary Leavitt
/s/ Gary Leavitt
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Signature
