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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
MEDAMICUS, INC.
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(Name of Issuer)
COMMON STOCK
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(Title of Class of Securities)
584027106
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(CUSIP Number)
Gary S. Kohler, Vice President
Okabena Investment Services, Inc.
5140 Norwest Center
90 South Seventh Street, Minneapolis, MN 55402-4139
(612) 339-7151
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(Name, Address and Telephone Number of Person Authorized
to receive Notices and Communications)
MAY 14, 1996
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(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box [ ].
Check the following box if a fee is being paid with this statement [X ]. (A fee
is not required only if the reporting person: (1) has a previous statement on
file reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of less than five percent of such class.
See Rule 13d-7.)
Note: Six copies of this statement, including all exhibits, should be filed with
the Commission. See Rule 13d-1(a) for other parties to whom copies are to be
sent.
*The remainder of this cover page should 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
disclosures provided in a prior cover page.
The information required on 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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CUSIP No.
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(1) Names of Reporting Persons S.S. or I.R.S. Identification Nos. of
Above Persons
Okabena Partnership K
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(2) Check the Appropriate Box if a Member of a Group
(a) [ ]
(b) [ X ]
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(3) SEC Use Only
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(4) Source of Funds
WC
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(5) Check if Disclosure of Legal Proceedings is Required Pursuant to
Items 2(d) or 2(e) [ ]
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(6) Citizenship or Place of Organization
Minnesota
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Number of (7) Sole Voting Power 235,000 shares
Shares Bene- -----------------------------------------------------------------
ficially (8) Shared Voting Power -0- shares
Owned by -----------------------------------------------------------------
Each Report- (9) Sole Dispositive Power 235,000 shares
ing Person ------------------------------------------------------------------
With (10) Shared Dispositive Power -0- shares
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(11) Aggregate Amount Beneficially Owned by Each Reporting Person
235,000 shares
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(12) Check if the Aggregate Amount in Row (11) Excludes Certain Shares
[ ]
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(13) Percent of Class Represented by Amount in Row (11)
5.78%
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(14) Type of Reporting Person (See Instructions)
PN
Page 2 of 4 Pages
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ITEM 1. SECURITY AND ISSUER
The class of equity securities to which this statement relates is
the common stock, par value $ .01 per share ( the "Common Stock"), of
MedAmicus, Inc., a Minnesota corporation (the "Company"). The principal
executive offices of the Company are located at 15301 Highway 55 West, Plymouth,
Minnesota 55447.
ITEM 2. IDENTITY AND BACKGROUND
(a) - (c). This statement is being filed by Okabena Partnership
K, a Minnesota general partnership. Its principal business is investment.
Okabena Investment Services, Inc., a Minnesota corporation, is the corporate
managing partner of the Reporting Person and its principal business is to
provide investment and administrative services. Their principal offices are
located at 5140 Norwest Center, 90 South Seventh Street, Minneapolis, Minnesota
55402-4139.
(d) and (e). During the last five years, no Reporting Person and
no person listed on Schedule I has (i) been convicted in a criminal proceeding
(excluding traffic violations or similar misdemeanors) or (ii) been a party to a
civil proceeding of a judicial or administrative body of competent jurisdiction
and as a result of such proceeding was or is subject to a judgement, decree or
final order enjoining future violations of, or prohibiting or mandating
activities subject to, federal or state securities laws or finding any violation
with respect to such laws.
(f) U.S.
ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
Working capital
ITEM 4. PURPOSE OF TRANSACTION
For investment
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
(a) and (b). See Schedule 13D cover page, rows (7) through (11)
inclusive and (13).
(c). The Reporting Person acquired 235,000 shares of Common
Stock on May 13, 1996 at a price of $3.00 per share in a private
placement through Summit Investment Corporation, Mingh, MN as
agent
Page 3 of 4 Pages
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ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIP WITH
RESPECT TO THE SECURITIES OF THE ISSUER
None
ITEM 7. MATERIAL TO BE FILED AS EXHIBITS
Exhibit A -- General Partners of the Reporting Person
SIGNATURE
After reasonable inquiry and to the best of his knowledge and
belief, each of the undersigned certifies that the information set forth in this
statement is true, complete and correct.
Date: May 23, 1996 OKABENA PARTNERSHIP K by
OKABENA INVESTMENT SERVICES, INC.,
its Managing Partner
By: /s/ Gary S. Kohler
-----------------------------
Its: Vice President
Page 4 of 4 Pages
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EXHIBIT A
ITEM 2. IDENTITY AND BACKGROUND
Set forth below is a list of the partners of Okabena Partnershp K and
their respective occupations. The business address for each partner is c/o
Okabena Company, 5140 Norwest Center, 90 South Seventh Street, Minneapolis,
MN 55402-4139. The answer to Item 2(d) and (e) for each partner is
negative. Each partner who is a natural person is a United States citizen.
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NAME OF PARTNER OCCUPATION
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1. Orchard Trust U/A 5-27-70 LJD, END, RJD, N/A
JWD Trustees
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2. DCD Marital Elect. Inc. Trust N/A
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3. Edward N. Dayton Revocable Trust Private Investor
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4. Edward N. Dayton Exemption Trust N/A
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5. Sherry Ann Dayton Private Investor
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6. Christopher B. Dayton Rev. Tr. Private Investor
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7. End Trust for Christopher N/A
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8. Christopher B. Dayton Excl. Tr. N/A
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9. Martha B. Dayton Revocable Tr. N/A
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10. End Trust for Martha N/A
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11. Martha B. Dayton Exclusion Tr. N/A
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12. Michael K. Dayton Revocable Tr. Private Investor
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13. End Trust for Michael N/A
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14. Michael K. Dayton Exclusion Tr. N/A
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15. Robert J. Dayton Revocable Tr. Chief Executive Officer
(Private Investment Company)
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16. Robert J. Dayton Trust N/A
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17. Robert J. Dayton Exemption Tr. N/A
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18. Joan L. Dayton Revocable Tr. Private Investor
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NAME OF PARTNER OCCUPATION
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19. James G. Dayton Architect
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20. RJD Trust for James N/A
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21. James G. Dayton Exclusion Tr. N/A
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22. Tobin J. Dayton Environmentalist
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23. RJD Trust for Tobin N/A
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24. TJD Exclusion Trust N/A
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25. Mae F. Dayton Research Development
Director
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26. Scott N. Dayton Retailer
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27. RJD Trust for Scott N/A
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28. Scott N. Dayton Exclusion Tr. N/A
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29. John W. Dayton Exemption Trust N/A
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30. Chadwick L. Dayton Student
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31. Chadwick L. Dayton Trust N/A
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32. Chadwick L. Dayton Exclus. Tr. N/A
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33. Whitney L. Dayton Student
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34. Whitney Loher Dayton Trust N/A
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35. Whitney L. Dayton Exclusion Tr. N/A
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36. Virginia Y. Dayton Revoc. Tr. Private Investor
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37. Virginia Y. Dayton Term. Trust N/A
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38. Mark B. Dayton State Auditor
State of Minnesota
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39. Brandt N. Dayton President, Brandt N. Dayton
& Co. (Art Dealer)
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40. BND 1978 Family Trust N/A
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41. BBD 1966 Trust for BND N/A
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42. Christian B. Dayton Therapist
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2
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NAME OF PARTNER OCCUPATION
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43. Marina B. Dayton Minor
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44. Marina Bliss Dayton Trust N/A
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45. Alexander B. Dayton Minor
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46. Alexander B. Dayton Trust N/A
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47. Lucy B. Dayton Veterinarian
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48. LBD 1985 Family Trust N/A
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49. BBD 1966 Trust for LBD N/A
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50. Lucy B. Dayton 1990 Term Trust N/A
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51. Margaret Bliss O'Keefe Minor
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52. Margaret Bliss O'Keefe Trust N/A
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53. Angus Dayton O'Keefe Trust N/A
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54. Catherine Greer O'Keefe Trust N/A
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55. Anne D. Buxton Artist
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56. BBD Trust for ADB N/A
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57. ADB & RMB Term Trust N/A
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58. Nicholas Sherman Buxton Trust N/A
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59. Henry M. Buxton Irrev. Trust N/A
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60. Wallace C. Dayton Revocable Tr. Private Investor
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61. WCD 1978 Grandchildren's Trust N/A
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62. Mary Lee Dayton Revocable Tr. Private Investor
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63. Sally D. Clement Revocable Tr. Therapist
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64. 1983 SDC Children's Trust N/A
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65. SDC-SMC 1985 Char. Term Trust N/A
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66. Stephen M. Clement III Educator
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67. Theodore D. Clement Minor
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3
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NAME OF PARTNER OCCUPATION
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68. Theodore D. Clement Trust N/A
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69. Theodore D. Clement Exclus. Tr. N/A
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70. Winston W. Clement Minor
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71. Winston W. Clement Trust N/A
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72. Winston W. Clement Exclus. Tr. N/A
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73. Ellen D. Sturgis Revocable Tr. Private Investor
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74. EDS 1978 Family Trust N/A
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75. Ellen 1985 Char. Term Trust N/A
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76. Sheldon S. Sturgis Revoc. Tr. President, ESCO Industries
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77. Matthew D. Sturgis Minor
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78. Matthew D. Sturgis Trust N/A
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79. Matthew D. Sturgis Exclus. Tr. N/A
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80. Katherine L. Sturgis Private Investor
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81. Katherine L. Sturgis Trust N/A
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82. Katherine L. Sturgis Excl. Tr. N/A
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83. Rosamond G. Sturgis Minor
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84. Rosamond G. Sturgis Trust N/A
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85. Rosamond G. Sturgis Excl. Tr. N/A
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86. Katherine D. Nielsen Revoc. Tr. Private Investor
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87. KDN 1980 Family Trust N/A
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88. Katherine 1984 Char. Term Trust N/A
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89. Stuart A. Nielsen Artist
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90. Samuel D. Richardson Minor
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91. Samuel D. Richardson Trust N/A
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92. Samuel D. Richardson Excl. Tr. N/A
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4
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NAME OF PARTNER OCCUPATION
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93. Olivia Maren Nielsen Minor
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94. Olivia M. Nielsen Irrev. Trust N/A
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95. Elizabeth D. Dovydenas Private Investor
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96. EDD 1980 Family Trust N/A
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97. John D. Dovydenas Minor
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98. John D. Dovydenas Exclusion Tr. N/A
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99. Elena L. Dovydenas Minor
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100. Elena L. Dovydenas Exclus. Tr. N/A
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101. K.N. Dayton Recovable Trust Private Investor
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102. 1983 Oakleaf Trust U/A 11-1-83 N/A
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103. Julia W. Dayton Revocable Tr. Private Investor
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104. C.J. Winton Trust U/A 8-1-35 N/A
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105. Judson M. Dayton Revocable Tr. Private Investor
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106. JMD 1985 Family Trust N/A
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107. KND 1966 Trust for C&D N/A
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108. JMD 1985 Charitable Term Trust N/A
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109. EJD 1988 Term Trust N/A
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110. Caroline Avery Dayton Minor
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111. Caroline Avery Dayton Trust N/A
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112. Caroline A. Dayton Exclus. Tr. N/A
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113. Davis Winton Dayton Trust N/A
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114. Davis W. Dayton Exclusion Tr. N/A
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115. Duncan N. Dayton Revocable Tr. Real Estate Developer
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116. DND 1990 Family Trust N/A
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117. KND 1966 Trust for DND N/A
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5
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NAME OF PARTNER OCCUPATION
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118. Duncan N. Dayton Term Trust N/A
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119. Katharine L. Kelly Revoc. Tr. Private Investor
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120. Douglas J. Dayton Revocable Trust President, Dade, Inc.
(Medical Technology)
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121. David D. Dayton Revocable Tr. Engineer, MTS Systems
(Engineering Firm)
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122. Newton Family Trust N/A
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123. Newton Term Trust N/A
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124. Vanessa D. Dayton Revocable Trust Pathologist
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125. Isaac N. Dayton Irrev. Trust N/A
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126. Caleb F. Dayton Irrev. Trust N/A
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127. Steven J. Melander-Dayton Rev. Private Investor
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128. SJMD 1985 Family Trust N/A
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129. SJMD 1985 Char. Term Trust N/A
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130. A.M. Melander-Dayton Trust N/A
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131. D.J. Melander-Dayton Trust N/A
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132. Jaclyn Melander Irrev. Trust N/A
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133. Allison Melander Irrev. Trust N/A
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134. Bruce C. Dayton Revocable Tr. Chef
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135. Pamela W. Ritz Private Investor
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136. Margot S. Ritz Irrev. Trust N/A
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137. Charlotte A. Ritz Irrev. Trust N/A
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138. Nicholas J. Braun Irrev. Trust N/A
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139. Christopher D. Braun Ir. Trust N/A
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140. Deeann L. Thompson Specialty Retailer
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141. Bruce C. Lueck President and Sole Director
Okabena Investment
Services, Inc.
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6
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NAME OF PARTNER OCCUPATION
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142. Bruce C. Lueck - Service Ptnr. President and Sole
Director
Okabena Investment
Services, Inc.
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143. Gary S. Kohler Vice-President
Okabena Investment
Services, Inc.
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144. Gary S. Kohler - Service Partner Vice-President
Okabena Investment
Services, Inc.
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145. GND 1936 Trust for DCD N/A
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146. DCD Trust Under Will N/A
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147. DCD 1966 Charitable Trust N/A
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148. DCD 1967 Charitable Trust N/A
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149. Edward N. Dayton Term Trust N/A
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150. Robert J. Dayton Term Trust N/A
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151. John W. Dayton Term Trust N/A
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152. GBD Trust for BBD N/A
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153. GND 1936 Trust for WCD N/A
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154. GND 1950 Trust for WCD N/A
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155. GBD Trust for WCD N/A
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156. SDC 1986 Term Trust N/A
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157. SDC 1988 Term Trust N/A
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158. John D. Dovydenas Trust N/A
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159. Liudas Dovydenas Tr. for John N/A
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160. Elena L. Dovydenas Trust N/A
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161. Liudas Dovydenas Tr. for Elena N/A
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162. GND 1936 Trust for KND N/A
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163. GND 1950 Trust for KND N/A
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164. GBD Trust for KND N/A
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165. GND 1936 Trust for DJD N/A
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7
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NAME OF PARTNER OCCUPATION
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166. GND 1950 Trust for DJD N/A
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167. GBD Trust for DJD N/A
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168. DJD '68 Char. Trust for I&C N/A
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169. DJD '69 Char. Trust for I&C N/A
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170. DJD '68 Trust for A&D N/A
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171. DJD '69 Char. Trust for A&D N/A
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172. DJD '68 Char. Trust for BDC N/A
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173. DJD '69 Char. Trust for BCD N/A
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174. Okabena Investment Services, Inc. N/A
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8
