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OMB Number: 3235-0145
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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. 5 )*
Allou Health & Beauty Care, Inc.
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(Name of Issuer)
Class A Common Stock, par value $.001 per share
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(Title of Class of Securities)
019782 10 1
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(CUSIP Number)
Check the following box if a fee is being paid with the statement [_]A fee is
not required only if the filing 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 five percent or less of such class.)
(See Rule 13d-7).
*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).
SEC 1745 (2-95)
Page 1 of 4 pages
<PAGE>
13G
- ------------------------- -----------------
CUSIP No. 019782 10 1 Page 2 of 4 Pages
- ------------------------- -----------------
================================================================================
1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Herman Jacobs
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [_]
(b) [_]
N/A
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
478,750
--------------------------------------------------
6 SHARED VOTING POWER
NUMBER OF
SHARES -0-
BENEFICIALLY
OWNED BY --------------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING
PERSON 478,750
WITH
--------------------------------------------------
8 SHARED DISPOSITIVE POWER
-0-
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
478,750
- --------------------------------------------------------------------------------
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
8.10%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
SEC 1745 (2-95)
Page 2 of 4 pages
<PAGE>
13G
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CUSIP No. 019782 10 1 Page 3 of 4 Pages
- ------------------------- -----------------
Except as to Item 4, no change has occurred with respect to the
answer to any items of this Schedule from the information last reported in
respect of such item.
ITEM 4. OWNERSHIP. As of December 31, 1996:
(a) Amount beneficially owned: 478,750 shares. Includes 293,750
shares of Class B Common Stock, par value $.001 per share (the
"Class B Common Stock"), held by Mr. Jacobs; 100,000 shares of
Class B Common Stock issuable upon exercise of stock options
held by Mr. Jacobs and exercisable at $6.33 per share, such
Class B Common Stock is convertible at any time into Class A
Common Stock on a share for share basis; and 16,000 shares of
Class B Common Stock issuable upon exercise of stock options
held by Mr. Jacobs and exercisable at $7.70 per share. Does
not include 100,000 shares of Class B Common Stock issuable
upon exercise of stock options held by Mr. Jacobs and
exercisable at $5.80 per share at the earlier of August 1,
2002 and such date the issuer reports earnings before interest
and taxes for a fiscal year that are at least 115% of the
earnings before interest and taxes reported for the fiscal
year ended March 31, 1995. Also includes 25,000 shares of
Class A Common Stock held by Mr. Jacobs; 34,000 shares of
Class A Common Stock issuable upon exercise of stock options
held by Mr. Jacobs and exercisable at $7.70 per share; and
10,000 shares of Class A Common Stock issuable upon exercise
of stock options held by Mr. Jacobs and exercisable at $6.60
per share. Each share of Class B Common Stock has five votes
per share; each share of Class A Common Stock has one vote per
share.
(b) Percent of Class: 8.10%
(c) Number of shares as to which such person has:
(i) sole power to vote or direct the vote: 478,750
(ii) shared power to vote or direct the vote: None
(iii) sole power to dispose or direct the disposition of:
478,750
(iv) shared power to dispose or direct the disposition of:
None
SEC 1745 (2-95)
Page 3 of 4 pages
<PAGE>
13G
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CUSIP No. 019782 10 1 Page 4 of 4 Pages
- ------------------------- -----------------
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 12, 1997
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Date
/s/ Herman Jacobs
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Signature
Herman Jacobs
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Name
SEC 1745 (2-95)
Page 4 of 4 pages
