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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. 6)*
SULLIVAN DENTAL PRODUCTS, INC.
(Name of Issuer)
COMMON STOCK, $.01 PAR VALUE
(Title of Class of Securities)
86530010
(CUSIP Number)
Check the following box if a fee is being paid with this 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).
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13G
CUSIP No. 86530010
1. NAME OF REPORTING PERSON: Wayne G. Holt
S.S. NO. OF ABOVE PERSON: ###-##-####
2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a)
-------
(b) X
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3. SEC USE ONLY:
4. CITIZENSHIP OR PLACE OF ORGANIZATION: U.S.A.
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH:
5. SOLE VOTING POWER: 545,000 shares
6. SHARED VOTING POWER: 60,000 shares
7. SOLE DISPOSITIVE POWER: 545,000 shares
8. SHARED DISPOSITIVE POWER: 60,000 shares
9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON:
605,000 shares
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: 6.29%
12. TYPE OF REPORTING PERSON: Individual
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ITEM 1(a) NAME OF ISSUER
Sullivan Dental Products, Inc.
ITEM 1(b) ADDRESS OF ISSUERS PRINCIPAL EXECUTIVE OFFICES
10920 West Lincoln Avenue, West Allis, Wisconsin 53227
ITEM 2(a) NAME OF PERSON FILING
Wayne G. Holt
ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE RESIDENCE
10920 West Lincoln Avenue, West Allis, Wisconsin 53227
ITEM 2(c) CITIZENSHIP
U.S.A.
ITEM 2(d) TITLE OF CLASS OF SECURITIES
Common Stock, $.01 par value
ITEM 2(e) CUSIP NUMBER
86530010
ITEM 3 TYPE OF REPORTING PERSON
NOT APPLICABLE
ITEM 4 OWNERSHIP
As of December 31, 1996, Wayne G. Holt beneficially owned 605,000
shares of the common stock of Sullivan Dental Products, Inc. which
represented 6.29% of the class of such stock. 545,000 shares of such
stock were registered in Mr. Holt's individual name. 60,000 shares
are owned by The Holt Family Foundation, Ltd., a private foundation
established by Mr. Holt and his wife, Rosemary Holt. Mr. Holt had the
sole power to vote and sole power to dispose or direct the disposition
of 545,000 shares of such stock. He shared the power to vote, dispose
or to direct the disposition of the 60,000 shares of stock held by the
Foundation.
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ITEM 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
NOT APPLICABLE
ITEM 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON
NOT APPLICABLE
ITEM 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE
SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY
NOT APPLICABLE
ITEM 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP
NOT APPLICABLE
ITEM 9 NOTICE OF DISSOLUTION OF A GROUP
NOT APPLICABLE
ITEM 10 CERTIFICATION
NOT APPLICABLE
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: January 13, 1997
/s/ WAYNE G. HOLT
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Wayne G. Holt
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