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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
SCHEDULE 13D
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. )*
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Northstar Computer Forms, Inc.
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(Name of Issuer)
Common Stock, par value $.05 per share
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(Title of Class of Securities)
667031
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(CUSIP Number)
Mary Ann Morin
Northstar Computer Forms, Inc.
7130 Northland Circle North
Brooklyn Park, MN 55428
(612) 531-7340
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(Name, Address and Telephone Number of Persons Authorized
to Receive Notices and Communications)
December 20, 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 / /.
* 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 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).
Check the following box if a fee is being paid with this statement / /.
(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 five percent or less 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.
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CUSIP No. 667031
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(1) Names of Reporting Persons. S.S. or E. Burke Hinds, Trustee
I.R.S. Identification Nos. of Above Persons (see Item 2. for list
of trusts)
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(2) Check the Appropriate Box if a Member (a) / /
of a Group (See Instructions) (b) / /
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(3) SEC Use Only
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(4) Source of Funds (See Instructions) OO
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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 United States
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Number of Shares (7) Sole Voting
Beneficially Owned Power 320,057
by Each Reporting --------------------------------------------------
Person With (8) Shared Voting
Power 0
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(9) Sole Dispositive
Power 320,057
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(10) Shared Dispositive
Power 0
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(11) Aggregate Amount Beneficially Owned
by Each Reporting Person 320,057
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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 (9) 18.6%
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(14) Type of Reporting Person
IN
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ITEM 1. SECURITY AND ISSUER
Class of stock: Common Stock, par value $.05 per share
Name and address of issuer: Northstar Computer Forms, Inc.
7130 Northland Circle North
Brooklyn Park, MN 55428
ITEM 2. IDENTITY AND BACKGROUND
E. Burke Hinds is sole trustee of the following trusts:
1. Roger T. Bredesen Income A Trust dated June 29, 1990 (Tax ID 41-6328478)
2. E. Fay Bredesen 1996 Annuity Trust U/A dated December 20, 1996 (Tax ID
###-##-####)
3. Roger T. Bredesen 1996 Annuity Trust U/A dated December 20, 1996 (Tax ID
###-##-####)
E. Burke Hinds' business address is 100 S. 5th Street, Suite 1100,
Minneapolis, Minnesota, 55402. He is an attorney.
E. Burke Hinds has not been convicted in a criminal proceeding (excluding
traffic violations and similar misdemeanors) in the last five years.
E. Burke Hinds has not been a party to a civil proceeding for which he
was subject to a judgment, decree or final order enjoining future violations
of, or prohibiting of mandating activities subject to, federal or state
securities laws of finding any violation with respect to such laws in the
past five years.
E. Burke Hinds is a natural person and a citizen of the United States.
ITEM 3. SOURCE AND AMOUNT OF FUNDS OR OTHER CONSIDERATION
N/A
ITEM 4. PURPOSE OF TRANSACTION
This Schedule 13D is being filed as a result of the Reporting Person
having become the trustee of two newly created trusts, the E. Fay Bredesen
1996 Annuity Trust dated December 20, 1996 and the Roger T. Bredesen 1996
Annuity Trust dated December 20, 1996, as well as continuing to serve as
trustee of the Roger T. Bredesen Income A Trust dated June 29, 1990, for
which a Schedule 13G was filed on February 12, 1992.
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The Reporting Person has no plans or proposals regarding the issuer.
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
E. Burke Hinds, as trustee, is the beneficial owner of an aggregate of
320,057 shares of common stock of the issuer (the "Shares"). This represents
18.6% of the issuer's outstanding shares of common stock. Of the Shares,
35,000 Shares, representing 2.0% of the outstanding shares of common stock of
the issuer, are held in the Roger T. Bredesen 1996 Annuity Trust dated
December 20, 1996, 143,200 Shares, representing 8.3% of the outstanding
common stock of the issuer, are held in the Roger T. Bredesen Income A Trust
dated June 29, 1990, and 158,237 Shares, representing 8.3% of the outstanding
common stock of this issuer, are held in the E. Fay Bredesen Annuity Trust
dated December 20, 1996.
E. Burke Hinds has sole power to dispose of and vote 320,057 shares of
common stock.
Except as set forth in Item 4 above, no transactions in shares of common
stock have been effectuated in the past 60 days.
E. Burke Hinds beneficially owns more than 5% of the common stock on behalf
of the following income beneficiaries:
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NAME OF TRUST PERCENT OF SHARES ON BEHALF OF INCOME
BENEFICIALLY OWNED BENEFICIARY
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Roger T. Bredesen Income A
Trust dated June 29, 1990 8.3% Roger T. Bredesen
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E. Fay Bredesen 1996 Annuity
Trust dated December 20, 1996 8.3% E. Fay Bredesen
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ITEM 6. CONTRACTS, ARRANGEMENTS, UNDERSTANDINGS OR RELATIONSHIPS WITH
RESPECT TO SECURITIES OF THE ISSUER
N/A
ITEM 7. MATERIAL TO BE FILED AS EXHIBITS
None.
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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.
February 12, 1997
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Date
By: /s/ E. Burke Hinds
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E. Burke Hinds, Trustee
