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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)*
Percon Incorporated
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock
- --------------------------------------------------------------------------------
(Title of Class of Securities)
71361E1
--------------------------
(CUSIP Number)
(01/18/00)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[x] Rule 13d-1(d)
*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).
Page 1 of 5 pages
<PAGE>
13G
CUSIP No. 71361E1 Page 2 of 9
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)
Michael P. Coughlin
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [X]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
NUMBER 0
OF --------------------------------------------------------
SHARES 6 SHARED VOTING POWER
BENEFICIALLY
OWNED 0
BY --------------------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING
PERSON 0
WITH: --------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
[ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
Page 2 of 9
<PAGE>
13G
CUSIP No. 71361E1 Page 3 of 9
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)
Katherine Coughlin
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [X]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
NUMBER
OF --------------------------------------------------------
SHARES 6 SHARED VOTING POWER
BENEFICIALLY
OWNED 0
BY --------------------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING
PERSON
WITH: --------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
[ ]
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
Page 3 of 9
<PAGE>
13G
CUSIP No. 71361E1 Page 4 of 9
- --------------------------------------------------------------------------------
1 NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY0
The Coughlin Family Limited Partnership
I.R.S. IDENTIFICATION NO. 93-1202090
- --------------------------------------------------------------------------------
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [X]
(b) [ ]
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
- --------------------------------------------------------------------------------
5 SOLE VOTING POWER
NUMBER
OF --------------------------------------------------------
SHARES 6 SHARED VOTING POWER
BENEFICIALLY
OWNED 0
BY --------------------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING
PERSON
WITH: --------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0
- --------------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
0
- --------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
- --------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
0%
- --------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
PN
- --------------------------------------------------------------------------------
Page 4 of 9
<PAGE>
Item 1. Issuer
(a) The name of the Issuer is Percon Incorporated.
(b) The Issuer's executive offices are located at 1800 Millrace
Drive, Eugene, OR 97403.
Item 2. Reporting Person and Security
(a) This Statement is filed by Mr. Michael P. Coughlin, an
individual, Mrs. Katherine Coughlin, an individual, and The
Coughlin Family Limited Partnership, a partnership ("CFLP").
(b) Mr. Coughlin's business address is 1800 Millrace Drive,
Eugene, OR 97403. Mrs. Coughlin's business address is 1800
Millrace Drive, Eugene, OR 97403. CFLP's business address is
1800 Millrace Drive, Eugene, OR 97403.
(c) Mr. Coughlin and Mrs. Coughlin are citizens of the United
States of America. CFLP is organized in the United States of
America.
(d) This Statement relates to shares of Common Stock of Percon
Incorporated.
(e) The CUSIP number assigned to the Common Stock of the Issuer is
71361E1.
Item 3. Filings Pursuant to Rule 13d-1(b) or 13d-2(b) or (c), check
whether the person filing is a:
(a) / / Broker of dealer registered under Section 15 of the
Exchange Act;
(b) / / Bank as defined in section 3(a)(6) of the Exchange Act;
(c) / / Insurance company as defined in section 3(a)(19) of the
Exchange Act;
(d) / / Investment company registered under section 8 of the
Investment Company Act;
(e) / / An investment adviser in accordance with Rule
13d-1(b)(1)(ii)(E);
(f) / / An employee benefit plan or endowment fund in accordance
with Rule 13d- 1(b)(1)(ii)(F);
(g) / / A parent holding company or control person, in accordance
with Rule 13d-1(b)(ii)(G);
(h) / / A savings association, as defined in Section 3(b) of the
Federal Deposit Insurance Act;
(i) / / A church plan that is excluded from the definition of an
investment company under section 3(c)(14) of the Investment
Company Act of 1940;
(j) / / Group, in accordance with Rule 13d-1(b)(1)(ii)(J).
If this statement is filed pursuant to Rule 13d-1(c), check this
box / /
Page 5 of 9 pages
<PAGE>
Item 4. Ownership
Not applicable.
Item 5. Ownership of Five Percent or Less of a Class
This statement is being filed to report that, as of the date
listed on the cover page to this filing, Michael P. Coughlin,
Katherine Coughlin, and the Coughlin Family Limited
Partnership have ceased to be the beneficial owner of more
than 5% of the Issuer's Common Stock.
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 Group
Not applicable.
Item 10. Certification
Not applicable.
Page 6 of 9 pages
<PAGE>
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.
March 27, 2000
----------------------------------------
Date
MICHAEL P. COUGHLIN
----------------------------------------
Michael P. Coughlin
Page 7 of 9 pages
<PAGE>
EXHIBIT INDEX
EXHIBIT DESCRIPTION PAGE
- ------- ----------- ----
A Joint Filing Agreement between Michael P. Coughlin, 9
Katherine Coughlin and The Coughlin Family Limited
Partnership
Page 8 of 9 pages
<PAGE>
SECTION 13 JOINT FILING AGREEMENT
Each of the undersigned is a person that may be required, from time to
time, to file statements pursuant to Section 13(d) or 13(g) of the Securities
Exchange Act of 1934 (the "Exchange Act") with the Securities and Exchange
Commission ("SEC"). Each of the undersigned may be eligible, from time to time,
to file such statements jointly with one or more of the other undersigned
persons pursuant to Rule 13d-1(f) under the Exchange Act. Each of the
undersigned agrees that any such statement filed with the SEC that is executed
by the undersigned or by an officer of the undersigned shall be deemed to be
filed on behalf of the undersigned.
Dated February 13, 1998.
THE COUGHLIN FAMILY
LIMITED PARTNERSHIP
By MICHAEL P. COUGHLIN
----------------------------------------
Michael P. Coughlin, General Partner
MICHAEL P. COUGHLIN
----------------------------------------
Michael P. Coughlin, Individually
KATHERINE COUGHLIN
----------------------------------------
Katherine Coughlin, Individually
Page 9 of 9 pages
