SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Schedule 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b) (c),
AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO 13d-2 (b)
(Amendment No. 2)*
Fusion Medical Technologies, Inc.
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
0003611281
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(CUSIP Number)
December 31, 1998
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-(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
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).
(Continued on following pages)
Page 1 of 9 Pages
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CUSIP NO. 0003611281 13 G Page 2 of 9 Pages
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1 NAME OF REPORTING PERSONS
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
Mohr, Davidow Ventures III, A California Limited Partnership ("MDV III")
Tax ID Number: 94-3150283
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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 CITIZENSHIP OR PLACE OF ORGANIZATION
California
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NUMBER OF SHARES 5 SOLE VOTING POWER
BENEFICIALLY OWNED BY EACH 0 shares.
REPORTING -------- ------------------------------------------------------------------------
PERSON WITH 6 SHARED VOTING POWER
0 shares.
-------- ------------------------------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares.
-------- ------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0 shares.
- ------------------------------------ -------- ------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 0
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES* [ ]
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0%
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12 TYPE OF REPORTING PERSON*
PN
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<FN>
* SEE INSTRUCTIONS BEFORE FILLING OUT!
</FN>
</TABLE>
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<TABLE>
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CUSIP NO. 0003611281 13 G Page 3 of 9 Pages
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1 NAME OF REPORTING PERSONS
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
WLPJ Partners, A Califonia Limited Partnership ("WLPJ")
Tax ID Number: 94-3150282
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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 CITIZENSHIP OR PLACE OF ORGANIZATION
California
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NUMBER OF SHARES 5 SOLE VOTING POWER
BENEFICIALLY OWNED BY EACH 0 shares.
REPORTING -------- ------------------------------------------------------------------------
PERSON WITH 6 SHARED VOTING POWER
0 shares.
-------- ------------------------------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares.
-------- ------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0 shares.
- ------------------------------------ -------- ------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 0
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES* [ ]
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0%
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12 TYPE OF REPORTING PERSON*
PN
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<FN>
* SEE INSTRUCTIONS BEFORE FILLING OUT!
</FN>
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<TABLE>
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CUSIP NO. 0003611281 13 G Page 4 of 9 Pages
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1 NAME OF REPORTING PERSONS
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
Lawrence G. Mohr, Jr. ("Mohr")
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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 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
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NUMBER OF SHARES 5 SOLE VOTING POWER
BENEFICIALLY OWNED BY EACH 24,685 shares, of which 10,000 shares are owned directly and 14,685
REPORTING shares are issuable upon the exercise of stock options.
PERSON WITH
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6 SHARED VOTING POWER
12,500 shares are held by Lawrence G. Mohr, Jr. and Nancy H. Mohr,
Trustees of the Mohr Family Trust U/D/T Dated August 5, 1985.
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7 SOLE DISPOSITIVE POWER
24,685 shares, of which 10,000 shares are owned directly and
14,685 shares are issuable upon the exercise of stock options.
-------- ------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
12,500 shares are held by Lawrence G. Mohr, Jr. and Nancy H. Mohr,
Trustees of the Mohr Family Trust U/D/T Dated August 5, 1985.
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 37,185
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES* [ ]
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
.5%
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12 TYPE OF REPORTING PERSON*
IN
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<FN>
* SEE INSTRUCTIONS BEFORE FILLING OUT!
</FN>
</TABLE>
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<TABLE>
<CAPTION>
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CUSIP NO. 0003611281 13 G Page 5 of 9 Pages
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1 NAME OF REPORTING PERSONS
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
William H. Davidow ("Davidow")
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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 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
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NUMBER OF SHARES 5 SOLE VOTING POWER
BENEFICIALLY OWNED BY EACH 0 shares.
REPORTING -------- ------------------------------------------------------------------------
PERSON WITH 6 SHARED VOTING POWER
0 shares.
-------- ------------------------------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares.
-------- ------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0 shares.
- ------------------------------------ -------- ------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 0
- ------------ ---------------------------------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES* [ ]
- ------------ ---------------------------------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0%
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12 TYPE OF REPORTING PERSON*
IN
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<FN>
* SEE INSTRUCTIONS BEFORE FILLING OUT!
</FN>
</TABLE>
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<TABLE>
<CAPTION>
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CUSIP NO. 0003611281 13 G Page 6 of 9 Pages
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1 NAME OF REPORTING PERSONS
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
Jonathan D. Feiber ("Feiber")
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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 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
- ------------------------------------ -------- ------------------------------------------------------------------------
NUMBER OF SHARES 5 SOLE VOTING POWER
BENEFICIALLY OWNED BY EACH 0 shares.
REPORTING -------- ------------------------------------------------------------------------
PERSON WITH 6 SHARED VOTING POWER
0 shares.
-------- ------------------------------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares.
-------- ------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0 shares.
- ------------------------------------ -------- ------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 0
- ------------ ---------------------------------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES* [ ]
- ------------ ---------------------------------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0%
- ------------ ---------------------------------------------------------------------------------------------------------
12 TYPE OF REPORTING PERSON*
IN
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<FN>
* SEE INSTRUCTIONS BEFORE FILLING OUT!
</FN>
</TABLE>
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<TABLE>
<CAPTION>
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CUSIP NO. 0003611281 13 G Page 7 of 9 Pages
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1 NAME OF REPORTING PERSONS
SS OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS
Nancy J. Schoendorf ("Schoendorf")
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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 CITIZENSHIP OR PLACE OF ORGANIZATION
U.S. Citizen
- ------------------------------------ -------- ------------------------------------------------------------------------
NUMBER OF SHARES 5 SOLE VOTING POWER
BENEFICIALLY OWNED BY EACH 0 shares.
REPORTING -------- ------------------------------------------------------------------------
PERSON WITH 6 SHARED VOTING POWER
0 shares.
-------- ------------------------------------------------------------------------
7 SOLE DISPOSITIVE POWER
0 shares.
-------- ------------------------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0 shares.
- ------------------------------------ -------- ------------------------------------------------------------------------
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON 0
- ------------ ---------------------------------------------------------------------------------------------------------
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9)
EXCLUDES CERTAIN SHARES* [ ]
- ------------ ---------------------------------------------------------------------------------------------------------
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
0%
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12 TYPE OF REPORTING PERSON*
IN
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<FN>
* SEE INSTRUCTIONS BEFORE FILLING OUT!
</FN>
</TABLE>
<PAGE>
Page 8 of 9 Pages
This statement amends the Statement on Schedule 13(G) (the
"Original Statement") filed by Mohr, Davidow Ventures III, A
California Limited Partnership ("MDV III"), WLPJ Partners, A
California Limited Partnership ("WLPJ"), Lawrence G. Mohr, Jr.
("Mohr"), William H. Davidow ("Davidow"), Jonathan D. Feiber
("Feiber"), and Nancy J. Schoendorf ("Schoendorf"). The
foregoing entities and individuals are collectively referred
to as the "Reporting Persons." Only those Items as to which
there has been a change of information are included in this
Amendment.
ITEM 4. OWNERSHIP:
The following information with respect to the ownership of
Common Stock of the issuer by the persons filing this
Statement is provided as of December 31, 1998:
(a) Amount beneficially owned:
See Row 9 of cover page for each Reporting Person.
(b) Percent of Class:
See Row 11 of cover page for each Reporting Person.
(c) Number of shares as to which such person has:
(i) Sole power to vote or to direct the vote:
See Row 5 of cover page for each Reporting
Person.
(ii) Shared power to vote or to direct the vote:
See Row 6 of cover page for each Reporting
Person.
(iii) Sole power to dispose or to direct the
disposition of:
See Row 7 of cover page for each Reporting
Person.
(iv) Shared power to dispose or to direct the
disposition of:
See Row 8 of cover page for each Reporting
Person.
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Page 9 of 9 Pages
ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS:
If this statement is being filed to report the fact that as of
the date hereof, the reporting person has ceased to be the
beneficial owner of more than five percent of the class of
securities, check the following: [X]
SIGNATURES
After reasonable inquiry and to the best of our knowledge and
belief, we certify that the information set forth in this statement is true,
complete and correct.
Dated: February 11, 1999
/s/ Lawrence G. Mohr, Jr.
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Lawrence G. Mohr, Jr., individually and on behalf
of MDV III in his capacity as a general
partner of WLPJ, the general partner of MDV
III, and on behalf of WLPJ in his capacity
as a general partner thereof.
/s/ William H. Davidow
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William H. Davidow
/s/ Jonathan D. Feiber
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Jonathan D. Feiber
/s/ Nancy J. Schoendorf
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Nancy J. Schoendorf
