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OMB APPROVAL
OMB Number: 3235-0145
UNITED STATES Expires: August 31, 1999
SECURITIES AND EXCHANGE COMMISSION Estimated average burden
Washington, D.C. 20549 hours per form .......14.90
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SCHEDULE 13G
INFORMATION TO BE INCLUDED IN STATEMENTS FILED
PURSUANT TO RULES 13d-1(b), AND (d) AND AMENDMENTS
THERETO FILED PURSUANT TO RULE 13d-2(b)
(Rule 13d-102)
(Amendment No. )
Vermont Pure Holdings, Ltd.
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(Name of Issuer)
Common Stock, $.001 par value
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(Title Class of Securities)
924234107
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(CUSIP Number)
December 31, 1999
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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:
|X| Rule 13d-1(b)
|_| Rule 13d-1(c)
|_| Rule 13d-1(d)
Page 1 of 4 pages
12603.1
<PAGE>
SCHEDULE 13G
CUSIP No. 924234107 Page 2 of 4 Pages
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1 NAME OF REPORTING PERSONS
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (entities only)
M.. Delores Paoli
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(See Instructions)* (a)|_|
(b)|_|
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3 SEC USE ONLY
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4 SOURCE OF FUNDS*(See Instructions)
PF- Personal Funds
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5 CHECK BOX 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 Citizen
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7 SOLE VOTING POWER
481,850
NUMBER OF ----------------------------------------------------
SHARES 8 SHARED VOTING POWER
BENEFICIALLY
OWNED BY ----------------------------------------------------
EACH 9 SOLE DISPOSITIVE POWER
REPORTING
PERSON 481,850
WITH ----------------------------------------------------
10 SHARED DISPOSITIVE POWER
481,850
11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
481,850
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12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES*
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13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
4.7%
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14 TYPE OF REPORTING PERSON*
IN
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*SEE INSTRUCTIONS BEFORE FILLING OUT!
INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
(INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.
Page 2 of 4 pages
<PAGE>
Item 1.
(a) Name of Issuer: Vermont Pure Holdings, Ltd.
(b) Address of Issuer's Principal Executive Offices:
Route 66
Catamount Industrial Park
Randolph, VT 05060
Item 2.
(a) Name of Person Filing: M. Delores Paoli
(b) Address of Principal Business Office:
c/o Condor Ventures, Inc.
1177 Summer Street
Stamford, CT 06905
(c) Citizenship: United States Citizen
(d) Title of Class of Securities: Common Stock, $.001 par value
(e) CUSIP Number: 924234107
Item 3. If this statement is filed pursuant to Rule 13d-1(b), or 13d-2(b) or
(c), check whether the person filing is a:
(a) |_| Broker or 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 in accordance with Rule 13d-1(b)(1)(ii)(E)
(f) |_| An employee benefit plan 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)(1)(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
(j) |_| Group, in accordance with Rule 13d-1(b)(1)(ii)(J)
Item 4. Ownership
Provide the following information regarding the aggregate number and
percentage of the class of securities of the issuer identified in Item 1.
(a) Amount Beneficially Owned: M. Delores Paoli beneficially owns an
aggregate of 481,850 shares of Common Stock of Vermont Pure
Holdings, Ltd.
(b) Percent of Class: 4.7%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct vote: 481,850
(ii) shared power to vote or to direct vote:
(iii) sole power to dispose or to direct the disposition
of: 481,850
(iv) shared power to dispose or to direct the disposition
of:
Item 5. Ownership of Five Percent or Less of a Class
This statement is being filed to report the fact that as of the date of
the event reported upon, the reporting person has ceased to be the beneficial
owner of more than five percent of the Common Stock of Vermont Pure Holdings,
Ltd.
Page 3 of 4 pages
<PAGE>
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
By signing below I certify that, to the best of my knowledge and
belief, the securities referred to above were acquired in the ordinary course of
business and were not acquired for the purpose of and do not have the effect of
changing or influencing the control of the issuer of such securities and were
not acquired in connection with or as a participant in any transaction having
that purpose or effect.
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 6, 2000
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Date
/s/ M. Delores Paoli
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Signature
Page 4 of 4 pages
