SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 16)*
Shopsmith, Inc.
(Name of Issuer)
Common Shares, No Par Value
(Title of Class of Securities)
825098 10 6
(CUSIP Number)
*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).
(Continued on following page(s))
Page 1 of 5 Pages
<PAGE>
CUSIP NO. 825098 10 6 13G Page 2 of 5 Pages
1 NAME OF REPORTING PERSON John R. Folkerth
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
S.S. # ###-##-####
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a)
(b)
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
336,267.4
6 SHARED VOTING POWER
228,507
7 SOLE DISPOSITIVE POWER
336,267.4
8 SHARED DISPOSITIVE POWER
228,507
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
564,774.4
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
20.8%
12 TYPE OF REPORTING PERSON*
IN
*SEE INSTRUCTION BEFORE FILLING OUT!
<PAGE>
CUSIP No. 825098 10 6 Page 3 of 5 Pages
Item 1.
(a) Name of Issuer:
Shopsmith, Inc.
(b) Address of Issuer's Principal Executive Offices:
6530 Poe Avenue
Dayton, Ohio 45414
Item 2.
(a) Name of Person Filing:
John R. Folkerth
(b) Address of Principal Business Office:
6530 Poe Avenue
Dayton, Ohio 45414
(c) Citizenship:
United States of America
(d) Title of Class of Securities:
Common Shares, without par value
(e) CUSIP Number:
825098 10 6
Item 3. Rules 13d-1(b) or 13d-2(b) Statement.
Not applicable.
Item 4. Ownership.
Except as otherwise indicated, the following information concerning
ownership of Common Shares is given as of December 31, 1996:
<PAGE>
CUSIP No. 825098 10 6 Page 4 of 5 Pages
(a) Amount Beneficially Owned:
268,712.0 shares directly owned
54,166.0 shares covered by options exercisable within 60 days
228,507.0 shares owned indirectly (by spouse)
13,389.4 shares owned indirectly (401(k) Plan - as of 9/30/96)
564,774.4 Total
(b) Percent of Class: 20.8%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote:
336,267.4 Common Shares
(ii) shared power to vote or to direct the vote:
228,507 Common Shares
(iii) sole power to dispose or to direct the disposition of:
336,267.4 Common Shares
(iv) shared power to dispose or to direct the disposition of:
228,507 Common Shares
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.
<PAGE>
CUSIP No. 825098 10 6 Page 5 of 5 Pages
Item 9. Notice of Dissolution of 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: February 11, 1997
/s/ John R. Folkerth
JOHN R. FOLKERTH
SHOPSMITH/PMR1351.KSR
