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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Amendment No. 1
Under the Securities Exchange Act of 1934
UNIVERSAL AUTOMOTIVE INDUSTRIES, INC.
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
913 378 10 5
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(CUSIP Number)
Check the following box if a fee is being paid with this statement [ ].
(A fee is not required only if the filing 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.)
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<CAPTION>
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CUSIP No.: 913 378 105
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1) Names of Reporting Persons S.S. or I.R.S. Identification Nos. of Above Persons
Sami Israel
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2) Check the Appropriate Box if a Member of a Group
(a) Not Applicable
(b) [ ]
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3) SEC Use Only
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4) Citizenship or Place of Organization United States
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Number of 5) Sole Voting Power
Shares -------------------------------------------------------------------
Beneficially 6) Shared Voting Power 905,000
Owned -------------------------------------------------------------------
by Each 7) Sole Dispositive Power
Reporting -------------------------------------------------------------------
Person With 8) Shared Dispositive Power 905,000
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9) Aggregate Amount Beneficially Owned by Each Reporting Person 905,000
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10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares
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11) Percent of Class Represented by Amount in Row (9) 13.45%
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12) Type of Reporting Person IN
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ITEM 1(a) NAME OF ISSUER:
Universal Automotive Industries, Inc.
ITEM 1(b) NAME OF PERSON FILING:
Sami Israel
Item 2(b) Address of Principal Business Office or, if none, Residence:
3350 North Kedzie, Chicago, Illinois 60618-5722
Item 2(c) Citizenship:
United States
Item 2(d) Title of Class of Securities:
Common Stock
Item 2(e) CUSIP Number:
913 378 10 5
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b),
CHECK WHETHER THE PERSON FILING IS A:
(a) [ ] Broker or Dealer registered under Section 15 of the
Act
(b) [ ] Bank as defined in section 3(a)(6) of the Act
(c) [ ] Insurance Company as defined in section 3(a)(19) of
the Act
(d) [ ] Investment Company registered under section 8 of the
Investment Company Act
(e) [ ] Investment Adviser registered under section 203 of
the Investment Advisers Act of 1940
(f) [ ] Employee Benefit Plan, Pension Fund which is subject
to the provisions of the Employee Retirement Income
Security Act of 1974 or Endowment Fund; see Section
240.13d-1(b)(1)(ii)(F)
(g) [ ] Parent Holding Company, in accordance with Section
240.13d-1(b)(ii)(G) (Note: See Item 7)
(h) [ ] Group, in accordance with Section
240.13d-1(b)(1)(ii)(H)
ITEM 4. OWNERSHIP
(a) Amount Beneficially Owned:
905,000 shares of Common Stock
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(b) Percent of Class:
13.45%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
(ii) shared power to vote or to direct the
vote
905,000
(iii) sole power to dispose or to direct the
disposition of
(iv) shared power to dispose or to direct
the disposition of 905,000
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 [ ].
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
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 14, 1997
Signature:
/s/ Sami Israel
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Sami Israel
