|
|
|
|
|
|
|
|
|
|
Previous: AMERICAN COIN MERCHANDISING INC, SC 13G, 1997-02-07 |
Next: AMERICAN COIN MERCHANDISING INC, SC 13G, 1997-02-07 |
<PAGE> 1
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
INFORMATION STATEMENT PURSUANT TO RULES 13d-1 AND 13d-2
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
AMERICAN COIN MERCHANDISING, INC.
-----------------------------------------
(Name of Issuer)
COMMON STOCK
-----------------------------------------
(Title of Class of Securities)
02516B 10 8
-----------------------------------------
(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 6 Pages
<PAGE> 2
CUSIP NO. 13G PAGE 2 OF 6 PAGES
1 NAME OF REPORTING PERSON
S.S OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Jerome M. Lapin
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) [ ]
(b) [ ]
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
5 SOLE VOTING POWER
523,132 (Includes 161,648 Shares Issuable Upon
Exercise of Options Exercisable Within 60 Days of
December 31, 1995)
NUMBER OF 6 SHARED VOTING POWER
SHARES
BENEFICIALLY
OWNED BY 0
EACH
REPORTING 7 SOLE DISPOSITIVE POWER
PERSON
WITH 523,132 (Includes 161,648 Shares Issuable Upon
Exercise of Options Exercisable Within 60 Days of
December 31, 1995)
8 SHARED DISPOSITIVE POWER
0
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
523,132
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES *
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
9.6%
12 TYPE OF REPORTING PERSON*
IN
*SEE INSTRUCTION BEFORE FILLING OUT!
<PAGE> 3
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 10549
---------------------------------
SCHEDULE 13G UNDER THE SECURITIES
EXCHANGE ACT OF 1934
---------------------------------
Item 1. (a). Name of Issuer: American Coin Merchandising, Inc.
(b). Address of Issuer's Principal Executive Offices:
4870 Sterling Drive
Boulder, CO 80301
Item 2. (a). Name of Person Filing:
Jerome M. Lapin
(b). Address of Principal Business Office:
c/o American Coin Merchandising, Inc.
4870 Sterling Drive
Boulder, CO 80301
Page 3 of 6 Pages
<PAGE> 4
Item 2. (c). Citizenship: USA
(d). Title of Class of Securities:
Common Stock
(e). CUSIP Number:
02516B 10 8
Item 3. This statement is filed pursuant to Rule 13d-1(b), or
13d-2(b), check whether the person filing is:
Not Applicable
Item 4. Ownership.
(a). Amount Beneficially Owned 1,203,623
523,132 (Includes 161,648 Shares Issuable
Upon Exercise of Options Exercisable Within
60 Days of December 31, 1995)
(b). Percent of Class: 9.6%
(c). Number of Shares as to which such person has:
(i) sole power to vote or to direct the vote
523,132
(ii) shared power to vote or to direct the vote
0
(iii) sole power to dispose or to direct the
disposition of
523,132
(iv) shared power to dispose or to direct the
disposition of
0
Page 4 of 6 Pages
<PAGE> 5
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 Subsidiaries 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 5 of 6 Pages
|
|