-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Oh+3JUbVcZ5HEIU1nIXDPFkOjVDAQXw3X6xEpSWYg0XNlB221d3QcNpVe3fVQCPJ qQ4jVo8h1sLDImbywidtkQ== 0000927016-97-000509.txt : 19970222 0000927016-97-000509.hdr.sgml : 19970222 ACCESSION NUMBER: 0000927016-97-000509 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970219 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BENTHOS INC CENTRAL INDEX KEY: 0000011390 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990] IRS NUMBER: 042381876 STATE OF INCORPORATION: MA FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-50353 FILM NUMBER: 97538361 BUSINESS ADDRESS: STREET 1: 49 EDGARTON DRIVE CITY: NORTH FALMOUTH STATE: MA ZIP: 02556 BUSINESS PHONE: 5085631000 MAIL ADDRESS: STREET 1: 49 EDGERTON DR CITY: N FASLMOUTH STATE: MA ZIP: 02556 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: RAYMOND SAMUEL O CENTRAL INDEX KEY: 0001033819 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 49 EDGERTON DRIVE CITY: NORTH FALMOUTH STATE: MA ZIP: 02556-2826 BUSINESS PHONE: 5085631000 MAIL ADDRESS: STREET 1: C/O DAVIS, MALM & D AGOSTINE PC STREET 2: ONE BOSTON PLACE CITY: BOSTON STATE: MA ZIP: 02108 SC 13G 1 SCHEDULE 13G IN ACCORDANCE WITH RULE 201 THIS DOCUMENT IS A COPY OF THE SCHEDULE 13G PREVIOUSLY FILED ON FEBRUARY 18, 1997 PURSUANT TO A RULE 201 TEMPORARY HARDSHIP EXEMPTION. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 BENTHOS, INC. ------------------------- (Name of Issuer) Common Stock, $.0667 par value per share ---------------------------------------- (Title of Class of Securities) 082641 10 1 ------------------------ (CUSIP Number) Check the following box if a fee is being paid with the 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.) (See Rule 13d-7). *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). CUSIP No. 082641 10 1 13G PAGE 2 OF 4 PAGES - ------------------------------------------------------------------------------ 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Samuel O. Raymond - ------------------------------------------------------------------------------ 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. - ------------------------------------------------------------------------------ 5 SOLE VOTING POWER NUMBER OF 135,651 SHARES ----------------------------------------------------------- 6 SHARED VOTING POWER BENEFICIALLY None OWNED BY ----------------------------------------------------------- EACH 7 SOLE DISPOSITIVE POWER REPORTING 135,155 PERSON ----------------------------------------------------------- 8 SHARED DISPOSITIVE POWER WITH None - ------------------------------------------------------------------------------ 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 135,651 - ------------------------------------------------------------------------------ 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES [_] - ------------------------------------------------------------------------------ 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 16.7% - ------------------------------------------------------------------------------ 12 TYPE OF REPORTING PERSON* IN - ------------------------------------------------------------------------------ SCHEDULE 13G CUSIP No. 082641 10 1 13G PAGE 3 OF 4 PAGES Item 1 Issuer (a) The name of the issuer is Benthos, Inc. (the "Issuer"). (b) The address of the Issuer's principal executive offices is 49 Edgerton Drive, N. Falmouth, Massachusetts 02556. Item 2 Reporting Person (a) The name of the person filing this Schedule is Samuel O. Raymond (the "Reporting Person"). (b) The principal business address of the Reporting Person is 49 Edgerton Drive, N. Falmouth, Massachusetts 02556. (c) The title of the class of securities to which this Schedule relates is Common Stock, $.0667 par value. (d) The CUSIP number of this class of securities is 082641 10 1. Item 3 Type of Reporting Person Not Applicable Item 4 Ownership Reference is made to Items 5 though 11 of the Cover Page of this Schedule. 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 Subsidiary, etc. Not Applicable Item 8 Identification and Classification of Members of the Group Not Applicable SCHEDULE 13G CUSIP No. 082641 10 1 13G PAGE 4 OF 4 PAGES Item 9 Notice of Dissolution of Group 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. February 1, 1997 --------------------------- Date SAMUEL O. RAYMOND --------------------------- Signature Samuel O. Raymond --------------------------- Name -----END PRIVACY-ENHANCED MESSAGE-----