-----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, IcCTr+/7GGVK66iHkidYi2d+t4TZ1BPI4Vh6lb6CGvAeykMqDzVx2apRRp5BQIAE +MTY61NRTZ/UFJBswhtfdw== 0000927016-01-000859.txt : 20010223 0000927016-01-000859.hdr.sgml : 20010223 ACCESSION NUMBER: 0000927016-01-000859 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 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/A SEC ACT: SEC FILE NUMBER: 005-50353 FILM NUMBER: 1540369 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: NORTH FALMOUTH STATE: MA ZIP: 02556 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CHURCH RONALD K CENTRAL INDEX KEY: 0001033820 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 49 EDGERTON DRIVE CITY: NORTH FALMOUTH STATE: MA ZIP: 02556-2826 BUSINESS PHONE: 5085631000 MAIL ADDRESS: STREET 1: 46 RIDDLE HILL ROAD CITY: FALMOUTH STATE: MA ZIP: 02540 SC 13G/A 1 0001.txt SCHEDULE 13G/A #3 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 3) BENTHOS, INC. - -------------------------------------------------------------------------------- (Name of Issuer) Common Stock, $.06 2/3 par value per share - -------------------------------------------------------------------------------- (Title of Class of Securities) 082641 10 1 - -------------------------------------------------------------------------------- (CUSIP Number) Check the appropriate to designate the rule pursuant to which this Schedule is filed: / / Rule 13d-1(b) / / Rule 13d-1(c) /X/ Rule 13d-1(d) *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). SCHEDULE 13G - --------------------- ----------------- CUSIP No. 082641 10 1 Page 2 of 6 Pages - --------------------- ----------------- - ------------------------------------------------------------------------------ NAME OF REPORTING PERSON 1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Ronald K. Church, individually - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP 2 (a) [X] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 U.S.A. - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF None SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 128,250 OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING None PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 128,250 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 128,250 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES 10 [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 9.3% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) 12 IN - ------------------------------------------------------------------------------ - --------------------- ----------------- CUSIP No. 082641 10 1 SCHEDULE 13G Page 3 of 6 Pages - --------------------- ----------------- - ------------------------------------------------------------------------------ NAME OF REPORTING PERSON. 1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Ronald K. Church, as a trustee of the Ronald K. Church 1996 Trust - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) 2 (a) [X] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 U.S.A. - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF None SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 128,250 OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING None PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 128,250 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 128,250 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES 10 [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 9.3% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON 12 00 - ------------------------------------------------------------------------------ - --------------------- ----------------- CUSIP No. 082641 10 1 SCHEDULE 13G Page 4 of 6 Pages - --------------------- ----------------- - ------------------------------------------------------------------------------ NAME OF REPORTING PERSON 1 S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Nancy O. Church, as trustee of the Ronald K. Church 1996 Trust - ------------------------------------------------------------------------------ CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) 2 (a) [X] (b) [_] - ------------------------------------------------------------------------------ SEC USE ONLY 3 - ------------------------------------------------------------------------------ CITIZENSHIP OR PLACE OF ORGANIZATION 4 U.S.A. - ------------------------------------------------------------------------------ SOLE VOTING POWER 5 NUMBER OF None SHARES ----------------------------------------------------------- SHARED VOTING POWER BENEFICIALLY 6 128,250 OWNED BY ----------------------------------------------------------- EACH SOLE DISPOSITIVE POWER 7 REPORTING None PERSON ----------------------------------------------------------- SHARED DISPOSITIVE POWER WITH 8 128,250 - ------------------------------------------------------------------------------ AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 128,250 - ------------------------------------------------------------------------------ CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES 10 [_] - ------------------------------------------------------------------------------ PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 11 9.3% - ------------------------------------------------------------------------------ TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) 12 00 - ------------------------------------------------------------------------------ - --------------------- ----------------- CUSIP No. 082641 10 1 SCHEDULE 13G Page 5 of 6 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 Persons (a) The names of the persons filing this Schedule are Ronald K. Church, individually, and Ronald K. Church and Nancy O. Church, as trustees of the Ronald K. Church 1996 Trust (the "Reporting Persons"). (b) The address of the Reporting Persons is 46 Riddle Hill Road, Falmouth, Massachusetts 02540. (c) The Reporting Persons are citizens of the United States of America (d) The title of the class of securities to which this Schedule relates is Common Stock, $.06 2/3 par value. (e) 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 Pages 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 - --------------------- ----------------- CUSIP No. 082641 10 1 SCHEDULE 13G Page 6 of 6 Pages - --------------------- ----------------- NOT APPLICABLE Item 8 Identification and Classification of Members of the Group This Schedule is being filed on behalf of each of Ronald K. Church, individually, and Ronald K. Church and Nancy O. Church, as trustees of the Ronald K. Church 1996 Trust. Under (S)13(d) of the Securities Exchange Act of 1934, said persons may be deemed to be a "group". Mr. and Mrs. Church are co-trustees of the trust which was established by Mr. Church in 1996. The trust instrument provides that it is revocable by Mr. Church at his sole election. Item 9 Notice of Dissolution of Group Not Applicable Item 10 Certifications Not Applicable Signature After reasonable inquiry and to the best of our knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 9, 2001 -------------------------- Date /s/ RONALD K. CHURCH -------------------------- Ronald K. Church /s/ RONALD K. CHURCH ------------------------- Ronald K. Church, Trustee /s/ NANCY O. CHURCH ------------------------- Nancy O. Church, Trustee -----END PRIVACY-ENHANCED MESSAGE-----