-----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, HtxCr9DS5fpnjbVLRt23Pi5AoCTqqQeUx7K8VqtPKcrYPkmjmafUmzShEtdRYSRW 6Kat3wfOQKSjC8df8u/oOw== 0000021759-96-000014.txt : 19960216 0000021759-96-000014.hdr.sgml : 19960216 ACCESSION NUMBER: 0000021759-96-000014 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960214 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COLLINS INDUSTRIES INC CENTRAL INDEX KEY: 0000021759 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 430985160 STATE OF INCORPORATION: MO FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-38251 FILM NUMBER: 96518444 BUSINESS ADDRESS: STREET 1: 421 E 30TH AVE CITY: HUTCHINSON STATE: KS ZIP: 67502 BUSINESS PHONE: 3166635551 MAIL ADDRESS: STREET 1: 421 EAST 30TH AVENUE CITY: HUTCHINSON STATE: KS ZIP: 67502 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: COLLINS INDUSTRIES INC CENTRAL INDEX KEY: 0000021759 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 430985160 STATE OF INCORPORATION: MO FISCAL YEAR END: 1031 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 421 E 30TH AVE CITY: HUTCHINSON STATE: KS ZIP: 67502 BUSINESS PHONE: 3166635551 MAIL ADDRESS: STREET 1: 421 EAST 30TH AVENUE CITY: HUTCHINSON STATE: KS ZIP: 67502 SC 13G/A 1 Page 1 of 4 Pages SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1)* COLLINS INDUSTRIES, INC. ------------------------------------ (Name of Issuer) Common Stock, par value $.10 per share -------------------------------------- (Title of Class of Securities) 194858106 -------------- (CUSIP Number) C1) 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 less than five percent 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. 194858106 ----------------------------------------------------------------- (1) Name of Reporting Person - Social Security Number DON L. COLLINS - S.S.N.: ###-##-#### ----------------------------------------------------------------- (2) Check the Appropriate Box if (a) [ ] a Member of a Group (b) [ ] ----------------------------------------------------------------- (3) SEC Use Only ----------------------------------------------------------------- (4) Citizenship or Place of Organization U.S.A. ----------------------------------------------------------------- (5) Sole Voting Power Number of 1,080,249 Shares ---------------------------------------- Beneficially (6) Shared Voting Power Owned By Each 64,922 Reporting ---------------------------------------- Person With (7) Sole Dispositive Power 1,080,249 ---------------------------------------- (8) Shared Dispositive Power 64,922 ---------------------------------------- (9) Aggregate Amount Beneficially Owned by Each Reporting Person 1,145,171 ----------------------------------------------------------------- (10) Check if the Aggregate Amount in Row (9) Excludes Certain Shares [X] ----------------------------------------------------------------- (11) Percent of Class Represented by Amount in Row (9) 15.4% ----------------------------------------------------------------- (12) Type of Reporting Person IN ----------------------------------------------------------------- Item 1. Issuer. (a) Name of Issuer: COLLINS INDUSTRIES, INC. (b) Address of issuer's principal executive office: 421 EAST 30TH AVENUE HUTCHINSON, KANSAS 67502-2493 Item 2. (a) Name of person filing: DON L. COLLINS (b) Address of principal business office or, if none, residence: 421 EAST 30TH AVENUE HUTCHINSON, KANSAS 67502-2493 (c) Citizenship: U.S.A. (d) Title of class of securities COMMON STOCK, PAR VALUE $.10 PER SHARE (e) CUSIP No.: 194858106 Item 3. Not Applicable. Item 4. Ownership. The number and percentage of shares of Common Stock beneficially owned by the Reporting Person, based on 7,286,887 shares outstanding as of December 8, 1995, are as set forth below. Percentage of ownership is calculated by dividing the number of shares of Common Stock beneficially owned by the Reporting Person, including 135,000 shares subject to options exercisable within 60 days of December 31, 1995 (the "Issuable Shares"), by the total number of shares of Common Stock outstanding on December 8, 1995 plus the number of Issuable Shares attributable to the Reporting Person. (a) Amount beneficially owned: 1,145,171 (b) Percent of Class: 15.4% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 1,080,249 (ii) Shared power to vote or to direct the vote: 64,922 (iii) Sole power to dispose or to direct the disposition of: 1,080,249 (iv) Shared power to dispose or to direct the disposition of: 64,922 Item 5. Ownership of 5 Percent or Less of a Class. Not Applicable. Item 6. Ownership of More than 5 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. Not Applicable. 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, 1996 /s/ Don L. Collins Name: Don L. Collins -----END PRIVACY-ENHANCED MESSAGE-----