-----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, H22Jyq3au807Z/Kuw1LwNHeQGI+c2o53dG+hMGjz9QH1sHODK6vkwTAYvOnP7VGF HfT8xREUv56JwHJcieAOcA== 0000021759-96-000016.txt : 19960216 0000021759-96-000016.hdr.sgml : 19960216 ACCESSION NUMBER: 0000021759-96-000016 CONFORMED SUBMISSION TYPE: SC 13D 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 13D SEC ACT: 1934 Act SEC FILE NUMBER: 005-38251 FILM NUMBER: 96518858 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 13D 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 13D 1 Page 6 of __ Pages NOTE THAT THERE ARE SMALL BOXES WITHIN TEXT BELOW. ON THE SCREEN, THESE BOXES DO NOT APPEAR TO BE ALIGNED - BUT THEY PRINT CORRECTLY. USE CAUTION IF THE LOCATION OF THESE BOXES MUST BE CHANGED. UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D 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) Larry W. Sayre Vice President--Finance Collins Industries, Inc. 421 East 30th Avenue Hutchinson, Kansas 67502-2493 (316) 663-5551 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) December 15, 1994 (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box Check the following box if a fee is being paid with the statement (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.) Note: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. * 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 and Social Security Number of Reporting Person Donald Lynn Collins S.S.N.: ###-##-#### _________________________________________________________________ 2) Check the Appropriate Box if (a) a Member of a Group (b) _______________________________________________________________ 3) SEC Use Only _________________________________________________________________ 4) Source of Funds Not applicable _________________________________________________________________ 5) Check Box if Disclosure of Legal Proceedings is Required Pursuant to Items 2(d) or 2(e) _________________________________________________________________ 6) Citizenship or Place of Organization United States of America _________________________________________________________________ 7) Sole Voting Power 381,875 __________________________________________________ Number of 8) Shared Voting Power Shares 64,922 Beneficially __________________________________________________ Owned by 9) Sole Dispositive Power the 381,875 Reporting __________________________________________________ Person with: 10) Shared Dispositive Power 64,922 _________________________________________________________________ 11) Aggregate Amount Beneficially Owned by the Reporting Person 446,797 _________________________________________________________________ 12) Check Box if the Aggregate Amount in Row (11) Excludes Certain Shares ________________________________________________________________ 13) Percent of Class Represented by Amount in Row (11) 6.0% _________________________________________________________________ 14) Type of Reporting Person IN _________________________________________________________________ Item 1. Security and Issuer. The title of the class of equity securities to which this Schedule relates is common stock, par value $.10 per share (the "Common Stock"), of Collins Industries, Inc., a Missouri corporation (the "Company"). The address of the principal executive offices of the Company is 421 East 30th Avenue, Hutchinson, Kansas 67502-2493. Item 2. Identity and Background. (a)-(c) The name and present principal occupation of the individual filing this Schedule is Donald Lynn Collins, President, Chief Operating Officer and Director of the Company. The principal business address of Mr. Collins is 421 East 30th Avenue, Hutchinson, Kansas 67502-2493. (d) During the last five years, Mr. Collins has not been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). (e) On November 3, 1994, the Securities and Exchange Commission (the "Commission") instituted public administrative proceedings against the Company, Mr. Collins, and other representatives of the Company, pursuant to Section 21C of the Securities Exchange Act of 1934 (the "Exchange Act") and Section 8A of the Securities Act of 1933 (the "Securities Act") concerning alleged violations of the anti-fraud, reporting and internal controls provisions of the Exchange Act and the Securities Act. Simultaneously with the institution of the proceedings, the Commission accepted an offer of settlement from each respondent in which, without admitting or denying the findings of the Commission, each respondent agreed to the issuance of an order directing the respondent to cease and desist from committing and/or causing violations of certain provisions of the Exchange Act and, as to the Company and Mr. Collins, the Securities Act. (f) Mr. Collins is a United States citizen. Item 3. Source and Amount of Funds or Other Consideration. On December 15, 1994, Mr. Collins acquired 21,000 currently exercisable options to purchase shares of Common Stock of the Company pursuant to the Company's Stock Option Plan. On January 20, 1995, Mr. Collins acquired 75,000 shares of Common Stock of the Company to be held in escrow until December 15, 1997 pursuant to the terms of the Escrow Agreement executed between Mr. Collins and the Company. On February 24, 1995, Mr. Collins acquired 9,000 currently exercisable options to purchase shares of Common Stock of the Company pursuant to the Company's Stock Option Plan. As a result of these transactions, Mr. Collins increased his beneficial interest in the Company to 6.0%. Item 4. Purpose of Transaction. The primary purpose of the foregoing acquisitions by Mr. Collins is for investment purposes only and with no present intent or agreement to distribute or resell such securities. Mr. Collins does not have any current plans or proposals which would relate to or result in any action numerated in Item 4 of Schedule 13D. In Mr. Collins' capacity as an officer and member of the Board of Directors of the Company, it is possible that Mr. Collins may at some future date become involved in a wide range of activities on behalf of the Company. Item 5. Interest in Securities of the Issuer. (a) The aggregate number of shares of Common Stock of the Company beneficially owned by Mr. Collins is 446,797, representing 6.0% of the total outstanding number of shares of the class of such securities. Of the 446,797 shares reported, 180,000 shares are deemed beneficially owned pursuant to currently exercisable options and 75,000 shares which are held pursuant to the terms of the Escrow Agreement executed between Mr. Collins and the Company. (b) Number of shares to which Mr. Collins has: (i) Sole power to vote or to direct the vote: 381,875 (ii) Shared power to vote or to direct the vote: 64,922 (iii) Sole power to dispose or to direct the disposition of: 381,875 (iv) Shared power to dispose or to direct the disposition of: 64,922 (c) On January 27, 1996, Mr. Collins acquired 36,000 options to purchase shares of Common Stock of the Company pursuant to the Company's Stock Option Plan. (d) No other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from, the sale of the Common Stock to which this statement relates. (e) Not applicable. Item 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer. There are no contracts, arrangements, understandings or relationships relating to the items described in Item 6 of Schedule 13D. Item 7. Material to Be Filed as Exhibits. None. 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, 1996 /s/Donald Lynn Collins Name: Donald Lynn Collins -----END PRIVACY-ENHANCED MESSAGE-----