-----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, FguGBu9CAXIJQMwvWMIEGS0je1lzew3ZIQM8xv1vi452cHPT3vOxcYq6u1n+yI4a MomoH5EA5AzRRs3soTZdhQ== 0000895755-96-000081.txt : 19961106 0000895755-96-000081.hdr.sgml : 19961106 ACCESSION NUMBER: 0000895755-96-000081 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19961105 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SPORT HALEY INC CENTRAL INDEX KEY: 0000892653 STANDARD INDUSTRIAL CLASSIFICATION: MEN'S & BOYS' FURNISHINGS, WORK CLOTHING, AND ALLIED GARMENTS [2320] IRS NUMBER: 841111669 STATE OF INCORPORATION: CO FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-45875 FILM NUMBER: 96654266 BUSINESS ADDRESS: STREET 1: 4600 E 48TH AVE CITY: DENVER STATE: CO ZIP: 80216 BUSINESS PHONE: 3033208800 MAIL ADDRESS: STREET 1: 4600 E 48TH AVE CITY: DENVER STATE: CO ZIP: 80216 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HALEY NANCY S CENTRAL INDEX KEY: 0000940963 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 4600 W 48TH AVENUE CITY: DENVER STATE: CO ZIP: 80216 SC 13G/A 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 2) SPORT-HALEY, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 848925 10 3 (CUSIP Number) CUSIP No. 848925 10 3 13G 1) Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Nancy S. Haley 2) Check the Appropriate Box if Member of a Group* a) b) 3) SEC USE ONLY 4) Citizenship or Place of Organization U.S. Number of Shares 5) Sole Voting Power 176,590 Beneficially Owned 6) Shared Voting Power 14,000 By Each Reporting 7) Sole Dispositive Power 176,590 Person With 8) Shared Dispositive Power 14,000 9) Aggregate Amount Beneficially Owned by Each Reporting Person 190,590 10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* 11) Percent of Class Represented by Amount in Row 9 4.5% 12) Type of Reporting Person* IN AMENDMENT NO. 2 TO SCHEDULE 13G FOR NANCY S. HALEY Item 1(a). Name of Issuer: Sport-Haley, Inc Item 1(b). Address of Issuer's Principal Executive Offices: 4600 E. 48th Avenue, Denver, Colorado 80216 Item 1(c). Name of Person Filing: Nancy S. Haley Item 2(b). Address of Principal Business Office or, if None, Residence: The address of the residence of Ms. Haley is 13400 West 16th Drive, Golden, Colorado 80401 Item 2(c). Citizenship: Ms. Haley is a United States Citizen. Item 2(d). Title of Class of Securities: Common Stock. Item 2(e). CUSIP Number: 848925 10 3 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the person filing is a: (a) [ ] Broker or Dealer registered under Section 15 of the Securities Exchange Act of 1934 (the "Act"). (b) [ ] Bank as defined in Section 3(a)(6) of the Act. (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act. (d) [ ] Investment Company registered under Section 8 of the Investment Company Act of 1940. (e) [ ] Investment Adviser registered under Section 203 of the Investment Advisers Act of 1940. (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund; see Rule 13d-1(b)(1)(ii)(F) of the Act. (g) [ ] Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G) of the Act. (h) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(H) of the Act. Not applicable. Item 4. Ownership. (a) Amount Beneficially Owned: Ms. Haley is the beneficial owner of 190,590 shares of Common Stock as of October 31, 1996. Includes 14,000 shares owned by her spouse and children which are owned indirectly. (c) Percent of Class: 4.5% (based on the 4,270,680 shares of Common Stock reported to be outstanding on June 30, 1996 in the Sport-Haley, Inc. Quarterly Report on Form 10-QSB for the fiscal quarter ended June 30, 1996.) (d) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 176,590 shares. (ii) shared power to vote or to direct the vote: 14,000 shares. (iii) sole power to dispose or to direct the disposition of: 176,590 shares. (iv) shared power to dispose or to direct the disposition of: 14,000 shares. Item 5. Ownership of Five Percent or Less of a Class. As of the date hereof, Ms. Haley is no longer the beneficial owner of five percent (5.0%) of the shares of Sport-Haley, Inc. Item 6. Ownership of More than Five 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. Not filed pursuant to Rule 13d-1(b). 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. Dated: October 20, 1996 /s/ Nancy S. Haley Nancy S. Haley APPENDIX UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. ) SPORT-HALEY, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 848925 10 3 (CUSIP Number) CUSIP No. 848925 10 3 13G 1) Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Nancy S. Haley 2) Check the Appropriate Box if Member of a Group* a) b) 3) SEC USE ONLY 4) Citizenship or Place of Organization United States Number of Shares 5) Sole Voting Power 469,000 Beneficially Owned 6) Shared Voting Power 14,000 By Each Reporting 7) Sole Dispositive Power 469,000 Person With 8) Shared Dispositive Power 14,000 9) Aggregate Amount Beneficially Owned by Each Reporting Person 483,000 10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* 11) Percent of Class Represented by Amount in Row 9 16.0% 12) Type of Reporting Person* IN SCHEDULE 13G Item 1. (a) Name of Issuer: Sport-Haley, Inc. (b) Address of Issuer's Principal Executive Offices: 4600 E. 48th Avenue Denver, Colorado 80216 Item 2. (a) Name of Persons Filing: Nancy S. Haley (b) Address of Principal Business Office: 460 E. 48th Avenue Denver, Colorado 80216 (c) Citizenship: Nancy S. Haley is a U.S. Citizen. (d) Title of Class of Securities: Common Stock. (e) CUSIP Number: 848925 10 3 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the persons filing are a: (a) [ ] Broker or Dealer registered under section 15 of the Act (b) [ ] Bank as defined in section 3(a)(6) of the Act (c) [ ] Insurance Company as defined in section 3(a)(19) of the Act (d) [ ] Investment Company registered under section 8 of the Investment Company Act of 1940 (e) [ ] Investment Adviser registered under section 203 of the Investment Advisers Act of 1940 (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund (g) [ ] Parent Holding Company, in accordance with section 240.13d- 1(b)(ii)(G) (h) [ ] Group, in accordance with section 240.13d-1(b)(1)(ii)(H) Item 4. Ownership (a) Amount Beneficially Owned: 483,000 shares (b) Percent of Class: 16% (c) Number of shares as to which such persons (See Item 6 below) have: i) sole power to vote or to direct the vote: 469,000 shares ii) shared power to vote or to direct the vote: 14,000 shares iii) sole power to dispose or to direct the disposition of: 469,000 shares iv) shared power to dispose or to direct the disposition of: 14,000 shares Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. Item 6. Ownership of More than Five Percent on Behalf of Another Person Ms. Haley is the record owner of 469,000 shares covered by this report and may be deemed to be the beneficial owner of an additional 14,000 shares of Common Stock covered by this report, which shares are owned of record by her husband and minor children. Ms. Haley has the right to direct the receipt of dividends from, or the proceeds from the sale of 469,000 shares of Common Stock covered by this report. Ms. Haley, her husband and children may be deemed to share the right to receive and the power to direct the receipt of dividends from, or the proceeds from the sale of, 14,000 shares of Common Stock covered by this report. 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 Member of the Group Not applicable. Item 9. Notice of Dissolution of Group Not applicable. Item 10. Certification. 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. 3-6-95 ------------------------------- Date /s/ Nancy S. Haley Nancy S. Haley APPENDIX UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. 1) SPORT-HALEY, INC. (Name of Issuer) Common Stock (Title of Class of Securities) 848925 10 3 (CUSIP Number) CUSIP No. 848925 10 3 13G 1) Name of Reporting Person S.S. or I.R.S. Identification No. of Above Person Nancy S. Haley 2) Check the Appropriate Box if Member of a Group* a) b) 3) SEC USE ONLY 4) Citizenship or Place of Organization United States Number of Shares 5) Sole Voting Power 439,000 Beneficially Owned 6) Shared Voting Power 14,000 By Each Reporting 7) Sole Dispositive Power 439,000 Person With 8) Shared Dispositive Power 14,000 9) Aggregate Amount Beneficially Owned by Each Reporting Person 453,000 10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares* 11) Percent of Class Represented by Amount in Row 9 14.1% 12) Type of Reporting Person* IN SCHEDULE 13G Item 1. (a) Name of Issuer: Sport-Haley, Inc. (b) Address of Issuer's Principal Executive Offices: 4600 E. 48th Avenue Denver, Colorado 80216 Item 2. (a) Name of Persons Filing: Nancy S. Haley (b) Address of Principal Business Office: 4600 E. 48th Avenue Denver, Colorado 80216 (c) Citizenship: Nancy S. Haley is a U.S. Citizen. (d) Title of Class of Securities: Common Stock. (e) CUSIP Number: 848925 10 3 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b), check whether the persons filing are a: (a) [ ] Broker or Dealer registered under section 15 of the Act (b) [ ] Bank as defined in section 3(a)(6) of the Act (c) [ ] Insurance Company as defined in section 3(a)(19) of the Act (d) [ ] Investment Company registered under section 8 of the Investment Company Act of 1940 (e) [ ] Investment Adviser registered under section 203 of the Investment Advisers Act of 1940 (f) [ ] Employee Benefit Plan, Pension Fund which is subject to the provisions of the Employee Retirement Income Security Act of 1974 or Endowment Fund (g) [ ] Parent Holding Company, in accordance with section 240.13d-1(b)(ii)(G) (h) [ ] Group, in accordance with section 240.13d- 1(b)(1)(ii)(H) Item 4. Ownership (a) Amount Beneficially Owned: 453,000 shares (b) Percent of Class: 14.1% (c) Number of shares as to which such persons (See Item 6 below) have: i) sole power to vote or to direct the vote: 439,000 shares ii) shared power to vote or to direct the vote: 14,000 shares iii) sole power to dispose or to direct the disposition of: 439,000 shares iv) shared power to dispose or to direct the disposition of: 14,000 shares Item 5. Ownership of Five Percent or Less of a Class If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [ ]. Item 6. Ownership of More than Five Percent on Behalf of Another Person Ms. Haley is the record owner of 439,000 shares covered by this report and may be deemed to be the beneficial owner of an additional 14,000 shares of Common Stock covered by this report, which shares are owned of record by her husband and minor children. Ms. Haley has the right to direct the receipt of dividends from, or the proceeds from the sale of 439,000 shares of Common Stock covered by this report. Ms. Haley, her husband and children may be deemed to share the right to receive and the power to direct the receipt of dividends from, or the proceeds from the sale of, 14,000 shares of Common Stock covered by this report. 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. 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. 1-19-96 ------------------------------- Date /s/ Nancy S. Haley Nancy S. Haley -----END PRIVACY-ENHANCED MESSAGE-----