-----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, F83eHFTqWY9EEx8MCR1nvaHb/NaTjuzCfkTIOwXzd08M1il70A2J0fFgX80DgsP0 l44RxGwj6IiXIy4aruJSPw== 0000902595-97-000022.txt : 19970131 0000902595-97-000022.hdr.sgml : 19970131 ACCESSION NUMBER: 0000902595-97-000022 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970130 SROS: NYSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: FURON CO CENTRAL INDEX KEY: 0000037755 STANDARD INDUSTRIAL CLASSIFICATION: GASKETS, PACKAGING AND SEALING DEVICES & RUBBER & PLASTIC HOSE [3050] IRS NUMBER: 951947155 STATE OF INCORPORATION: CA FISCAL YEAR END: 0203 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-12395 FILM NUMBER: 97514098 BUSINESS ADDRESS: STREET 1: 1199 SOUTH CHILLICOTHE ROAD CITY: AURORA STATE: OH ZIP: 44202 BUSINESS PHONE: 7148315350 FORMER COMPANY: FORMER CONFORMED NAME: FLUOROCARBON CO DATE OF NAME CHANGE: 19900322 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CHURM PETER CENTRAL INDEX KEY: 0000902093 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 29982 IVY GLENN DRIVE CITY: LAGUNA NIGUEL STATE: CA ZIP: 92677 BUSINESS PHONE: 7148315350 SC 13G 1 SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 17)* FURON COMPANY (NAME OF ISSUER) COMMON STOCK, WITHOUT PAR VALUE (TITLE OF CLASS OF SECURITIES) 361106-10-7 (CUSIP NUMBER) __________________________ *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 the disclosures provided in a prior cover page. The information required in 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). NAME OF REPORTING PERSON 1 S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON Peter Churm SSN: ###-##-#### CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP 2 (a) [ ] (b) [X] 3 SEC USE ONLY CITIZENSHIP OR PLACE OF ORGANIZATION 4 United States of America SOLE VOTING POWER NUMBER OF 5 430,759 SHARES SHARED VOTING POWER BENEFICIALLY 6 0 OWNED BY SOLE DISPOSITIVE POWER EACH 7 430,759 REPORTING SHARED DISPOSITIVE POWER PERSON 8 0 WITH AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 9 430,759 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* 10 [ ] PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11 4.8% TYPE OF REPORTING PERSON 12 IN * SEE INSTRUCTIONS BEFORE FILLING OUT! ITEM 1(a) NAME OF ISSUER: Furon Company ITEM 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 29982 Ivy Glenn Drive Laguna Niguel, CA 92677 ITEM 2(a) NAME OF PERSON FILING: Peter Churm ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: 29982 Ivy Glenn Drive Laguna Niguel, CA 92677 ITEM 2(c) CITIZENSHIP: United States of America ITEM 2(d) TITLE OF CLASS OF SECURITIES: Common Stock, without par value ITEM 2(e) CUSIP NUMBER: 361106-10-7 ITEM 3 Rules 13d-1(b) and 13d-2(b): Not applicable. ITEM 4 OWNERSHIP: Not applicable. 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 [X]. 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 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. January 24, 1997 /s/ Peter Churm ______________________ Peter Churm -----END PRIVACY-ENHANCED MESSAGE-----