-----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, L9c9BrqlGBXx9EdF/qjFTDC4yDl4BuyAXnh6jkQbdi2clDbQSyEckEMbyGGpdl/1 7VpOoZmp68kotR/6b8pbzg== 0000906504-96-000030.txt : 19970328 0000906504-96-000030.hdr.sgml : 19970328 ACCESSION NUMBER: 0000906504-96-000030 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960531 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GEORGIA BONDED FIBERS INC CENTRAL INDEX KEY: 0000041052 STANDARD INDUSTRIAL CLASSIFICATION: 2670 IRS NUMBER: 221427551 STATE OF INCORPORATION: NJ FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-36273 FILM NUMBER: 96575241 BUSINESS ADDRESS: STREET 1: ONE BONTEX DR CITY: BUENA VISTA STATE: VA ZIP: 24416 BUSINESS PHONE: 7032612181 MAIL ADDRESS: STREET 1: PO BOX 751 CITY: BUENA VISTA STATE: VA ZIP: 24416 FORMER COMPANY: FORMER CONFORMED NAME: GEORGIA BONDED FIBERS INC DATE OF NAME CHANGE: 19920703 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SURMOTE MARIE G CENTRAL INDEX KEY: 0001015736 STANDARD INDUSTRIAL CLASSIFICATION: FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: 1913 ADRIAN AVENUE CITY: SPRING LAKE STATE: NJ ZIP: 07762 BUSINESS PHONE: 9082196056 MAIL ADDRESS: STREET 1: 1913 ADRIAN AVENUE CITY: SPRING LAKE STATE: NJ ZIP: 07762 SC 13D 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION D.C. 20549 ------------------------- SCHEDULE 13D (Amendment No. 2) Under THE SECURITIES EXCHANGE ACT OF 1934 ------------------------- GEORGIA BONDED FIBERS, INC. (Name of Issuer) COMMON STOCK, $.10 PAR VALUE (Title of Class of Securities) 373136209 (CUSIP Number) ------------------------- James C. Kostelni, Chairman and President Georgia Bonded Fibers, Inc. One Bontex Drive Buena Vista, VA 24416-0751 (703) 261-2181 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) ------------------------- May 24, 1996 (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 [ ]. (A fee is not required only if the reporting person: (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.) 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. CUSIP No. 373136209 - - ----------------------------------------------------------------------------- (1) Name of Reporting Person. S.S. or I.R.S. Identification Nos. of Above Person Marie G. Surmonte SS# ###-##-#### - - ----------------------------------------------------------------------------- (2) Check the Appropriate Box if a Member (a) [ ] of a Group (See Instructions) (b) [X] - - ----------------------------------------------------------------------------- (3) SEC Use Only - - ----------------------------------------------------------------------------- (4) Source of Funds (See Instructions) 00 (Reporting Person acquired the subject shares by operation of law in her capacity as an executor of the Estate of Hugo N. Surmonte) - - ----------------------------------------------------------------------------- (5) Check if Disclosure of Legal Proceedings [ ] is Required Pursuant to Items 2(d) or 2(e) - - ----------------------------------------------------------------------------- (6) Citizenship or Place of Organization United States - - ----------------------------------------------------------------------------- Number of Shares (7) Sole Voting Beneficially Owned Power 675,507 shares by Each Reporting------------------------------------------------------ Person With (8) Shared Voting Power 167,575 shares ------------------------------------------------------ (9) Sole Dispositive Power 675,507 shares ------------------------------------------------------ (10) Shared Dispositive Power 167,575 shares - - ----------------------------------------------------------------------------- (11) Aggregate Amount Beneficially Owned by Each Reporting Person 843,082 shares - - ----------------------------------------------------------------------------- (12) Check if the Aggregate Amount in Row [ ] (11) Excludes Certain Shares (See Instructions) - - ----------------------------------------------------------------------------- (13) Percent of Class Represented by Amount in Row (11) 53.6% - - ----------------------------------------------------------------------------- (14) Type of Reporting Person (See Instructions) IN - - ----------------------------------------------------------------------------- ITEM 1. Security and Issuer The class of securities to which this statement relates is Common Stock, $.10 par value, of Georgia Bonded Fibers, Inc. ("BONTEX"), a New Jersey corporation. The address of BONTEX's principal executive offices is 15 Nuttman Street, Newark, New Jersey 07013-3508. ITEM 2. Identity and Background This statement is being filed by Marie G. Surmonte. Mrs. Surmonte is retired, and her residence address is 1913 Adrian Avenue, Spring Lake, New Jersey 07762. Mrs. Surmonte is a citizen of the United States. Mrs. Surmonte has not, during the last five years, been convicted in a criminal proceeding (excluding traffic violations or similar misdemeanors). Further, Mrs. Surmonte has not, during the last five years, been a party to a civil proceeding of a judicial or administrative body of competent jurisdiction which resulted in Mrs. Surmonte being subject to a judgment, decree or final order enjoining future violations of, or prohibiting or mandating activities subject to, federal or state securities laws or finding any violation with respect to such laws. ITEM 3. Source and Amount of Funds or Other Consideration Not applicable. This schedule is being filed to report a change in the direct and indirect beneficial ownership by Mrs. Surmonte of an aggregate of 843,082 shares of BONTEX common stock, as a result of the distribution of the estate of Hugo N. Surmonte (the "Estate"), of which Mrs. Surmonte is an executor. ITEM 4. Purpose of Transaction 743,148 shares of BONTEX common stock beneficially owned indirectly by Mrs. Surmonte as an executor of the Estate have been distributed pursuant to the terms of the Will of Hugo N. Surmonte to Mrs. Surmonte (575,603 shares) and to two separate trusts for the benefit of Mrs. Surmonte and her family (167,575 shares). ITEM 5. Interest in Securities of the Issuer (a) Mrs. Surmonte is the beneficial owner of 843,082 shares of BONTEX common stock, which represent approximately 53.6% of BONTEX's issued and outstanding common stock. Mrs. Surmonte beneficially owns 167,575 of such shares as a trustee and beneficiary of certain trusts. First Union National Bank (formerly First Fidelity Bank, N.A.), a national banking association organized under the laws of the United States, 303 Broad Street, Red Bank, New Jersey 07701, is co-trustee of the trusts and also has a beneficial ownership interest in those 167,575 shares (representing approximately 10.65% of BONTEX's issued and outstanding common stock). (b) Mrs. Surmonte has sole voting power and sole dispositive power with respect to 675,507 shares of the BONTEX common stock of which she is the beneficial owner. Mrs. Surmonte and First Union National Bank have shared voting power and shared dispositive power with respect to the 167,575 shares of BONTEX common stock which they hold as trustees of the trusts. (c) Neither Mrs. Surmonte nor First Union National Bank has had any transactions in BONTEX common stock during the past sixty days. (d) Not applicable. (e) Not applicable. ITEM 6. Contracts, Arrangements, Understandings or Relationships With Respect to Securities of the Issuer None (other than with respect to the distribution of the shares held by the Estate, as described in Item 4 above). 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. May 24, 1996 -------------------------------------- (Date) s/Marie G. Surmonte ------------------------------------- Marie G. Surmonte -----END PRIVACY-ENHANCED MESSAGE-----