-----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, BpNNxnK02I38LBBUzT48S6pro75uzNtOfELhnKaD1RRFshv2Fud9FOCu17W5BOAX DU4U52FmNTNXanH8cxA53g== 0000950005-96-000494.txt : 19960802 0000950005-96-000494.hdr.sgml : 19960802 ACCESSION NUMBER: 0000950005-96-000494 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960801 SROS: PSE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MENDOCINO BREWING CO INC CENTRAL INDEX KEY: 0000919134 STANDARD INDUSTRIAL CLASSIFICATION: MALT BEVERAGES [2082] IRS NUMBER: 680318293 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-46539 FILM NUMBER: 96602107 BUSINESS ADDRESS: STREET 1: 13351 S HWY 101 CITY: HOPLAND STATE: CA ZIP: 95449 BUSINESS PHONE: 7077441015 MAIL ADDRESS: STREET 1: 13351 S HWY 101 CITY: HOPLAND STATE: CA ZIP: 95449 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: LAYBOURN H MICHAEL CENTRAL INDEX KEY: 0001019540 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 13351 S HWY 101 STREET 2: PO BOX 400 CITY: HOPLAND STATE: CA ZIP: 95449 BUSINESS PHONE: 7077441015 MAIL ADDRESS: STREET 1: 13351 S HWY 101 STREET 2: PO BOX 400 CITY: HOPLAND STATE: CA ZIP: 95449 SC 13G 1 SCHEDULE 13G Schedule 13G CUSIP No.: 586579 10 4 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. ____)* MENDOCINO BREWING COMPANY, INC. ---------------------------------------------------------------- (Name of Issuer) COMMON STOCK ---------------------------------------------------------------- (Title of Class of Securities) 586579 10 4 --------------------------------------------------------------- (CUSIP Number) Check the following box if a fee is being paid with this statement /X/ . (A fee is not required only if the filing 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 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 Notes). (Continued on following page(s)) 1 Schedule 13G CUSIP No.: 586579 10 4 1 NAME OF REPORTING PERSON S.S. or I.R.S. Identification No. of Above Person H. Michael Laybourn Social Security #: 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) / / (b) / / 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. NUMBER OF 5 SOLE VOTING POWER 272,367 SHARES BENEFICIALLY 6 SHARED VOTING POWER 0 OWNED BY EACH 7 SOLE DISPOSITIVE POWER 272,367 REPORTING PERSON 8 SHARED DISPOSITIVE POWER 0 WITH 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 272,367 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES / /* Not Applicable 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 11.7% 12 TYPE OF REPORTING PERSON* IN 2 Schedule 13G CUSIP No.: 586579 10 4 ITEM 1. Issuer: Mendocino Brewing Company PO Box 400 13551 Hwy. S. 101 Hopland, CA 95449 ITEM 2. (a) H. Michael Laybourn (b) PO Box 400 13551 Hwy. S. 101 Hopland, CA 95449 (c) U.S.A. (d) Common Stock, no par value (e) 586579 10 4 ITEM 3. Not applicable ITEM 4. OWNERSHIP (a) 272,367 shares (b) 11.7% (c) (i) 272,367 (ii) 0 (iii) 272,367 (iv) 0 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS Not applicable 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 3 Schedule 13G CUSIP No.: 586579 10 4 ITEM 9. NOTICE OF DISSOLUTION OF A 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. July 17, 1996 /s/ H. Michael Laybourn ------------------------------ H. Michael Laybourn 4 -----END PRIVACY-ENHANCED MESSAGE-----