UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. 4)*
Blonder Tongue Laboratories, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
093698 10 8
(CUSIP Number)
November 29, 2004
(Date of Event Which Required Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[X ] Rule 13d-1(d)
*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. – 093698 10 8
1 NAME OF REPORTING PERSON
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
James H. Williams
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a) /_/
(b) /_/
N/A
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OF ORGANIZATION
United States of America
NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
5 SOLE VOTING POWER
1,525,654 shares of Common Stock (includes 52,173 shares of Common Stock
which are subject to an option granted by James H. Williams to another
person)
6 SHARED VOTING POWER
N/A
7 SOLE DISPOSITIVE POWER
1,525,654 shares of Common Stock (includes 52,173 shares of Common Stock
which are subject to an option granted by James H. Williams to another
person)
8 SHARED DISPOSITIVE POWER
N/A
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,525,654 shares of Common Stock (includes 52,173 shares of Common Stock
which are subject to an option granted by James H. Williams to another
person)
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES /_/
N/A
2
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
19.0%
12 TYPE OF REPORTING PERSON
IN
3
Item 1.
(a) Name of Issuer: Blonder Tongue Laboratories, Inc.
(b) Address of Issuer’s Principal Executive Office: One Jake Brown Road,
Old Bridge, New Jersey 08857.
Item 2.
(a) Name of Person Filing: James H. Williams
(b) Address of Principal Business Office or, if none, Residence: c/o
Blonder Tongue Laboratories, Inc., One Jake Brown Road, Old Bridge, New Jersey
08857.
(c) Citizenship: United States of America
(d) Title of Class of Securities: Common Stock
(e) CUSIP number: 093698 10 8
Item 3. If this statement is filed pursuant to Rule 13d-1(b) or 13d-2(b) or (c),
check whether the person filing is a:
(a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C.
78o).
(b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
(c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15
U.S.C. 78c).
(d) [ ] Investment company registered under section 8 of the Investment
Company Act of 1940 (15 U.S.C. 80a-8).
(e) [ ] An investment adviser in accordance with § 240.13d-
1(b)(1)(ii)(E);
(f) [ ] An employee benefit plan or endowment fund in accordance with
§ 240.13d-1(b)(1)(ii)(F);
(g) [ ] A parent holding company or control person in accordance with
§ 240.13d-1(b)(1)(ii)(G);
(h) [ ] A savings association as defined in Section 3(b) of the Federal
Deposit Insurance Act (12 U.S.C. 1813);
(i) [ ] A church plan that is excluded from the definition of an investment
company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C.
80a-3);
(j) [ ] Group, in accordance with § 240.13d-1(b)(1)(ii)(J);
Item 4. Ownership
See item nos. 5 through 11 on the second part of the cover sheet.
Item 5. Ownership of Five Percent or Less of a Class
N/A
4
Item 6. Ownership of More than Five Percent on Behalf of Another Person
N/A
Item 7. Identification and Classification of the Subsidiary Which Acquired the
Security Being Reported on By the Parent Holding Company
N/A
Item 8. Identification and Classification of Members of the Group
N/A
Item 9. Notice of Dissolution of Group
N/A
Item 10. Certification
N/A
5
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.
February 14, 2005
Date
/s/ James H. Williams
Signature
James H. Williams
Name