========================================================================== SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ---------------------- SCHEDULE 13E-3 Amendment No. 1 Rule 13e-3 Transaction Statement Pursuant to Section 13(e) of the Securities Exchange Act of 1934 ---------------------- Scanforms, Inc. (Name of Issuer) Scanforms, Inc. SCFM Corp. Robert A. Samans Sebastian A. Carcioppolo (Names of Persons Filing Statement) ---------------------- Common Stock, par value $0.01 per share (Title of Class of Securities) ---------------------- 806011 30 0 (CUSIP Number of Class of Securities) ---------------------- Mark K. Kessler, Esquire Stephen P. Lamb, Esquire Wolf, Block, Schorr and Solis-Cohen 1 Rodney Square Twelfth Floor, Packard Building Wilmington, DE 19801 S.E. Corner 15th and Chestnut Streets (302) 984-2495 Philadelphia, PA 19102-2678 (215) 977-2000 (Attorney for Scanforms, Inc.) (Attorney for SCFM Corp., Robert A. Samans and Sebastian A. Carcippolo) (Name, Address and Telephone Number of Persons Authorized to Receive Notices and Communications on Behalf of Persons Filing Statement) ----------------------------------- This statement is filed in connection with (check the appropriate box): a. / / The filing of solicitation materials or an information statement subject to Regulation 14A, Regulation 14C or Rule 13e-3(c) under the Securities Exchange Act of 1934. b. / / The filing of a registration statement under the Securities Act of 1933. c. / / A tender offer. d. /X/ None of the above. Check the following box if the soliciting materials or information statement referred to in checking box (a) are preliminary copies. /X/ Calculation of Filing Fee ========================================================================== Transaction Valuation Amount of Filing Fee NOT APPLICABLE ========================================================================== / / Check box if any part of the fee is offset as provided by Rule 0- 11(a)(2) and identify the filing with which the offsetting fee was previously paid. Identify the previous filing by registration statement number, or the Form or Schedule and the date of its filing. Amount Previously Paid: $1,734.57 ----------------------------------- Form or Registration No.: Schedule 14A --------------------------------- Filing Party: Scanforms, Inc. --------------------------------------------- Date Filed: April 11, 1996 -----------------------------------------------