-----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, LFENlKbzgSfcQDUmlwnEXdTxYzUQ1IzxNxlR2KA5uhwF2uxXJSz86/ZVOepQP6qF yVAyL2ldvwe41kHhA7oaow== /in/edgar/work/20000911/0000950137-00-004076/0000950137-00-004076.txt : 20000922 0000950137-00-004076.hdr.sgml : 20000922 ACCESSION NUMBER: 0000950137-00-004076 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000804 FILED AS OF DATE: 20000911 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: DANIELSON HOLDING CORP CENTRAL INDEX KEY: 0000225648 STANDARD INDUSTRIAL CLASSIFICATION: [6331 ] IRS NUMBER: 956021257 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-06732 FILM NUMBER: 720593 BUSINESS ADDRESS: STREET 1: 767 THIRD AVE 5TH FL CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2128880347 MAIL ADDRESS: STREET 1: 767 THIRD AVE CITY: NEW YORK STATE: NY ZIP: 10017-2023 FORMER COMPANY: FORMER CONFORMED NAME: MISSION INSURANCE GROUP INC DATE OF NAME CHANGE: 19900826 FORMER COMPANY: FORMER CONFORMED NAME: MISSION EQUITIES CORP DATE OF NAME CHANGE: 19770921 COMPANY DATA: COMPANY CONFORMED NAME: SZ INVESTMENTS LLC CENTRAL INDEX KEY: 0001093566 STANDARD INDUSTRIAL CLASSIFICATION: [ ]OWNER IRS NUMBER: 364150443 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: TWO NORTH RIVERSIDE PLAZA CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3124541800 MAIL ADDRESS: STREET 1: TWO NORTH RIVERSIDE PLAZA CITY: CHICAGO STATE: IL ZIP: 60606 4 1 c57390e4.txt FORM 4 1 - ------ FORM 4 - ------ U.S. SECURITIES AND EXCHANGE COMMISSION [ ] Check box if no longer WASHINGTON, DC 20549 subject to Section 16. Form 4 or Form 5 obligations may STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP continue. See Instruction 1(b). Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person(1)|2. Issuer Name and Ticker or Trading Symbol |6. Relationship of Reporting Person | Danielson Holding Corporation (DHC) | to Issuer (Check all applicable) SZ Investments, L.L.C. | | Director X 10% Owner - -------------------------------------------------------------------------------------------| ----- ----- (Last) (First) (Middle) |3. IRS Identification | 4. Statement for | Officer (give title below) | Number of | Month/Year | ----- Two North Riverside Plaza | Reporting Person, | | Other (specify below) Suite 600 | if an Entity | August 2000 | ----- | (Voluntary) | | - -----------------------------------------| |-------------------------|---------------------------------------- (Street) | | 5. If Amendment, |7. Individual or Joint/Group Filing | | Date of Original | (Check applicable line) | | (Month/Year) | X Form Filed by One Reporting Person Chicago IL 60606 | | | -- - -----------------------------------------|-------------------------------------------------| Form Filed by More than One (City) (State) (Zip) | | -- Reporting Person | | - ------------------------------------------------------------------------------------------------------------------------------------ TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security |2. Transaction| 3. Transaction|4. Securities Acquired (A)| 5. Amount of|6. Owner- |7. Nature (Instr. 3) | Date | Code | or Disposed of (D) | Securities | ship | of | | (Instr. 8) | (Instr. 3, 4 and 5) | Beneficially| Form: | Indirect | | | | Owned at End| Direct | Bene- | |---------------|--------------------------| of Month | (D) or | ficial | | | | | (A) | | (Instr. 3 | Indirect | Owner- | (Month/Day/ | | | | or | | and 4) | (I) | ship | Year) | Code | V | Amount | (D) | Price | |(Instr. 4)|(Instr. 4) - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- Common Stock | N/A | | V |No Change | | 2,000,000 | D | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - --------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |--------- | | | | | | | | | - ---------------------------------------------------------------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the form is filed by more than one reporting person, see Instruction (4)(b)(v). 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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative | 2. Conver- |3. Trans- |4. Trans- |5. Number of |6. Date Exer- |7. Title and Amount |8. Price Security | sion or | action | action | Derivative | cisable and | of Underlying | of (Instr. 3) | Exercise | Date | Code | Securities Ac- | Expiration | Securities | Deriv- | Price of | (Month/ | (Instr. 8)| quired (A) or | Date | (Instr. 3 and 4) | ative | Deriv- | Day/ | | Disposed of (D)| (Month/Day/ | | Secur- | ative | Year) | | (Instr. 3, 4, | Year) | | ity | Security | | | and 5) | | | (Instr. 5) | | | | |-------------------------------------| | | | | |Date |Expira- | | Amount or | | | |-------------------------------|Exer- |tion | Title | Number of | | | | Code |V | (A) |(D) |cisable|Date | | Shares | - ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ Warrant to purchase | $4.743391 |08/04/2000| J(2) | | | 102,000 |08/12 | 08/12 |Common | | common stock (right to | (1) | | | | | |/1999 | /2003 |Stock | | buy) | | | | | | | | (1) |par | | | | | | | | | | |value 1,900,568 $.10 | - ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | - ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | - ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | - ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | - ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | - ------------------------|-------------|----------|-------|----|--------|---------|-------|--------|--------|-----------|------------ | | | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------ 9. Number of | 10. Ownership | 11. Nature of Derivative | Form of | Indirect Securities | Derivative | Beneficial Beneficially | Security: | Ownership Owned at End | Direct (D) | (Instr. 4) of Month | or Indirect (I) | (Instr. 4) | (Instr. 4) | - ------------------|------------------------|------------------------------ 1,900,568 (1) | D | - ------------------|------------------------|------------------------------ | | - ------------------|------------------------|------------------------------ | | - ------------------|------------------------|------------------------------ | | - ------------------|------------------------|------------------------------ | | - ------------------|------------------------|------------------------------ | | - -------------------------------------------------------------------------- Explanation of Responses: (1) Exercise price, expiration date and number of warrants may be adjusted /s/ Samuel Zell, President 09/08/2000 pursuant to Warrant Agreement. On December 30, 1999, pursuant to -------------------------------- ---------- anti-dilution provisions contained in the Warrant Agreement, the number of **Signature of Reporting Person(1) Date shares to be exercised increased by 2,568 and the exercise price decreased By: Samuel Zell, President from $4.75 to $4.74391 per share. SZ Investments, L.L.C. (2) Warrants transferred to a third party by the Reporting Person in connection with the retirement of such third party from the Reporting Person. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient see Instruction 6 for procedure. Page 2 of 2
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