-----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, FBViRCupCEYrBqBOOh1KkKlrC7cjHb8TNEiEZNb400mrvxyFMQJpK1x6YqObnD5+ zYQyV42DY1IkGP6hy5cYRQ== 0001177254-04-000014.txt : 20040614 0001177254-04-000014.hdr.sgml : 20040611 20040614142422 ACCESSION NUMBER: 0001177254-04-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040609 FILED AS OF DATE: 20040614 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DANIELSON HOLDING CORP CENTRAL INDEX KEY: 0000225648 STANDARD INDUSTRIAL CLASSIFICATION: FIRE, MARINE & CASUALTY INSURANCE [6331] IRS NUMBER: 956021257 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZELL SAMUEL CENTRAL INDEX KEY: 0001024193 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06732 FILM NUMBER: 04861015 BUSINESS ADDRESS: STREET 1: TWO N RIVERSIDE PLAZA SUITE 600 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3124540100 MAIL ADDRESS: STREET 1: TWO N RIVERSIDE PLAZA STREET 2: SUITE 600 CITY: CHICAGO STATE: IL ZIP: 60606 4 1 samzellformfour_ex.xml X0202 4 2004-06-09 0 0000225648 DANIELSON HOLDING CORP DHC 0001024193 ZELL SAMUEL TWO N RIVERSIDE PLAZA SUITE 600 CHICAGO IL 60606 1 0 1 0 Common Stock, $0.10 par value 2004-06-09 4 X 0 5055618 1.53 A 11796442 I By LLC Common Stock, $0.10 par value 2004-06-09 4 X 0 5250 1.53 A 12250 I By Spouse, as Trustee of Helen Zell Revocable Trust Common Stock, $0.10 par value 2004-06-11 4 X 0 826 1.53 A 13076 I By Spouse, as Trustee of Helen Zell Revocable Trust Warrant to purchase common stock (right to buy) 1.53 2004-06-09 4 X 0 6740824 0 D 2004-05-18 2004-06-09 Common Stock, par value $0.10 5055618 0 I By LLC Warrant to purchase common stock (right to buy) 1.53 2004-06-09 4 X 0 7000 0 D 2004-05-18 2004-06-09 Common Stock, par value $0.10 5250 0 I By Spouse, as Trustee of Helen Zell Revocable Trust Warrant to purchase common stock (right to buy) 1.53 2004-06-11 4 X 0 826 0 D 2004-06-11 2004-06-11 Common Stock, par value $0.10 826 0 I By Spouse, as Trustee of Helen Zell Revocable Trust Such shares of Common Stock are beneficially owned by SZ Investments, L.L.C., a Delaware limited liability company ("SZ"). Certain of the indirect members of SZ are trusts established for the benefit of Samuel Zell and members of his family. Such shares of Common Stock are beneficially owned by the Helen Zell Revocable Trust ("HZRT"). Samuel Zell's spouse, Helen Zell, is the trustee of HZRT. Samuel Zell disclaims beneficial ownership of such shares held by HZRT except to the extent of his pecuniary interest therein. The Issuer issued in a rights offering at no charge one non-transferrable warrant with respect to each share of its Common Stock outstanding as of the close of business on May 17, 2004. Each warrant gave the holder the right to purchase 0.75 shares of the Issuer's Common Stock at a price of $1.53 per share. Each warrant holder could also elect to purchase additional shares at the exercise price if other warrant holders did not fully exercise their warrants. Election to purchase additional shares pursuant to an oversubscription privilege in the rights offering, the amount of which was not determinable prior to the the closing of the rights offering referred to in footnote 3 above. Warrant held by SZ. Warrant held by HZRT Samuel Zell 2004-06-11 -----END PRIVACY-ENHANCED MESSAGE-----