-----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, WAUTjWqm2fX1sBRbeuoid9lnrfqkMgoVpYp4ZNkfPft4wUUZ3YQwb/2UEtvuzbZM W+77dOvWGyhQy+dInHTmIg== 0001031523-00-000003.txt : 20000210 0001031523-00-000003.hdr.sgml : 20000210 ACCESSION NUMBER: 0001031523-00-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000131 FILED AS OF DATE: 20000209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: USG CORP CENTRAL INDEX KEY: 0000757011 STANDARD INDUSTRIAL CLASSIFICATION: CONCRETE GYPSUM PLASTER PRODUCTS [3270] IRS NUMBER: 363329400 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-08864 FILM NUMBER: 529558 BUSINESS ADDRESS: STREET 1: 125 S FRANKLIN ST STREET 2: DEPT. 188 CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: 3126064000 COMPANY DATA: COMPANY CONFORMED NAME: SIMPLOT J R CENTRAL INDEX KEY: 0000947911 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 999 MAIN ST CITY: BOISE STATE: IA ZIP: 83702 BUSINESS PHONE: 2083362110 MAIL ADDRESS: STREET 1: 999 MAIN ST CITY: BOISE STATE: IA ZIP: 83702 FORMER COMPANY: FORMER CONFORMED NAME: SIMPLOT J R ET AL DATE OF NAME CHANGE: 19950712 4 1 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 Form 4 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 J.R. Simplot Self- Declaration of Revocable Trust 999 Main Street Boise, ID 83702 2. Issuer Name and Ticker or Trading Symbol USG Corporation (USG) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year January 2000 5. If Amendment, Date of Original (Month/Year) N/A 6. Relationship of Reporting Person to Issuer (Check all applicable) [__] Director [X_] 10% Owner [__] Officer (give title below) [__] Other (specify below) TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED 1. Title of Security (Instr. 3) Common Stock 2. Transaction Date (Month/Day/Year) 1/10/00 1/11/00 3. Transaction Code (Instr. 8) P 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount (A) or (D) Price 100,000 A $46.063 70,000 A $46.011 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) 6,374,100. Disclaims beneficial ownership as to 100,000 shares held by J.R. Simplot Foundation. Disclaims beneficial ownership to extent of the ownership percentage (98%) of the limited partners in the 170,000 shares held by S-Sixteen Limited Partnership. 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 6,104,100 (D) 100,000 (I)(1) 170,000 (I)(2) 7. Nature of Indirect Beneficial Ownership (Instr. 4) (1) Through J.R. Simplot Foundation. Disclaims beneficial ownership. (2) As general partner of S-Sixteen Limited Partnership. Disclaims beneficial ownership to extent of ownership percentage (98%) of the limited partners. TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 4. Transaction Code (Instr. 8) Code 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) (A) (D) 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Title Amount of Number of Shares 8. Price of Derivative Security (Instr. 5) 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4) 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4) Explanation of Responses: Date: February 7, 2000 J.R. Simplot Self-Declaration of Revocable Trust By //s// J.R. Simplot ________________________________ J.R. Simplot, as Trustee -----END PRIVACY-ENHANCED MESSAGE-----