-----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, VWYJTrY1ZiJSSi+St7kegHW03OQlHeAHEuj+qLQowQpK8k0ef1mKoJtH/C38qa8w Kqi3alp8Jj/R2Et4b4jgWQ== 0000914121-99-000146.txt : 19990217 0000914121-99-000146.hdr.sgml : 19990217 ACCESSION NUMBER: 0000914121-99-000146 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BERKSHIRE REALTY CO INC /DE CENTRAL INDEX KEY: 0000869446 STANDARD INDUSTRIAL CLASSIFICATION: REAL ESTATE INVESTMENT TRUSTS [6798] IRS NUMBER: 043086485 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-10660 FILM NUMBER: 99540073 BUSINESS ADDRESS: STREET 1: 470 ATLANTIC AVE CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 8888670100 MAIL ADDRESS: STREET 1: 470 ATLANTIC AVE CITY: BOSTON STATE: MA ZIP: 02210 COMPANY DATA: COMPANY CONFORMED NAME: WESTBROOK BERKSHIRE CO HOLDINGS LLC CENTRAL INDEX KEY: 0001067091 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER IRS NUMBER: 133975320 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 599 LEXINGTON AVE STREET 2: STE 3800 CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2125831800 MAIL ADDRESS: STREET 1: 599 LEXINGTON AVE STREET 2: STE 3800 CITY: NEW YORK STATE: NY ZIP: 10022 5 1 FORM 5 FILING - --------------------------------------------------- FORM 5 __ Check this box if no __ Form 3 Holdings longer subject to Reported Section 16. Form 4 or Form 5 obligations __ Form 4 Transactions may continue. See Reported Instruction 1(b). - --------------------------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ANNUAL 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. - ------------------------------------- OMB Approval - ------------------------------------- OMB Number: 3235-0362 Expires: September 30, 1998 Estimated average burden hours per response....1.0 - -------------------------------------
- --------------------------------------------------- ------------------------------------------------------ ------------------------- 1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer Rerporting Person* (Check all applicable) Berkshire Realty Company, Inc. -- BRI __ Director X 10% Owner(1) __ Officer (give title below) __ Other (specify below) Westbrook Berkshire Co-Holdings, L.L.C. - ------------------------------------------------------------------------------------------------------------------------------------ (Last) (First) (Middle) 3. IRS or Social 4. Statement for 7. Individual or Joint/Group Reporting Security Number of Month/Year (check applicable line) Reporting Person X Form Filed by One Reporting Person (Voluntary) 12/1998 __ Form Filed by More than One Reporting Person 599 Lexington Avenue, Suite 3800 - ------------------------------------------- ------------------ (Street) 5. If Amendment, Date of Original (Month/Year) New York, NY 10022 - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------ ------------- ----------------- --------------------------------------------------------- 1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of (Instr. 3) action Code (Instr. or Disposed of (D) Securities Form: Indirect Date 8) (Instr. 3, 4 and 5) Beneficially Direct (D) Beneficial (Month/ Owned at End or Indirect Ownership Day/ of Issuer's (I) (Instr. 4) Year) Fiscal Year (Instr. 4) (Instr. 3 and 4) - ------------------------------------------------------------------------------------------------------------------------------------ Amount (A) or (D) Price - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ * If the form is filed by more than one reporting person, See Instruction 4(b)(v).
FORM 5 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date 7. Title 8. Price 9. Number 10. Owner- 11. Nature of of sion or action action Derivative Exer- and of of ship Indirect Deri- Exercise Date Code Securities cisable Amount Deri- Deri- Form Beneficial vative Price of (Instr. Acquired (A) and Expi- of vative vative of Deri- Ownership Secu- Deri- (Month/ 8) or Disposed ration Under- Secu- Secu- vative (Instr. 4) rity vative Day/ of (D) Date Lying rity rities Security: (Instr. Security Year) (Instr. 3, (Month/ Securi- (Instr. Benefi- Direct 3) 4, and 5) Day/ ties 5) cially (D) or Year) (Instr. Owned Indirect 3 and 4) at End (I) of (Instr. Year 4) (Instr. 4) -------------------------------------------------- (A) (D) Date Expir- Title Amount Exerci- ation or sable Date Number of Shares --------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ Series 1997-A Common 4,850,640 2,737,000 D,I(2) (1)(2) Convertible Stock Preferred Stock - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock $11.00 11/13/97 L5(3) 5,000 5/5/98 11/13/07 Common 5,000 (3) 5.000 I(3) (1)(3) Purchase Stock Options - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Pursuant to Rule 13d-4 promulgated under the Securities Exchange Act of 1934, the reporting person disclaims beneficial ownership of all securities reported on this statement, in excess of its proportionate interest in the Series 1997-A Convertible Preferred Stock. (2) Owned of record by the reporting person and Westbrook Berkshire Holdings, L.L.C., an affiliate of the reporting person. (3) The reporting person may be deemed to have a beneficial interest in options granted to Paul D. Kazilionis ("Kazilionis"), a director of the issuer, pursuant to an agreement among Kazilionis, the reporting person and certain affiliates of the reporting person. WESTBROOK BERKSHIRE CO-HOLDINGS, L.L.C. ** Intentional misstatements or omissions of By: /s/ Patrick K. Fox February 14, 1999 facts constitute Federal Criminal Violations ---------------------------------------- ------------------------------ See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Name: Patrick K. Fox Date Title: Attorney-in-Fact -------------------------------------------- ** Signature of Reporting Person Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.
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