-----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, LXTOZ/lHjhK8VYyVN4F0gsJTaJk2nyjlSn2AC71QXkX/1PVDDaaiQPyHtm9P4EL+ MTrbTPdfaHbwSYen6aWFmg== 0000950136-02-000356.txt : 20020414 0000950136-02-000356.hdr.sgml : 20020414 ACCESSION NUMBER: 0000950136-02-000356 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INTERTAPE POLYMER GROUP INC CENTRAL INDEX KEY: 0000880224 STANDARD INDUSTRIAL CLASSIFICATION: CONVERTED PAPER & PAPERBOARD PRODS (NO CONTAINERS/BOXES) [2670] IRS NUMBER: 000000000 STATE OF INCORPORATION: A8 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-45476 FILM NUMBER: 02540082 BUSINESS ADDRESS: STREET 1: 110E MONTEE DE LIESSE STREET 2: ST LAURENT CITY: QUEBEC H4T 1N4 CANAD STATE: A8 BUSINESS PHONE: 5147310731 MAIL ADDRESS: STREET 1: 110 E MONTEE LIESSE CITY: ST LAURENT STATE: A8 ZIP: 00000 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CN PENSION TRUST FUND CENTRAL INDEX KEY: 0001105348 STATE OF INCORPORATION: E6 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: P O BOX 11002 5 PLACE VILLE MARIE STREET 2: MONTREAL QUEBEC CANADA H3C 4T2 CITY: MONTREAL STATE: E6 ZIP: 00000 BUSINESS PHONE: 5143994577 MAIL ADDRESS: STREET 1: PO BOX 11002 5 PLACE VILLE MARIE STREET 2: MONTREAL QUEBEC CANADA H3C 4T2 CITY: MONTREAL STATE: E6 SC 13G 1 file001.txt SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G (RULE 13D-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13D-1(B), (C) AND (D) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13D-2(B) (AMENDMENT NO. ___)* Intertape Polymer Group Inc. ---------------------------- (Name of Issuer) Common Stock ------------ (Title of Class of Securities) 460919 ------ (CUSIP Number) December 31, 2001 ----------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: [X] Rule 13d-1(b) [ ] Rule 13d-1(c) [ ] Rule 13d-1(d) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 (the "Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). Page 1 of 6 CUSIP [ ] - -------------------------------------------------------------------------------- 1 Name of Reporting Person I.R.S. Identification No. of Above Person (Entities Only) CN Pension Trust Fund (Canadian National Railway Company, Administrator) - -------------------------------------------------------------------------------- 2 Check the Appropriate Box If a Member of a Group a. [ ] b. [ ] - -------------------------------------------------------------------------------- 3 SEC Use Only - -------------------------------------------------------------------------------- 4 Citizenship or Place of Organization Canada - -------------------------------------------------------------------------------- 5 Sole Voting Power Number of 1,400,700 Shares ------------------------------------------------------------- Beneficially 6 Shared Voting Power Owned by 0 Each ------------------------------------------------------------- Reporting 7 Sole Dispositive Power Person With 1,400,700 ------------------------------------------------------------- 8 Shared Dispositive Power 0 - -------------------------------------------------------------------------------- 9 Aggregate Amount Beneficially Owned by Each Reporting Person 1,400,700 - -------------------------------------------------------------------------------- 10 Check Box If the Aggregate Amount in Row (11) Excludes Certain Shares [ ] - -------------------------------------------------------------------------------- 11 Percent of Class Represented By Amount in Row (11) 5.06% - -------------------------------------------------------------------------------- 12 Type of Reporting Person EP - -------------------------------------------------------------------------------- Page 2 of 6 ITEM 1(A). NAME OF ISSUER: Intertape Polymer Group Inc. ITEM 1(B). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 110E Montee de Liesse St-Laurent, Quebec H4T 1N4 Canada ITEM 2(A). NAME OF PERSONS FILING: CN Pension Trust Fund (Canadian National Railway Company, Administrator) ITEM 2(B). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: P.O. Box 11002 5 Place Ville Marie, Suite 1515 Montreal, Quebec H3B 4T2 ITEM 2(C). CITIZENSHIP: Canada ITEM 2(D). TITLE OF CLASS OF SECURITIES: Common Stock ITEM 2(E). CUSIP NUMBER: 460919 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13D-1(B), OR 13D-2(B) OR (C), CHECK WHETHER THE PERSON FILING IS A: (a) [ ] Broker or dealer registered under Section 15 of the Exchange Act. (b) [ ] Bank as defined in Section 3 (a)(6) of the Exchange Act (c) [ ] Insurance company as defined in Section 3 (a)(19) of the Exchange Act. (d) [ ] Investment company registered under Section 8 of the Investment Company Act. (e) [ ] An investment advisor in accordance with Rule 13d-1 (b)(1)(ii)(E); (f) [X] An employee benefit plan or endowment fund in accordance with Rule 13d-1 (b)(1)(ii)(F); (g) [ ] A parent holding company or control person in accordance with Rule 13d-1 (b)(1)(ii)(G); (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act. (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3 (c)(14) of the Investment Company Act. (j) [ ] Group, in accordance with Rule 13d-1 (b)(1)(ii)(J). Page 3 of 6 ITEM 4. OWNERSHIP. (A) AMOUNT BENEFICIALLY OWNED: 1,400,700 shares of common stock (B) PERCENT OF CLASS: 5.06% (C) NUMBER OF SHARES AS TO WHICH SUCH PERSON HAS: (I) SOLE POWER TO VOTE OR TO DIRECT THE VOTE 1,400,700 (II) SHARED POWER TO VOTE OR TO DIRECT THE VOTE 0 (III) SOLE POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF 1,400,700 (IV) SHARED POWER TO DISPOSE OR TO DIRECT THE DISPOSITION OF 0 ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following |_|. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY OR CONTROL PERSON. Not applicable ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP Not applicable ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not applicable Page 4 of 6 ITEM 10. CERTIFICATION. [By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.] Page 5 of 6 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. Dated: February 11, 2002 By: /s/ ---------------------------- Name: Francis R. Stark Title: General Counsel -----END PRIVACY-ENHANCED MESSAGE-----