-----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, IBRdj4NFwteVR4wmw+aUYjX18jIDT3zgKzTnueYdw6InptHQ5urd1ZiRs0YaPkni Z4SmHdcvfBTfGr+TonNRxQ== 0000921530-04-000577.txt : 20041115 0000921530-04-000577.hdr.sgml : 20041115 20041115154647 ACCESSION NUMBER: 0000921530-04-000577 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 EFFECTIVENESS DATE: 20041115 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SOROS GEORGE CENTRAL INDEX KEY: 0000900203 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-10418 FILM NUMBER: 041145010 BUSINESS ADDRESS: STREET 1: 888 SEVENTH AVENUE STREET 2: 33RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10106 BUSINESS PHONE: 212-262--6 MAIL ADDRESS: STREET 1: 888 SEVENTH AVE STREET 2: 33RD FLR CITY: NEW YORK STATE: NY ZIP: 10106 13F-HR 1 gsoros_13f-093004.txt ------------------------------- OMB APPROVAL ------------------------------- OMB Number: 3235-0006 Expires: December 31, 2006 Estimated average burden hours per response: ................ 22.8 ------------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 13F Form 13F COVER PAGE Report for the Calendar Year or Quarter Ended: September 30, 2004 ------------------ Check here if Amendment [ ]; Amendment Number: ----------------------- This Amendment (Check only one.): [ ] is a restatement. [ ] adds new holdings entries. Institutional Investment Manager Filing this Report: Name: George Soros Address: c/o Soros Fund Management LLC 888 Seventh Avenue New York, New York 10106 Form 13F File Number: 028-10418 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables, are considered integral parts of this form. Person Signing this Report on Behalf of Reporting Manager: Name: Richard D. Holahan, Jr. Title: Attorney-in-Fact (1) Phone: 212-397-5516 Signature, Place, and Date of Signing: Richard D. Holahan, Jr. New York, New York November 15, 2004 - --------------------------- ------------------ ----------------- [Signature] [City, State] [Date] (1) Signed pursuant to a Power of Attorney, dated as of October 30, 2002, granted by Mr. George Soros included as an Exhibit to the Form 13F filed by the Reporting Person on February 14, 2003. Report Type (Check only one.): [ ] 13F HOLDINGS REPORT. (Check here if all holdings of this reporting manager are reported in this report.) [ ] 13F NOTICE. (Check here if no holdings reported are in this report, and all holdings are reported by other reporting manager(s).) [X] 13F COMBINATION REPORT. (Check here if a portion of the holdings for this reporting manager are reported in this report and a portion are reported by other reporting manager(s).) List of Other Managers Reporting for this Manager: Form 13F File Number Name -------------------- ----- 028-06420 Soros Fund Management LLC Form 13F Summary Page Report Summary: Number of Other Included Managers: 0 ------- Form 13F Information Table Entry Total: 6 ------- Form 13F Information Table Value Total: $153,271 -------- (thousands) List of Other Included Managers: Provide a numbered list of the name(s) and Form 13F file number(s) of all institutional investment managers with respect to which this report is filed, other than the manager filing this report. NONE GEORGE SOROS FORM 13F INFORMATION TABLE QUARTER ENDED SEPTEMBER 30, 2004
Investment Discretion Voting Authority --------------------- ---------------- Fair Market Shares or Title of Cusip Value (in Principal Shared Shared- Issuer Class Number thousands) Amount Sole Instr. V Other Sole Shared None - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- APEX SILVER ORD G04074103 $ 8,509 392,136 X X MINES LTD - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- BLUEFLY INC COM 096227103 $ 298 172,995 X X - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- INTEGRA COM NEW 457985208 $ 20,964 652,894 X X LIFESCIENCES HLDGS CP - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- JETBLUE AWYS COM 477143101 $ 39,301 1,878,615 X X CORP - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- JETBLUE AWYS COM 477143101 $ 84,060 4,018,182 X X CORP - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- MCG CAPITAL COM 58047P107 $ 139 7,994 X X CORP - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- - ---------------- ----------- ------------- ------------- -------------- -------- --------- ---------- -------- --------- ------- Total: $ 153,271
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