13F-HR 1 np_sep2007.txt NELSON PELTZ SEPTEMBER 30, 2007 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, 2007 ------------------------ 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: Nelson Peltz -------------------------------------------------- Address: 280 Park Avenue, 41st Floor -------------------------------------------------- New York, New York 10017 -------------------------------------------------- -------------------------------------------------- Form 13F File Number: 28-11639 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: Nelson Peltz -------------------------------------------------- Title: -------------------------------------------------- Phone: 212-451-3000 -------------------------------------------------- Signature, Place, and Date of Signing: /s/NELSON PELTZ New York, New York 11/13/07 ------------------------ ------------------------------ -------- [Signature] [City, State] [Date] 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 28-11992 Trian Partners General Partner, LLC 28-12040 Trian Fund Management GP, LLC 28-12038 Trian Partners Parallel Fund I General Partner, LLC 28-12037 Trian Partners Parallel Fund II General Partner, LLC FORM 13F SUMMARY PAGE Report Summary: Number of Other Included Managers: 1 ------------- Form 13F Information Table Entry Total: 1 ------------- Form 13F Information Table Value Total: $ 4,165 ------------- (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. No. Form 13F File Number Name 01 28-11640 Peter W. May FORM 13F INFORMATION
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8 VALUE SHARES/ OR SH/PUT/ INVESTMENT OTHER VOTING AUTHORITY -------------- -------------- -------- -------- ----------------- ---------- ---------- ----------------- NAME OF ISSUER TITLE OF CLASS CUSIP (x1000) PRN AMT PRN CALL DISCRETION MANAGERS SOLE SHARED NONE Deerfield Triarc Cap Corp. COM 244572301 4,165 460,276 SH Defined 1 460,276