SEC 1473 |
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 control number. |
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
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OMB APPROVAL |
OMB
Number: 3235-0104 |
(Print or Type Responses)
(Last) (First) (Middle)
(Street)
(City)
(State) (Zip) |
2.
Date of Event
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5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
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6. If Amendment,
Form filed by More than One |
Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security |
2. Amount of |
3. Ownership Form: Direct (D) or Indirect (I) |
4. Nature of Indirect Beneficial Ownership |
Common Stock |
100,000 |
D |
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Table II -
Derivative Securities Beneficially Owned |
1. Title of |
2. Date Exercisable and |
3. Title and Amount of |
4. Conversion or |
5. Ownership |
6. Nature of Indirect |
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Date Exercisable |
Expiration Date |
Title |
Amount
or |
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Reminder: Report on a separate
line for each class of securities beneficially owned directly or indirectly.
Explanation of Responses: (1) The Reporting Person may be deemed to be a member of a Section 13(d) group that beneficially owns more than 10% of the issuers outstanding Common Stock. The Reporting Person disclaims beneficial ownership of all securities other than those reported above, and this report shall not be deemed an admission that such a group exists or that the Reporting Person is the beneficial owner of the securities of such group for purposes of Section 16 or for any other purpose. |
/s/ Michael Larson |
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02/11/03 |
** Signature of Reporting Person |
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Date |
Duly authorized under Special Power of Attorney appointing Michael Larson attorney-in-fact, dated March 14, 2001, by and on behalf of William H. Gates III, filed as Exhibit B to Cascades Amendment No. 1 to Schedule 13D with respect to Pan American Silver Corp. on March 19, 2001, SEC File No. 005-52919, and incorporated by reference herein.
* |
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If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
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** |
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: |
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File three copies of this Form, one of which must be manually signed. If space is insufficient, |
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See Instruction 6 for procedure. |
http://www.sec.gov/divisions/corpfin/forms/form3.htm
Last update: 09/03/2002