0000899140-11-000546.txt : 20111114 0000899140-11-000546.hdr.sgml : 20111111 20111114114830 ACCESSION NUMBER: 0000899140-11-000546 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110930 FILED AS OF DATE: 20111114 DATE AS OF CHANGE: 20111114 EFFECTIVENESS DATE: 20111114 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hall Kathryn A. CENTRAL INDEX KEY: 0001512944 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-14368 FILM NUMBER: 111199485 MAIL ADDRESS: STREET 1: ONE MARITIME PLAZA STREET 2: SUITE 500 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 13F-HR 1 h2074377.txt REPORT FOR THE CALENDAR QUARTER ENDED SEPTEMBER 30, 2011 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, 2011 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: Kathryn A. Hall Address: One Maritime Plaza, 5th Floor San Francisco, California 94111 Form 13F File Number: 28-14368 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: Kathryn A. Hall Title: Phone: (415) 288-0544 Signature, Place and Date of Signing /s/ Kathryn A. Hall San Francisco, California 11/14/2011 ------------------- ------------------------- ---------- [Signature] [City, State] [Date] Report Type (Check only one.): [X] 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).) [ ] 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).) FORM 13F SUMMARY PAGE Kathryn A. Hall 28-14368 Report for Period Ended: 9/30/2011 Report Summary: Number of Other Included Managers: 0 Form 13F Information Table Entry Total: 4 Form 13F Information Table Value Total: $91,489 (thousands) List of Other Included Managers: None
FORM 13-F INFORMATION TABLE ------------------------------------------------------------------------------------------------------------------------------- COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8 VOTING AUTHORITY TITLE OF VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER NAME OF ISSUER CLASS CUSIP (X$1000) PRN AMT PRN CALL DISCRETION MANAGER SOLE SHARED NONE Capitalsource, Inc. COM 14055X102 7,546 1,228,939 SH SOLE 1,228,939 0 0 Gap, Inc. COM 364760108 74,734 4,601,875 SH SOLE 4,601,875 0 0 Gartner, Inc. COM 366651107 7,118 204,124 SH SOLE 204,124 0 0 Ironwood Pharmaceuticals COM Class A 46333X108 2,091 193,588 SH SOLE 193,588 0 0 -------------------------------------------------------------------------------------------------------------------------------
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