-----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, IedI0GS8cKEGxQ9kcTMAOV9QhZ/4RvgmUlo8tckEU3j1b/pda96/68FoaVZkom8W VP89bCRfUnnxxPgqppqUAQ== 0000891020-97-000141.txt : 19970222 0000891020-97-000141.hdr.sgml : 19970222 ACCESSION NUMBER: 0000891020-97-000141 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19970212 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PACCAR INC CENTRAL INDEX KEY: 0000075362 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 910351110 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-10809 FILM NUMBER: 97527347 BUSINESS ADDRESS: STREET 1: 777 106TH AVE NE CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 2064557400 MAIL ADDRESS: STREET 1: 777 106TH AVENUE NE CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: PACIFIC CAR & FOUNDRY CO DATE OF NAME CHANGE: 19720707 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: PIGOTT JAMES C CENTRAL INDEX KEY: 0000902002 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 1405 42ND AVE E CITY: SEATTLE STATE: WA ZIP: 98112 BUSINESS PHONE: 2063298899 MAIL ADDRESS: STREET 1: C/O PACCAR INC STREET 2: P O BOX1518 CITY: BELLEVUE STATE: WA ZIP: 98009 SC 13G/A 1 JAMES C. PIGOTT SCHEDULE 13G/A 1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G INFORMATION STATEMENT PURSUANT TO RULE 13d-1 AND 13d-2 UNDER THE SECURITIES EXCHANGE ACT OF 1934 (AMENDMENT NO. 19)* PACCAR Inc -------------------------- (Name of issuer) Common Stock ------------------------------ (Title of class of securities) 693718 10 8 --------------- (CUSIP number) Check the following box if a fee is being paid with this statement [ ]. (A fee is not required only if the filing person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7). (Continued on following page(s)) (Page 1 of 5 Pages) *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 the 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 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). 2 CUSIP No. 693718 10 8 13G Page 2 OF 5 PAGES 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS James C. Pigott SS# ###-##-#### 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] Not Applicable 3 SEC USE ONLY 4 CITIZENSHIP OR PLACE OF ORGANIZATION United States 5 SOLE VOTING POWER NUMBER OF 1,184,304 SHARES BENEFICIALLY 6 SHARED VOTING POWER OWNED BY 699,167 EACH 7 SOLE DISPOSITIVE POWER REPORTING PERSON 1,184,304 WITH 8 SHARED DISPOSITIVE POWER 699,167 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,883,471 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [x] Does not include shares held in the name of spouse to which beneficial ownership is disclaimed. 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 4.8% 12 TYPE OF REPORTING PERSON* IN *SEE INSTRUCTIONS BEFORE FILLING OUT! 3 Item 1(a) Name of Issuer: PACCAR Inc Item 1(b) Address of Issuer's Principal Executive Offices: 777 - 106th Avenue, N.E. Bellevue, WA 98004 Item 2(a) Name of Person Filing: James C. Pigott (b) Address of Principal Business Office or, if none, Residence: Pigott Enterprises, Inc. 1405 42nd Avenue East Seattle, WA 98112 (c) Citizenship: United States (d) Title of Class of Securities: Common Stock (e) CUSIP Number: 693718 10 8 Item 3. This statement is not filed pursuant to Rules 13d-1(b), or 13d-2(b). Not applicable 4 Item 4. Ownership If the percent of the class owned, as of December 31 of the year covered by the statement, or as of the last day of any month described in Rule 13d-1(b)(2), if applicable, exceeds five percent, provide the following information as of that date and identify those shares which there is a right to acquire. (a) Amount Beneficially owned: 1,883,471 (b) Percent of class: 4.8% (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote 1,184,304 (ii) shared power to vote or to direct the vote 699,167 (iii) sole power to dispose or to direct the disposition of 1,184,304 (iv) shared power to dispose or to direct the disposition of 699,167 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 a beneficial owner of more than five percent (5%) of the class of securities, check the following [x]. Item 6. Ownership of More than Five Percent on Behalf of Another Person. 699,167 Common Shares are owned by a charitable trust of which Mr. Pigott is a co-trustee. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company. Not applicable 5 Item 8. Identification and Classification of Members of the Group. Not applicable Item 9. Notice of Dissolution of Group. Not applicable 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. Date January 21, 1997 ---------------- Signature /s/ JAMES C. PIGOTT ------------------- JAMES C. PIGOTT -----END PRIVACY-ENHANCED MESSAGE-----