-----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, Bcwcv4IFCkP5ZwydnojB/DUmd4HBNN72zVDjZRFywFEwnyUBIaQJx/ps6/+SC9XU 5Nos3dwdOIEeQN/uBCRjFQ== 0000950137-04-010485.txt : 20041129 0000950137-04-010485.hdr.sgml : 20041129 20041129155904 ACCESSION NUMBER: 0000950137-04-010485 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20041129 DATE AS OF CHANGE: 20041129 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Weaver Annamarie CENTRAL INDEX KEY: 0001309768 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: BUSINESS PHONE: 847-394-8730 MAIL ADDRESS: STREET 1: C/O AMCOL INTERNATIONAL CORPORATION STREET 2: 1500 WEST SHURE DRIVE, SUITE 500 CITY: ARLINGTON HEIGHTS STATE: IL ZIP: 60004 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: AMCOL INTERNATIONAL CORP CENTRAL INDEX KEY: 0000813621 STANDARD INDUSTRIAL CLASSIFICATION: MINING, QUARRYING OF NONMETALLIC MINERALS (NO FUELS) [1400] IRS NUMBER: 360724340 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-38603 FILM NUMBER: 041171615 BUSINESS ADDRESS: STREET 1: 1500 W SHURE DR CITY: ARLINGTON HEIGHTS STATE: IL ZIP: 60004-7803 BUSINESS PHONE: 8473948730 MAIL ADDRESS: STREET 1: 1500 W SHURE DR CITY: ARLINGTON HEIGHTS STATE: IL ZIP: 60004-7803 FORMER COMPANY: FORMER CONFORMED NAME: AMERICAN COLLOID CO DATE OF NAME CHANGE: 19920703 SC 13G 1 c90086bsc13g.txt SCHEDULE 13G United States Securities and Exchange Commission Washington, DC. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* AMCOL International Corporation (Name of Issuer) Common Stock (Title of Class of Securities) 02341W ---------------------------------- (CUSIP Number) November 16, 2004 ---------------------------------- (Date of Event Which Requires Filing of this Statement) Check the box to designate the rule pursuant to which this Schedule is filed: [ ] Rule 13d-l(b) [X] Rule 13d-l(c) [ ] Rule 13d-l(d) *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 ("Act") 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). 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. CUSIP No. 02341W 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Annamarie F. Weaver - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions). Not Applicable (a) : (b) : - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place Organization United States of America - -------------------------------------------------------------------------------- 5. Sole Voting Power 294,608 Number of Shares 6. Shared Voting Power Beneficially Owned by 3,183,680 Each Reporting 7. Sole Dispositive Power Person With 294,608 8. Shared Dispositive Power 3,183,680 9. Aggregate Amount Beneficially Owned by Each Reporting Person 3,478,288 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) Not Applicable - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row (9) 11.85% - -------------------------------------------------------------------------------- 12. Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- Item 1(a). Name of Issuer AMCOL International Corporation Item 1(b). Address of Issuer's Principal Executive Offices 1500 West Shure Drive, Suite 500 Arlington Heights, Illinois 60004 Item 2(a). Name of Person Filing Annamarie F. Weaver Item 2(b). Address of Principal Business Office or, if none, Residence c/o AMCOL International Corporation 1500 West Shure Drive, Suite 500 Arlington Heights, Illinois 60004 Item 2(c). Citizenship United States of America Item 2(d). Title of Class of Securities Common Stock Item 2(e). CUSIP Number 02341W Item 3. Not Applicable Item 4. Ownership (a) Amount beneficially owned: 3,478,288 (b) Percent of class: 11.85% (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote 294,608 (ii) Shared power to vote or to direct the vote 3,183,680 (iii) Sole power to dispose or to direct the disposition of 294,608 (iv) Shared power to dispose or to direct the disposition of 3,183,680 Item 5. Ownership of Five Percent or Less of a Class : Not Applicable Item 6. Ownership of More than Five Percent on Behalf of Another Person : Of the 3,478,288 shares beneficially owned by the reporting person, 3,151,751 are held as co-trustee and beneficiary of the Paul Bechtner Trust and 31,929 are held by the reporting person's spouse. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company : Not Applicable Item 8. Identification and Classification of Members of the Group : Not Applicable. Item 9. Notice of Dissolution of Group : Not Applicable Item 10. Certification : By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. 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. November 22, 2004 -------------------------------- Date /s/ Annamarie F. Weaver -------------------------------- Signature Annamarie F. Weaver -------------------------------- Name/Title -----END PRIVACY-ENHANCED MESSAGE-----