-----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, Mq1ietkp+4FpRF7PBB//LByrQSbHYABnCCjAgXnZyrHUkET4NibHMIse4fXJAVsS TI5xInRE2XEjx2qTjoeqSw== 0000919574-01-500188.txt : 20010502 0000919574-01-500188.hdr.sgml : 20010502 ACCESSION NUMBER: 0000919574-01-500188 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010423 FILED AS OF DATE: 20010501 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: W R GRACE & CO CENTRAL INDEX KEY: 0001045309 STANDARD INDUSTRIAL CLASSIFICATION: CHEMICALS & ALLIED PRODUCTS [2800] IRS NUMBER: 650773649 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-13953 FILM NUMBER: 1619056 BUSINESS ADDRESS: STREET 1: 1750 CLINT MOORE ROAD CITY: BOCA RATON STATE: FL ZIP: 33487-2707 BUSINESS PHONE: 5613622000 MAIL ADDRESS: STREET 1: 1750 CLINT MOORE ROAD CITY: BOCA RATON STATE: FL ZIP: 33487-2707 FORMER COMPANY: FORMER CONFORMED NAME: GRACE SPECIALTY CHEMICALS INC DATE OF NAME CHANGE: 19970902 COMPANY DATA: COMPANY CONFORMED NAME: PENINSULA PARTNERS LP CENTRAL INDEX KEY: 0001130325 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 4048 EAST MAIN ST. STREET 2: 2ND FL. CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 MAIL ADDRESS: STREET 1: 4048 EAST MAIN ST. STREET 2: 2ND FL. CITY: CHARLOTTESVILLE STATE: VA ZIP: 22902 3 1 as03038001aa4.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 3 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 1. Name and Address of Reporting Person Peninsula Partners, L.P. (a) 404 B East Main Street Charlottesville, VA 22902 2. Date of Event Requiring Statement (Month/Day/Year) April 23, 2001 3. IRS Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol W.R. Grace & Co. GRA 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director (X) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) ( ) Form filed by One Reporting Person (X) Form filed by More than One Reporting Person Table I -- Non-Derivative Securities Beneficially Owned 1. Title of Security 2. Amount of 3. Ownership 4. Nature of Indirect Securities Form: Beneficial Ownership Beneficially Direct(D) or Owned Indirect(I) Common Stock 6,591,500 (1) (1) Page 1 of 3 Table II -- Derivative Securities Beneficially Owned 1.Title of 2.Date Exer- 3.Title and Amount 4. Conver- 5. Ownership 6. Nature of Derivative cisable and of Securities sion or Form of Indirect Security Expiration Underlying Exercise Derivative Beneficial Date Derivative Security Price of Security: Ownership (Month/Day/ --------------- Deri- Direct(D) or Year) Title Amount or vative Indirect (I) --------------- Number of Security Date Expira- Shares Exer- tion cisable Date
Explanation of Responses: (a) Designated Filer is Peninsula Partners, L.P. ("Partners"). The other Reporting Persons are Peninsula Capital Appreciation, LLC ("Appreciation"), the general partner of Partners, and Peninsula Capital Advisors, LLC ("Advisors"), the investment manager of Partners. Appreciation and Advisors may be deemed to be beneficial owners of the reported shares but each disclaims beneficial ownership in the shares owned by Partners except to the extent of any indirect pecuniary interest therein. (1) Shares are owned directly by Partners, indirectly by Appreciation as general partner of Partners, and indirecty by Advisors as investment advisor to Partners. SIGNATURE OF REPORTING PERSON Peninsula Partners, L.P. By: Peninsula Capital Appreciation, LLC General Partner By: /s/ R. Ted Weschler ___________________________ R. Ted Weschler Managing Member Individually and as power of attorney for all other Reporting Persons Page 2 of 3 May 1, 2001 Page 2 of 3 Joint Filer Information Name: Peninsula Capital Appreciation, LLC Address: 404 B East Main Street, Charlottesville, VA 22902 Designated Filer: Peninsula Partners, L.P. Issuer and Ticker Symbol: W.R. Grace & Co. ("GRA") Date of Event Requiring Statement: April 23, 2001 Name: Peninsula Capital Advisors, LLC Address: 404 B East Main Street, Charlottesville, VA 22902 Designated Filer: Peninsula Partners, L.P. Issuer and Ticker Symbol: W.R. Grace & Co. ("GRA") Date of Event Requiring Statement: April 23, 2001 Page 3 of 3 03038001.AA4
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