-----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, E8/75P+e7sZtd+Qk8BubR4GsGt/iZzaPWGpvSWQIFRWDJ9kr/ja9yWAl9Oo0+Sec EwLG3NAkDGaySsD3YR77TQ== 0000912057-02-003284.txt : 20020414 0000912057-02-003284.hdr.sgml : 20020414 ACCESSION NUMBER: 0000912057-02-003284 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011231 FILED AS OF DATE: 20020130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CARLSON DEBORAH CENTRAL INDEX KEY: 0001130045 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-05995 FILM NUMBER: 02521425 BUSINESS ADDRESS: STREET 1: ONE HOLLIS STREET STREET 2: SUITE 215 CITY: WELLESLEY STATE: MA ZIP: 02482 BUSINESS PHONE: 7812376468 13F-HR 1 a2068989z13f-hr.txt FORM 13F UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 Form 13F Form 13F COVER PAGE Report for the Calendar Year or Quarter Ended: December 31, 2001 Check here if Amendment [ ] Amendment No.: _________________ This Amendment (Check only one): [ ] is a restatement. [ ] adds new holdings entries. Institutional Investment Manager Filing this Report: Name: Deborah Carlson Address: c/o Amelia Peabody Foundation One Hollis Street Wellesley, MA 02482 Form 13F File Number: 028-05995 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: Deborah Carlson Title: Trustee Phone: 781-237-6468 Signature, place and date of signing: /s/ Deborah Carlson Wellesley, Massachusetts January 30, 2002 Report Type (Check only one): [ ] 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).) [x] 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).) List of Other Managers Reporting for this Manager: Form 13F File No. Name 28-05989 Amelia Peabody Foundation -2- FORM 13F SUMMARY PAGE Report Summary: Number of Other Included Managers: 0 Form 13F Information Table Entry Total: 28 Form 13F Information Table Value Total: $1118 (in thousands)
List of Other Included Managers: Provide a numbered list of the name(s) and Form 13F file number(s) of all institutional investment managers with respect to which this report is filed, other than the manager filing this report. None -3-
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 Name of Issuer Title of Class CUSIP Value Shrs or Sh/ Put/ Investment (X $1000) Prn Amt Prn Call Discretion Amer Int'l Group Common 026874107 16 200 SH Sole Beverly National Common 088115100 36 2,000 SH Sole Brinson Tactical Common 10971G306 103 4,022 SH Sole Cinergy Corp. Common 172474108 50 1,500 SH Sole Cummins Inc. Common 231021106 39 1,000 SH Sole El Paso Common 28336L109 45 1,000 SH Sole Energy East Corp. Common 29266M109 76 4,000 SH Sole Energy East Capital Preferred 29267G200 50 2,000 SH Sole Fleet Boston Common 339030108 37 1,000 SH Sole Great Plains Common 391164100 76 3,000 SH Sole Home Depot Common 437076102 31 600 SH Sole IBM Common 459200101 24 200 SH Sole Johnson & Johnson Common 478160104 35 600 SH Sole JP Morgan Chase Common 46625M100 36 1,000 SH Sole Merck & Co. Common 589331107 24 400 SH Sole Microsoft Common 594918104 27 400 SH Sole Mutual Risk ADR Common 628351108 22 3,000 SH Sole New Plan Excel Common 648053106 57 3,000 SH Sole Petroleo Common 71654V408 35 1,500 SH Sole Pfizer Common 717081103 20 500 SH Sole Proctor & Gamble Common 742718109 24 300 SH Sole Royal Dutch ADR Common 780257804 39 800 SH Sole Teco Energy Common 872375100 26 1,000 SH Sole Torch Offshore Common 891019101 18 3,000 SH Sole TXU Corp Common 873168108 61 1,300 SH Sole Tyco International Common 902124106 18 300 SH Sole Verizon Common 92343V104 47 1,000 SH Sole XL Capital Ltd Common G98255105 46 500 SH Sole 1118
COLUMN 1 COLUMN 7 COLUMN 8 Name of Issuer Other Voting Authority Managers Sole Shared None Amer Int'l Group 200 Beverly National 2,000 Brinson Tactical 4,022 Cinergy Corp. 1,500 Cummins Inc. 1,000 El Paso 1,000 Energy East Corp. 4,000 Energy East Capital 2,000 Fleet Boston 1,000 Great Plains 3,000 Home Depot 600 IBM 200 Johnson & Johnson 600 JP Morgan Chase 1,000 Merck & Co. 400 Microsoft 400 Mutual Risk ADR 3,000 New Plan Excel 3,000 Petroleo 1,500 Pfizer 500 Proctor & Gamble 300 Royal Dutch ADR 800 Teco Energy 1,000 Torch Offshore 3,000 TXU Corp 1,300 Tyco International 300 Verizon 1,000 XL Capital Ltd 500
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