-----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, D8LY8KV0XnYhDSiz0FHr+95XxONSV8uHnXg9eTIDP792EYdAFseMa9lZy6P/uABs glAwsb2n72VEfELr+/IzrQ== 0000897485-00-000058.txt : 20000516 0000897485-00-000058.hdr.sgml : 20000516 ACCESSION NUMBER: 0000897485-00-000058 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000515 FILED AS OF DATE: 20000515 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHATTEM INC CENTRAL INDEX KEY: 0000019520 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 620156300 STATE OF INCORPORATION: TN FISCAL YEAR END: 1130 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 000-05905 FILM NUMBER: 634492 BUSINESS ADDRESS: STREET 1: 1715 W 38TH ST CITY: CHATTANOOGA STATE: TN ZIP: 37409 BUSINESS PHONE: 4238214571 MAIL ADDRESS: STREET 1: 1715 W 38TH ST CITY: CHATTANOOGA STATE: TN ZIP: 37409 FORMER COMPANY: FORMER CONFORMED NAME: CHATTEM DRUG & CHEMICAL CO DATE OF NAME CHANGE: 19790111 COMPANY DATA: COMPANY CONFORMED NAME: KELLOGG PETER R CENTRAL INDEX KEY: 0000897485 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: C/O SPEAR LEEDS & KELLOGG STREET 2: 120 BROADWAY CITY: NEW YORK STATE: NY ZIP: 10271 BUSINESS PHONE: 2124337070 MAIL ADDRESS: STREET 1: 120 BROADWAY STREET 2: C/O SPEAR LEEDS & KELLOGG CITY: NEW YORK STATE: NY ZIP: 10271 3 1 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES FORM 3 Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person Kellogg, Peter R. c/o Spear, Leeds & Kellogg 120 Broadway New York, New York 10271 2. Date of Event Requiring Statement May 12, 2000 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol: Chattem, Inc.("CHTT") 5. Relationship of Reporting Person to Issuer (Check all applicable) ___ Director 10% Owner ___ Officer ___ Other (give title below) (specify below) 6. If Amendment, Date of Original (Month/Day/Year) Table I - Non-Derivative Securities Beneficially Owned 1. Title of Security (Instr. 4): Common Stock 2. Amount of Securities Beneficially Owned (Instr. 4) 1,003,350 3. Ownership Form: Direct (D)or Indirect (I) (Instr. 5) I 4. Nature of Indirect Beneficial Ownership (Instr. 5) (1) (2) 5. Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security (Instr. 4) ___________ 2. Date Exercisable and Expiration Date (Month/Day/Year) ___________ 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) ___________ 4. Conversion or Exercise Price of Derivative Security ___________ 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) ___________ 6. Nature of Indirect Beneficial Ownership (Instr. 5) ___________ Explanation of Responses: 1. IAT Reinsurance Syndicate Ltd, a Bermuda Corporation of which Mr. Kellogg is sole holder of voting stock. 2. Mr. Kellogg disclaims beneficial ownership of these shares. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). __Peter R. Kellogg_______________ May 15, 2000 **Signature of Reporting Person Date -----END PRIVACY-ENHANCED MESSAGE-----