5 1 h90124e5.txt T.L.L. TEMPLE FOUNDATION FOR SOUTH TEXAS DRILLING 1 -------------------------- OMB APPROVAL -------------------------- ------ OMB Number: 3235-0362 FORM 5 Expires: December 31, 2001 ------ Estimated average burden hours per response.... 1.0 -------------------------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP [ ] CHECK BOX IF NO LONGER SUBJECT TO SECTION 16. FORM 4 OR FORM 5 OBLIGATIONS MAY CONTINUE. SEE Filed pursuant to Section 16(a) of the Securities INSTRUCTION 1(b). Exchange Act of 1934, [X] FORM 3 HOLDINGS Section 17(a) of the Public Utility REPORTED Holding Company Act of 1935 or Section 30(f) of [X] FORM 4 the Investment Company Act TRANSACTIONS of 1940 REPORTED ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to T.L.L. Temple Foundation South Texas Drilling & Exploration, Inc. (PDC) Issuer (Check all applicable) ------------------------------------------- --------------------------------------------- Director X 10% Owner (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- --- Number of Reporting Month/Year Officer (give X(1) Other 109 Temple Blvd., Suite 300 Person (Voluntary) March 2001 ---- title --- (specify ------------------------------------------- ------------------- below) below) (Street) -------------------- 5. If Amendment, Date of Original ------------------------------- Lufkin, Texas 75901-7321 (Month/Year) ------------------------------------------- 7. Individual or Joint/Group Reporting (City) (State) (Zip) ------------------ (Check applicable line) Form Filed by one ---- Reporting Person X Form Filed by More than ---- One Reporting Person ------------------------------------------------------------------------------------------------------------------------------------ TABLE I -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature (Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In- Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct (Month/ (Instr. end of Issuer's Direct Benefi- Day/ 8) Fiscal Year (D) or cial Year) ---------------------------- (Instr. 3 and 4) Indirect Owner- Amount (A) or Price (I) ship (D) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/4/00 C4 800,000 A (2) 800,000 (2) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ *If the form is filed by more than one reporting person, see Instruction 4(b)(v). (Over) SEC 2270 (3-99) 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.
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FORM 5 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price Security sion or action action Derivative cisable and of Underlying of (Instr. 3) Exercise Date Code Securities Ac- Expiration Securities Deriv- Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative Deriv- Day/ Disposed of (D) (Month/Day/ Secur- ative Year) (Instr. 3, 4, Year) ity Security and 5) (Instr. 5) ----------------------------------- Date Expira- Amount or --------------- Exer- tion Number of (A) (D) cisable Date Title Shares ------------------------------------------------------------------------------------------------------------------------------------ Series A 8% Convertible Common Preferred Stock 2 for 1 10/4/00 C4 400,000 Immed. Stock 800,000 ------------------------------------------------------------------------------------------------------------------------------------ Series B 8% Convertible Common Preferred Stock 6.4948 for 1 1/20/98 P4 153,915 Immed. 8/22/01 Stock 999,647 $16.25 ------------------------------------------------------------------------------------------------------------------------------------ Series B 8% Convertible Common Preferred Stock 6.4948 for 1 1/20/98 P4 30,700 Immed. 8/22/01 Stock 199,390 $16.25 ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ 9. Number of 10. Ownership 11. Nature of Derivative of Derivative Indirect Securities Security: Beneficial Beneficially Direct (D) Ownership Owned at End or Indirect (I) (Instr. 4) of Year (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------ -0- (2) ------------------------------------------------------------------------------------------------------ 153,915 (3) ------------------------------------------------------------------------------------------------------ 30,700 (4) (4) ------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) The Reporting Persons are members of a Section 13(d) group that owns more than 10% of the issuer's common stock. (2) These securities are directly owned by T.L.L. Temple Foundation, an owner of more than 10% of the issuer. T.L.L. Temple Foundation converted 400,000 shares of Series A Preferred Stock on October 4, 2000 into 800,000 shares of common stock. (3) These securities are directly owned by T.L.L. Temple Foundation, an owner of more than 10% of the issuer. (4) These securities are directly owned by Temple Interests, L.P. and indirectly by its general partners Arthur Temple, III, Southwood, Inc. and ATSP Partnership, Ltd. T.L.L. TEMPLE FOUNDATION **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ T.L.L. TEMPLE FOUNDATION 8/16/01 See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- ------- **Signature of Reporting Person Date Chairman of the Board of Trustees Note. File three copies of this Form, one of which must be manually signed. Page 2 If space is insufficient, see Instruction 6 for procedure. SEC 2270 (3-99)
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 number. 3 Name: Temple Interests, Ltd. Address: 109 Temple Blvd., Suite 200 Lufkin, Texas 75901-7321 Designated Filer: T.L.L. Temple Foundation Issuer & Ticker Symbol: South Texas Drilling & Exploration, Inc. (PDC) Date of Event Requiring Statement: 1/20/98 Signature: TEMPLE INTERESTS, LTD. By: TEMPLE SOUTHWOOD, INC. its Managing General Partner By: /s/ ARTHUR TEMPLE, III ---------------------------------- Arthur Temple, III President, Secretary and Treasurer Name: Arthur Temple, III Address: 109 Temple Blvd., Suite 200 Lufkin, Texas 75901-7321 Designated Filer: T.L.L. Temple Foundation Issuer & Ticker Symbol: South Texas Drilling & Exploration, Inc. (PDC) Date of Event Requiring Statement: 1/20/98 Signature: /s/ ARTHUR TEMPLE, III ------------------------- ARTHUR TEMPLE, III Page 3 of 6 pages 4 Name: Temple Southwood, Inc. Address: 109 Temple Blvd., Suite 200 Lufkin, Texas 75901-7321 Designated Filer: T.L.L. Temple Foundation Issuer & Ticker Symbol: South Texas Drilling & Exploration, Inc. (PDC) Date of Event Requiring Statement: 1/20/98 Signature: TEMPLE SOUTHWOOD, INC., By: /s/ ARTHUR TEMPLE, III ----------------------------------------- Name: Arthur Temple, III Title: President, Secretary and Treasurer Name: ATSP Partnership, Ltd. Address: 109 Temple Blvd., Suite 100 Lufkin, Texas 75901-7321 Designated Filer: T.L.L. Temple Foundation Issuer & Ticker Symbol: South Texas Drilling & Exploration, Inc. (PDC) Date of Event Requiring Statement: 1/20/98 Signature: ATSP PARTNERSHIP, LTD., By: ARTHUR TEMPLE, INC. its General Partner By: * ------------------------------- Name: Arthur Temple Title: President *Attorney-in-fact Page 4 of 6 pages 5 POWER OF ATTORNEY The undersigned do hereby make, constitute and appoint Arthur Temple, III, acting jointly or singly, the undersigned's attorney-in-fact (hereinafter referred to as "Attorney") with power to act for the undersigned and in the undersigned's name, place and stead, with or without the other and with full power of substitution and resubstitution, for the sole purpose of executing, making, declaring, certifying and filing on behalf of the undersigned with the Securities and Exchange Commission, and other appropriate governmental or private entities, any and all statements, reports and other information required to be filed by the undersigned under the Securities Exchange Act of 1934, as amended, or other state or federal statutes, by virtue of or relating to the undersigned's beneficial ownership of equity securities of South Texas Drilling and Exploration, Inc., including without limitation any Schedule 13D, any and all amendments to any such schedule, any Joint Filing Agreement and any and all amendments thereto, any Form 3, 4 or 5 and any and all amendments thereto, and all other documents and information incidental or related thereto required to be executed, made or filed by the undersigned, in the form and manner in which such Attorney deems necessary, appropriate, convenient or desirable to be done pursuant to and in accordance with the authorization contained in this Power of Attorney, as fully and to all intents and purposes as the undersigned might or could do in person, the undersigned hereby ratifying and approving the acts of the Attorneys and each of them. IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney on August 14, 2001. T.L.L. TEMPLE FOUNDATION By: /s/ ARTHUR TEMPLE, III -------------------------------------- Name: Arthur Temple, III Title: Chairman of the Board of Trustees TEMPLE INTERESTS, LTD. By: TEMPLE SOUTHWOOD, INC. its Managing General Partner By: /s/ ARTHUR TEMPLE, III ---------------------------------- Arthur Temple, III President, Secretary and Treasurer /s/ ARTHUR TEMPLE, III ------------------------------------------ ARTHUR TEMPLE, III Page 5 of 6 pages 6 TEMPLE SOUTHWOOD, INC., By: /s/ ARTHUR TEMPLE, III -------------------------------------- Name: Arthur Temple, III Title: President, Secretary and Treasurer ATSP PARTNERSHIP, LTD., By: ARTHUR TEMPLE, INC. its Managing Partner By: /s/ ARTHUR TEMPLE --------------------------------- Name: Arthur Temple Title: President Page 6 of 6 pages