1 REPORTING FORM FOR U.S. ISSUERS OF SECURITIES EQUITY INTERESTS, BY COUNTRY 1 NUMBER OF SHARES HELD BY FOREIGN PERSONS AS OF 12/31/74 INDIVIDUALS RESIDING ABROAD E.I. number ALL OTHER FOREIGN PERSONS Investment cos., insurance (4) through (9)) (3) No. of shares (3b) 00,000,000 Banks, brokers and nominees cos., pension funds & other employee benefit Other business firms funds or trusts (5) (6) (7) (8) (9) No. of holders No. of shares No. of holders No. of (5a) (5b) (6a) shares (6b) 0000 00,000,000 0000 00,000,000 0000 00,000,000 0000 00,000,000. 0000 00,000,000 Exclude direct and indirect holdings in U.S. securities by foreign direct investors. A foreign direct investor is any foreign person owning 10% or more of the voting stock of the U.S. company. (See paragraph B.2.b(2) of the General Instructions.) REPORTING FORM FOR U.S. ISSUERS OF SECURITIES BREAKDOWN OF FOREIGN OWNERSHIP IN U.S. LONG-TERM DEBT OBLIGATIONS, BY COUNTRY' (Give all amounts shown below in the currency of issue) FACE AMOUNT OF ISSUE HELD BY FOREIGN PERSONS AS OF 12/31/74 INDIVIDUALS RESIDING ABROAD Issue code number Foreign currency code 2 Total number of countries reported for this issue ALL OTHER FOREIGN PERSONS Investment cos.,insurance cos., pension funds & other employee benefit funds or trusts Foreign nationals residing in foreign Official institutions Banks, brokers and nominees Other business firms countries (5) (6) (7) (8) (9) No. of Face amount (5a) (5b) 0000 00,000,000 0000 00,000,000 0000 00,000,000 0000 00,000,000 0000 00,000,000 1Exclude direct and indirect holdings in U.S. securities by foreign direct investors. A foreign direct investor is any foreign person owning 10% or more of the voting stock of the U.S. company. (See paragraph B.2.b(2) of the General Instructions.) 2Use country code number from Annex B of the General Instructions to identify foreign currency issue. Certification: The undersigned official executing this certification on behalf of the company hereby certifies that the information contained in this report, including any addenda, schedules or statements attached hereto, is correct and complete to the best of his knowledge and belief. NAME OF COMPANY SIGNATURE OF AUTHORIZED OFFICIAL TITLE OF OFFICIAL DATE 12 |