SEC FORM
4
SEC Form 4
| FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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| OMB Number: |
3235-0287 |
| Estimated average burden |
| hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
| 5000 SAWGRASS VILLAGE |
| STE 4 |
(Street)
| PONTE VEDRA BEACH |
FL |
32082 |
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2. Issuer Name and Ticker or Trading Symbol
HERITAGE PROPANE PARTNERS L P
[ HPG ]
|
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| Exec. Vice President & COO |
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3. Date of Earliest Transaction
(Month/Day/Year)
08/10/2003
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting Person |
|
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|---|
| 1. Title of Security (Instr.
3)
|
2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
Amount |
(A) or (D) |
Price |
| Common Unit |
08/10/2003 |
08/10/2003 |
A |
|
13,333
|
A |
$30.54
|
332,342 |
D |
|
| Common Unit |
|
|
|
|
|
|
|
9,000 |
I |
See Footnote
|
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
3)
|
2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
|
5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
|
8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
|
11. Nature of Indirect Beneficial Ownership (Instr.
4)
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| Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
| Explanation of Responses: |
|
|
|
By: Robert A. Burk, Attorney-in-fact |
08/12/2003 |
|
** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * If the form is filed by more than one reporting person,
see
Instruction
4
(b)(v). |
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
LIMITED POWER OF ATTORNEY
(ATTORNEY-IN-FACT TO
EXECUTE FORM 4 FILINGS)
KNOW ALL MEN BY THESE PRESENTS:
THAT the undersigned individual, as an Officer or Manager of U.S.
Propane, L.L.C., the general partner of U.S. Propane, L.P., the General Partner
of Heritage Propane Partners, L.P., a Delaware limited partnership, is required
pursuant to the provisions of Section 16 of the Securities Exchange Act of 1934
(the "Act") to make certain reports to the Securities and Exchange Commission,
including the filing of reports on Form 4, and does hereby make, constitute and
appoint Lawrence T. Chambers, Jr. and Robert A. Burk, or either of them, as his
true and lawful attorney, for him, and in his name, place and stead, to sign, on
his behalf, such Form 4 reports, giving and granting to said attorney full power
and authority to do and perform all and every act and thing whatsoever
requisite, necessary and proper to be done in the premises, as fully, to all
intents and purposes, as he might or could do, hereby ratifying and confirming
all that his attorney shall lawfully do, or cause to be done, by virtue hereof.
The power of attorney granted herein shall expire on the earlier of the
date on which the undersigned individual ceases to be subject to the reporting
requirements of Section 16 of the Act or until revoked.
IN WITNESS WHEREOF, the undersigned has subscribed his name hereto this
23rd day of September, 2002.
s/ R.C. Mills
Name: R.C. Mills
(Please print or type)
STATE OF FLORIDA )
) ss.
COUNTY OF ST. JOHNS )
Before me, the undersigned, a Notary Public in and for said County and
State, on this 23rd day of September, 2002, personally appeared R.C. Mills to me
known to be the identical person who subscribed his name to the foregoing Power
of Attorney, and he acknowledged to me that he executed the same as his free and
voluntary act and deed, for the uses and purposes therein set forth.
Given under my hand and seal of office the day and year last above
written.
V.F. Windland
Notary Public
DD109986
Commission Number
My Commission Expires:
July 12, 2006
[Notarial Seal]
