SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
LAGRANGE ENERGY LP

(Last) (First) (Middle)
2838 WOODSIDE

(Street)
DALLAS TX 75204

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/20/2004
3. Issuer Name and Ticker or Trading Symbol
HERITAGE PROPANE PARTNERS L P [ HPG ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Units 4,419,177 D
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Class D Units (1) (1) Common Units 7,721,542 (3) D
Special Units (2) (2) Common Units 3,742,515 (3) D
Explanation of Responses:
1. The Class D Units will become convertible into Common Units in the event that approval for such conversion is obtained from the Issuer's unitholders, which approval is required to be sought promptly. The Class D Units have no expiration.
2. The Special Units will become convertible into Common Units in the event certain conditions are satisfied regarding the Bossier Pipeline, as further described in the Issuer's public filings, and approval for such conversion is obtained from the Issuer's unitholders. The Special Units could terminate if such conditions are not satisfied by December 1, 2004.
3. 1-for-1
Remarks:
The reporting person also wholly-owns the general partner of, as well as all the limited partnership interests in, U.S. Propane, L.P., a Delaware limited partnership, which is the general partner (with a 2% general partnership interest) of the Issuer.
LA GRANGE ENERGY, L.P., By: LE GP, LLC, its general partner, By: /s/ Ray C. Davis, Ray C. Davis, Co-Chief Executive Officer 01/22/2004
** 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 5 (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.
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