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Home My WebLink AboutDocumentation_Pension Public Safety_Tab 08E1_02/10/2004~~~ ~~~ NORTHSTAR CAPITAL MANAGEMENT, INC. IIWESTMENT COUNSEL 4400 PGA Boulevard, Suite 600 Palm Beach Gardens, Florida 33410 (561) 775-5880 (561) 775-5909 Fax PETER V. VAN BEUREN PRIIVCII'AL January 26, 2004 °'~!J Mr. Dan Gallagher !~ Village of Tequesta ' P.O. Box 3273 Tequesta, Florida 3348-0273 Re: Village of Tequesta Public Safety Officers' Pension Trust Fund Dear Dan: Enclosed are forms and documents relating to a class action suit being brought against Carnival Cruise Lines. All of the documents have been filled out and you need only sign and date on the appropriate lines on page 5 and forward the documents in the enclosed envelope. Should you have any questions this information or any other matter, please give me a call. Sincerely yours, ~~ ~~ PVVB:jb Encl. Trustee/Custodian/Nominee t - ! Account#/Fund# (Not Necessary fear !~dividual Filers) Village of Tequesta Public Safi ty Officers' Pension Trust Fund COinNai ry~ oci icu~,iai ....~ ~.,~ ~....._ ~i an lndividua! Must be Postrnarked UNITED STATES DISTRICT COURT No Later Than: SOUTHERN DISTRICT OF FLORIDA February 6, 2004 MIAMI DIVISION to re Carnival Corp. Securities Litigation CASE NO. 00-0731-CIV-MOORS/O'SULLIVAN C RN L'i PROOF OF CLAIM AND RELEASE Please Print in the Boxes Below Do Not Use Red Ink Or Pencil _ 7. STATEMENT OF CLAIM -... _._ . _. - ._ _.. _ ___ ___ _ _ _ .-.-- Last Name (Beneficial Owner) First Name (Beneficial Owner) L First Name (Co-Beneficial Owner) Trust/Pension Date / / Employer Identification Number Telephone Number (Evening) Address l _ . Address City Foreign Province State Zp Code ~~ ~ ~'~ .~ Foreign Zp Code Foreign Country Abbreviation __ _ Social Security Number - - z~r Telephone Number (Day) ti ~/ ~ Email Address uwu ~ur~ wenouwT~nu For Claims ^ Processing only PC LS BC1 DEF LATE 3 ^ ^ SCHEDULE TRANSACTION OF CARNIVAL COMMON STOCK Proof of Holding ^ Enclosed? 8. At the close of business on July 27, 1998, I owned ~ shares of _ ~Y Carnival common stock. 9. I made the following purchases of Carnival common stock during the period between July 28, 1998 and February 28, 2000, inclusive. (Persons who received Carnival common stock during the Class Period other than by purchase are not eligible to submit claims for those transactions.): o~~nruwccc Trade Date(s) of Purchase (List Chronologically) Number of Shares of Common Stock Purchased Aggregate Cost To Nearest Whole Dollar Including Commissions, etc. Proof of Purchase Enclosed? MM DD YYYY 2. / / $ Y N 3. / / $ Y N 4. / / $ Y N 5. / / $ Y N 10. I made the following sales of Carnival common stock during the period between July 28, 1998 and February 28, 2000, inclusive: cei cc Trade Date(s) of Sale (List Chronologically) Amount Received Number of Shares of To Nearest Whole Dollar Common Stock Sold Net of Commissions, etc. Proof of Sale Enclosed? MM DD YYYY 1. / / $ Y N 2 / / $ Y . N 3. / / $ Y N 4. / / $ Y N 5. / / $ Y N Proof of Holding Enclosed? 11. At the close of business on February 28, 2000, I still owned ~ ` shares of ~ Y Carnival common stock. % ~' L~ N If you require additional space, attach copies of this page as necessary. Sign and print your name on each additional page. ^ 4 ^ 12. Substitute Form W-9 ^ Request for Taxpayer Identification Number: Enter taxpayer identification number below for the Beneficial Owner(s). For most individuals, this is your Social Security Number. The Intemal Revenue Service ("I.R.S.") requires such taxpayer identification number. If you fail to provide this information, your claim may be rejected. Check appropriate box: lJ~d ~ ~l r Individual IRA Account Estate Corporation Trustee/Custodian Other (specify) %-ir. 71r t Social Security Number Employer Identification Number (for individuals) (for estates, trusts, corporations, etc.) 13. Certification I (We) certify that I am (we are) NOT subject to backup withholding under the provisions of Section 3406 (a)(1)(c) of the Intemal Revenue Code because: (a) I am (We are) exempt from backup withholding, or (b) I (We) have not been notified by the I.R.S. that I am (we are) subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the I.R.S. has notified me (us) that I am (we are) no longer subject to backup withholding. NOTE: If you have been notified by the I.R.S. that you are subject to backup withholding, please strike out the language that you are not subject to backup withholding in the certification above. UNDER THE PENALIZES OF PERJURY, I (VVE) CERTIFY THAT ALL OF THE INFORMATION PROVIDED ON THIS PROOF OF CLAIM AND RELEASE FORM IS TRUE, CORRECT AND COMPLETE. Signature of Claimant (If this claim is being made on behalf of Joint Claimants, then each must sign) (Sig[n/a/ture) j / W _ .. (Signature) ~, h= ~ f ' - . _./ ~ ,: I G ! F e 1t ~ is / ~' ~ (Capacity of person(s) signing, e.g. beneficial purchaser(s), executor, administrator, trustee, etc. ) ,, ~ . Date Proof of Authority to File Enclosed? Y ! N (See Proof of Claim Instruction 2) 1 THIS PROOF OF CLAIM MUST BE SUBMITTED NO LATER THAN FEBRUARY 6, 2004, AND MUST BE MAILED TO: In re Carnival Corp. Securities Litigation c/o Gilardi & Co. LLC Claims Administrator Post Office Box 990 Corte Madera, CA 94976-0990 A Proof of Claim received by the Claims Administrator shall be deemed to have been submitted when posted, if mailed by February 6, 2004, and if a postmark is indicated on the envelope and it is mailed first class, and addressed in accordance with the above instructions. In all other cases, a Proof of Claim shall be deemed to have been submitted when actually received by the Claims Administrator. ff you wish to be assured that your Proof of Claim is actually received by the Claims Administrator, then you should send it by Certified Mail, Return Receipt Requested. No acknowledgment will be made as to the receipt of claim forms. You should be aware that it will take a significant amount of time to process fully all of the Proofs of Claim and to administer the Settlement. This work will tie completed as promptly as time permits, given the need to investigate and tabulate each Proof of Claim. Please notify the Claims Administrator of any change of address. . 5 ^ ^ ~~ ^ THIS PAGE INTENTIONALLY LEFT BLANK ^ ~ Securities COMMAND Account 'or The Period: ~ebruary 1 -February 29, 2000 VILLAGE OF TEQUESTA (~9ient Statement Account Number: 01 K-962237-24 Page 2 of 12 .'SPA ~ - Portfolio Detail ESTIMATED ESTIMATED CURRENT CURRENT ACCRUED ANNUALIZED CURRENT SYMBOL QUANTITY PRICE VALUE INTEREST INCOME YIELD COMMENTS Equities-58.8% of Portfolio / AMERICAN INTERNATIONAL GROUP INC a/ AIG 375 88.438 $33,164.25 AMGEN INC ~/ AMGN 300 68.188 $20,456.40 ............................................................................................................................................................................................................... BELLSOUTH CORP ~ BLS 600 40.563 $24,337.80 BIOGEN INC BGEN 300 107.938 $32,381.40 $75 .23% ............................................ ................ $456......1.'.87%..... BRISTOL MYERS SQUIBB CO BMY 300 57.250 $17,175.00 $294 1.71% CALPINE CORP J CPN 200 91.500 "" $18,300.00 ............................................................................. CARNIVAL CORP .................................... ,~ CCL ..................... 400 ........................w~ ........ 28.813 ........................................ $11,525.20 CENTURYTEL INC CTL 500 33.625 $16,812.50 CISCO SYSTEMS INC CSCO 500 132.188 $66,094.00 ~~ CITIGROUP INC ,I C 600 51.813 $31,087.80 ............................................................................. COCA COLA CO DELAWARE ................................... KO ..................... 200 ................................... 48.625 ........................................ $9,725.00 COLLATE PALMOLIVE CO ............................................................................. CL ................................... 400 .................... 52.188 "' ................................ $20,875.20 ..................................... DELL COMPUTER CORP DELL 500 40.813 "' $20,406.50 E M C CORP MASS EMC 500 119 000 " $59 500 00 ........ ...... ......... ......_. ; ... .. ... _....,. : : .._....._.... FANNIE MAE FNM 300 53.000 "' $15,900.00 ............................................................................. GENERAL ELECTRIC CO ................................... / GE ..................... 300 ................................... 132.375 ....................................... $39,712.50 ............................................... ..................... ........ ......... ....... . .......... . ...~~........ ......... ............. HOME DEPOT INC HD 7 50 3 57.81 $43,359.75 INTEL CORP INTC 200 113.000 $22,600.00 ............................................................................. INTERNATIONAL BUSINESS MACHINES ................................... IBM ..................... 200 .................................. 102.750 ....................................... $20,550.00 MCI WORLDCOM INC WCOM 600 44.625 $26,775.00 MEDTRONIC INC MDT 600 48.438 $29,062.80 ............................................................................. MICROSOFT CORP WASHINGTON ................................... ~ MSFT ..................... 300 ................................... 89.375 ....................................... $26,812.50 NORTEL NETWORKS CORP ~~~NT . 4b0 115.781 " $46,312.40 NORTHERN TRUST CORP ... . NTRS ...... ......... 400 .... . _... ........ 56.500 '" ......... .._........,. $22,600.00 ............................................................................ OMNICOM GROUP INC ............... .................. OMC ..................... 400 ........................w+........ 94.188 ....................................... $37,675.20 ....... ....... ................................................ PROCTER & GAMBLE CO ................... ............. PG ..................... 200 ........................'w ........ 87.875 ....................................... $17,575.00 ............................................................................. SCHERING PLOUGH CORP ................................... SGP .................... 400 .................................... 35.000 '" ....................................... $14,000.00 51EBEL SYSTEM INC SEBL 250 138.688 '" $34,672.00 $168 1.46% ................ $95 .57% $384 1.24% ..................................... $136 ................................. ............................... 1.40% .................................... .......................... $252.... ....................................................... . ....... ..1.21% ...................................... $336 ........................................................ 2.11% ~~~~~~~ $492 1.24% ..................................... $120 ................................................................. .28% ........................... ... $24 ................................................................. .11% $96 .................................... .47% ................................................................. ..................................... $96 ............. .................................................... .33% ..................................... $216 ............ .96% $280 .74% ..................................... $256 . ............. .................................................... 1.46% .................................... $200 ..................................... . . ................................................................. 1.43% ................................................................. WAL MART STORES INC WMT 600 48.875 $29,325.00 $120 .41% WALGREEN CO c~ WAG 500 25.813 S129D6 5D Q6A 53 N N Y_ 4 m m m N a F 2 V K ON 11/09/1999 YOU PURCHASED 400 CARNIVAL CORP AT 46 11/16 TICKER SYMBOL CCL UNSOLICITED, PREFERENTIAL COMMISSION RATE DUPX05 FOR ACCT VILLAGE OF TEQUESTA EMPLOYEES PENSION TRUST FUND please LOOMIS SAYLES & CO L.P. offic.s.rvinq PRUDENTIAL SECURITIES retain 4400 PGA BLVD STE 600 your account 2000 PGA BOULEVARD this copy PALM BCH GDNS FL 33410-6559 SUITE 2104 for your NORTH PALM BEACH FL 33408 records Inlln~llnlnlntllllnnlln~l~lnl~ltl~ln,lil~lln~ltlnl VourFinaneial fdvi~°r i• FRED P KENNEY B FIRST V.P. INV 561-694-0200 Vour Account Number FA ISO Day's Int F MKT Class TRF ABC CUSIP Number Our Trade ID OlK-962237-1 1024 I I I5 IC1 ~ IN IL10 I 143658102 I 99313ET501015 v Amount .18,675.00 v Interest ~ ~ ~~ v Execmwn Cost/Exchange Fee v Gomm~ssion 60.00 v Misc Tax v Misc Fee v Regulatory Fee v Net Amount 18,735.00 Due Date 11/15/1999 See reverse for explanations 02P-000026