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Sulzer Medica USA Holding Co. – ‘3’ for 12/27/00 re: Capital Partners II Ltd. Liquidating Trust

As of:  Friday, 1/5/01   ·   For:  12/27/00   ·   Accession #:  929624-1-5   ·   File #:  0-32003

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 1/05/01  Sulzer Medica USA Holding Co.     3          10% Owner   1:9K   Cap Partners II Ltd Liquidati… Tr Donneley R R & S… Inc/FA

Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3           Initial Statement of Beneficial Ownership of           3     14K 
                Securities by an Insider                                         

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+--------+ | FORM 3 | U.S. 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person Sulzer Medica USA Holding Co. ---------------------------------------------------------------------------- (Last) (First) (Middle) 3 East Greenway Plaza, Suite 1600 ---------------------------------------------------------------------------- (Street) Houston, Texas 77046 ---------------------------------------------------------------------------- (City) (State) (Zip) 2. Date of Event Requiring Statement (Month/Day/Year) 12/27/00 -------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) -------------- 4. Issuer Name and Ticker or Trading Symbol Capital Partners II Ltd. ------------------------------------ Liquidating Trust ---------------------------------------------------------------------------- 5. Relationship of Reporting Person to Issuer (Check all applicable) [ ] Director [ ] Officer [X] 10% Owner [ ] Other (give title below) (specify below) ---------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) ---------------------------- 7. Individual or Joint/Group Filing (check Applicable Line) Form filed by One Reporting Person --- X Form filed by More than One Reporting Person --- TABLE 1--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED [Download Table] -------------------------------------------------------------------------------- 1. Title 2. Amount of 3. Ownership Form: 4. Nature of of Securities Bene- Direct (D) or Indirect Bene- Security ficially Owned Indirect (I) ficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Trust Units 21,627 (D) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- *If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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[Enlarge/Download Table] ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conversion 5. Ownership 6. Nature of In- Security (Instr. 4) cisable and Underlying Derivative Security or Form of direct Bene- Expiration (Instr. 4) Exercise Derivative ficial Date Price Security: Ownership (Month/Day/ of Direct (D) (Instr. 5) Year) Derivative or In- ---------------------------------------------------- Security direct (I) Date Expira- Amount or (Instr. 5) Exer- tion Title Number of cisable Date Shares ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------- Explanation of Responses: **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 provided is insufficient, See Instruction 6 for procedure. /s/ David S. Wise 1/3/01 ------------------------------- ----------------- **Signature of Reporting Person Date On behalf of Sulzer Medica USA Holding Co. Name: David S. Wise Title: Secretary
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Joint Filer Information ----------------------- Name: Sulzer AG IRS Number: 98-0109623 Address: Zurcherstrasse 12, P.O. Box 414, CH-8401 Winterthur, Switzerland Designated Filer: Sulzer Medica USA Holding Co. Date of Event Requiring Statement: 12/27/00 Ownership form: Indirect, Trust Units owned directly by Sulzer Medica USA Holding Co. Signature: /s/ Roman Beran 1/3/01 -------------------------------- ------------------------- On behalf of Sulzer AG Date Name: Roman Beran Title: Deputy Vice President and General Counsel, Head of Legal Department Signature: /s/ Kurt Haegi 1/3/01 -------------------------------- ------------------------- On behalf of Sulzer AG Date Name: Kurt Haegi Title: Secretary General Name: Sulzer Medica Ltd. Address: Zurcherstrasse 12, CH-8401 Winterthur, Switzerland Designated Filer: Sulzer Medica USA Holding Co. Date of Event Requiring Statement: 12/27/00 Ownership form: Indirect, Trust Units owned directly by Sulzer Medica USA Holding Co. Signature: /s/ Andre P. Buchel 1/3/01 -------------------------------- ------------------------- On behalf of SulzerMedica Ltd. Date Name: Andre P. Buchel Title: Chief Executive Officer Signature: /s/ Vanessa Oelz 1/3/01 -------------------------------- ------------------------- On behalf of Sulzer Medica Ltd. Date Name: Vanessa Oelz Title: Secretary General Page 3 of 3
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Filing Submission 0000929624-01-000005   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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