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Lucas Dallas E – ‘3’ for 4/17/01 re: Shelbourne Properties III Inc.

As of:  Monday, 4/30/01   ·   For:  4/17/01   ·   Accession #:  950136-1-500167   ·   File #:  1-16343

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

 4/30/01  Lucas Dallas E                    3          Director    1:8K   Shelbourne Properties III Inc.    Capital Systems 01/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     13K 
                Securities by an Insider                                         

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-------------------------------------- FORM 3 OMB APPROVAL -------------------------------------- OMB Number: 3235-0104 Expires: December 31, 2001 Estimated average burden hours per response 0.5 -------------------------------------- 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) ------------------------------------------------------------------------------- 1. Name and Address of Reporting Person Lucas Dallas E. ----------------------------------------------------------- (Last) (First) (Middle) c/o Northstar Capital Investment Corp. 527 Madison Avenue, 16th Floor ----------------------------------------------------------- (Street) New York New York 10022 ----------------------------------------------------------- (City) (State) (Zip) ------------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) 4/17/01 ------------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) ------------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol Shelbourne Properties III, Inc. (HXF) ------------------------------------------------------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [ ] 10% Owner [X] Officer (give title below) [ ] Other (specify below) Vice President and Treasurer -------------------------------------------------- -------------------------------------------------- ------------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) ------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (Check all applicable) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person -------------------------------------------------------------------------------
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FORM 3 (continued) [Enlarge/Download Table] TABLE I--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED -------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Form: Direct (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- Common Stock, par value $0.01 per share 1,090 I by corporation -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------- 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 person, see Instruction 5(b)(v). POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB NUMBER. (OVER) Page 1
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FORM 3 (continued) [Enlarge/Download Table] TABLE II--DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ---------------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Security (Instr. 4) cisable and Underlying Derivative Security sion or ship Indirect Expiration (Instr. 4) Exercise Form of Beneficial Date ----------------------------------- Price of Deriv- Ownership (Month/Day/Year) Deriv- ative (Instr. 5) --------------------- Amount ative Security: or Security Direct Date Expira- Title Number (D) or Exer- tion of Indirect cisable Date Shares (I) (Instr. 5) ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- Explanation of Responses: /s/ Dallas E. Lucas 4/27/2001 ---------------------------------------- ------------------ Dallas E. Lucas ** Signature of Reporting Person Date ** 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. Page 2

Dates Referenced Herein   and   Documents Incorporated by Reference

Referenced-On Page
This ‘3’ Filing    Date First  Last      Other Filings
12/31/01110-K
Filed on:4/30/013
For Period end:4/17/013,  8-K
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Filing Submission 0000950136-01-500167   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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