-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, NrngaV+gHkGq7VSLfy+UJsb8esleD7fFryqOJPq/NhjBLRaFgOImHgaGS+bk1NeD MtNUoHQCccDcpb+qTw8sdw== 0000030697-07-000338.txt : 20071113 0000030697-07-000338.hdr.sgml : 20071112 20071113171321 ACCESSION NUMBER: 0000030697-07-000338 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070930 FILED AS OF DATE: 20071113 DATE AS OF CHANGE: 20071113 EFFECTIVENESS DATE: 20071113 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PELTZ NELSON CENTRAL INDEX KEY: 0000928265 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-11639 FILM NUMBER: 071239342 BUSINESS ADDRESS: BUSINESS PHONE: 212 451 3000 MAIL ADDRESS: STREET 1: 280 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 FORMER COMPANY: FORMER CONFORMED NAME: NELSON PELTZ DATE OF NAME CHANGE: 19940810 13F-HR 1 np_sep2007.txt NELSON PELTZ SEPTEMBER 30, 2007 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 13F FORM 13F COVER PAGE Report for the Calendar Year or Quarter Ended: September 30, 2007 ------------------------ Check here if Amendment [ ]; Amendment Number: ------- This Amendment (Check only one.): [ ] is a restatement. [ ] adds new holdings entries. Institutional Investment Manager Filing this Report: Name: Nelson Peltz -------------------------------------------------- Address: 280 Park Avenue, 41st Floor -------------------------------------------------- New York, New York 10017 -------------------------------------------------- -------------------------------------------------- Form 13F File Number: 28-11639 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables, are considered integral parts of this form. Person Signing this Report on Behalf of Reporting Manager: Name: Nelson Peltz -------------------------------------------------- Title: -------------------------------------------------- Phone: 212-451-3000 -------------------------------------------------- Signature, Place, and Date of Signing: /s/NELSON PELTZ New York, New York 11/13/07 ------------------------ ------------------------------ -------- [Signature] [City, State] [Date] Report Type (Check only one.): [ ] 13F HOLDINGS REPORT. (Check here if all holdings of this reporting manager are reported in this report.) [ ] 13F NOTICE. (Check here if no holdings reported are in this report, and all holdings are reported by other reporting manager(s).) [ X ] 13F COMBINATION REPORT. (Check here if a portion of the holdings for this reporting manager are reported in this report and a portion are reported by other reporting manager(s).) List of Other Managers Reporting for this Manager: Form 13F File Number Name 28-11992 Trian Partners General Partner, LLC 28-12040 Trian Fund Management GP, LLC 28-12038 Trian Partners Parallel Fund I General Partner, LLC 28-12037 Trian Partners Parallel Fund II General Partner, LLC FORM 13F SUMMARY PAGE Report Summary: Number of Other Included Managers: 1 ------------- Form 13F Information Table Entry Total: 1 ------------- Form 13F Information Table Value Total: $ 4,165 ------------- (thousands) List of Other Included Managers: Provide a numbered list of the name(s) and Form 13F file number(s) of all institutional investment managers with respect to which this report is filed, other than the manager filing this report. No. Form 13F File Number Name 01 28-11640 Peter W. May FORM 13F INFORMATION
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8 VALUE SHARES/ OR SH/PUT/ INVESTMENT OTHER VOTING AUTHORITY - -------------- -------------- -------- -------- ----------------- ---------- ---------- ----------------- NAME OF ISSUER TITLE OF CLASS CUSIP (x1000) PRN AMT PRN CALL DISCRETION MANAGERS SOLE SHARED NONE Deerfield Triarc Cap Corp. COM 244572301 4,165 460,276 SH Defined 1 460,276
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