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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 05/06/2004
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3. Issuer Name and Ticker or Trading Symbol
AMKOR TECHNOLOGY INC
[ AMKR ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
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Officer (give title below) |
X |
Other (specify below) |
See Exhibit No. EX-99.1 |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Amkor Technology, Inc. Common Stock |
10,000 |
D |
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
4)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
Remarks: |
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Memma S. Kilgannon*** |
05/17/2004 |
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** 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. |
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |
Exhibit No. EX-99.1
Exhibit No. EX-99.1
May be deemed member of group. The group may be deemed to beneficially own more
than 10% of the outstanding voting securities of the issuer. The trust agreement
for the trust authorizes the trustees of the trust to vote the shares of common
stock of the issuer held by it, in their discretion, in concert with James J.
Kim's family. James J. Kim and Agnes C. Kim are the parents of Susan Y. Kim,
David D. Kim and John T. Kim and Susan Y. Kim is the parent of Alexandra
Panichello, Jacqueline Panichello and Dylan Panichello, who share the same
household with Susan Y. Kim. John T. Kim is the parent of Allyson Kim and Jason
Lee Kim. Each of the reporting persons states that the filing of this Form 3
report shall not be deemed an admission that the reporting person is the
beneficial owner of the reported securities, for purposes of Section 16 of the
Securities Exchange Act of 1934, as amended, or for any other purpose.
Exhibit No. EX-99.2
Joint Filer Information
Name of Joint Filer: John T. Kim, as Co-trustee of the Irrevocable Deed of Trust
of James J. Kim for Jacqueline Mary Panichello
Address: 1345 Enterprise Drive
West Chester, Pennsylvania 19380
Designated Filer: Susan Y.Kim
Issuer & Ticker
Symbol: Amkor Technology, Inc. (AMKR) (NASDAQ National Market
System)
Date of Event
Requiring Statement: May 6, 2004
Signature: /s/Memma S. Kilgannon Date: May 17, 2004
Memma S. Kilgannon
As Attorney-in-Fact for John T. Kim, in his
capacity listed above (power of attorney previously filed
December 11, 1998)
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