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)
05/17/2004
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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 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 |
250,000 |
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*** |
05/27/2004 |
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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
Susan Y. Kim and John T. Kim are co-trustees of the named trust, which is an
irrevocable trust.
May be deemed members of group. The group may be deemed to beneficially own more
than 10% of the outstanding voting securities of the issuer. The co-trustees of
the trust may 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 James
Panichello. John T. Kim is the parent of Allyson Lee Kim and Jason Lee Kim, who
share the same household with John T. 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
Exhibit No. EX-99.2
Joint Filer Information
Name of Joint Filer: John T. Kim, as Co-trustee of the John T. Kim Trust dated
5/17/04 for the benefit of his children (Irrevocable)
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 17, 2004
Signature: /s/Memma S. Kilgannon Date: May 27, 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)
* * * * * * * *
