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
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
10/27/2004
|
3. Issuer Name and Ticker or Trading Symbol
AMKOR TECHNOLOGY INC
[ AMKR ]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
X |
10% Owner |
|
Officer (give title below) |
X |
Other (specify below) |
| See Exhibit No. EX-99.1 |
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Form filed by One Reporting Person |
| X |
Form filed by More than One Reporting Person |
|
| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
|
3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Amkor Technology Inc. Common Stock |
500,000 |
I |
by Trust
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
|
2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
6. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
(Street)
|
1. Name and Address of Reporting Person*
(Street)
|
1. Name and Address of Reporting Person*
(Street)
|
| Explanation of Responses: |
|
|
/s/Susan Y. Kim |
11/08/2004 |
|
** 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
May be deemed member of group. These shares are held directly by the John T. Kim
Trust dated 10/27/04 for the benefit of his children (Irrevocable), and are held
indirectly by John T. Kim as Co-Trustee and family member of, and sharing same
household with, Jason Lee Kim and Allyson Lee Kim, the beneficiaries of the
Trust, and Susan Y. Kim as Co-Trustee. 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 members of 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. The group may be deemed to be
composed of such family members who beneficially own more than 10% of the
outstanding voting securities of the issuer. 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 John T. Kim Trust dated
10/27/04 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: October 27, 2004
Signature: /s/John T. Kim Date: November 8, 2004
John T. Kim, in his capacity
listed above
