UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
FORM 3
OMB APROVAL
OMB NUMBER: 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response........0.5
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*
Dawson William, Jr. F.
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(Last) (First) (Middle)
Donaldson, Lufkin & Jenrette, 277 Park Avenue
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(Street)
New York NY 10172
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(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
8/17/98
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Insilco Holding Co. ([IHC])
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5. Relationship of Reporting Person(s) to Issuer (Check all applicable)
X Director 10% Owner
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Officer (give title below) Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
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7. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
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X Form filed by More than One Reporting Person
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Table I Non-Derivative Securities Beneficially Owned
<TABLE>
<CAPTION>
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect
(Instr. 4) Beneficially Owned Form: Direct Beneficial Ownership
(Instr. 4) (D) or Indirect (Instr. 5)
(I)(Instr. 5)
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<C> <C> <C> <C>
Common Stock 955,556 (I) See "Explanation of Responses"(1)
</TABLE>
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).
(Over)
SEC 1473 (9-96)
Table II Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
1. Title of Derivative 2. Date Exercisable 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature
Security (Instr. 4) and Expiration Securities Underlying sion or ship of In-
Date (Month/Day/ Year) Derivative Security Exercise Form of direct
------------------------- (Instr. 4) Price of Deriv- Bene-
Date Expira- ------------------------- Derivative ative ficial
Exer- tion Title Amount Security Security: Owner-
cisable Date or Direct ship
Number (D) or (Instr.
of Indirect 5)
Shares (I)
(Instr.
5)
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<S> <C> <C> <C> <C> <C> <C> <C>
Class A Warrant for the Purchase Immed. 8/01/10 Common Stock 65,603 $0.001++ (I) See "Expln. of
of Shares of Common Stock Responses"(1)
Warrant for the Purchase of
Shares of Common Stock Immed. 8/15/08 Common Stock 44,850 $0.01++ (I) See "Expln. of
Responses"(2)
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</TABLE>
Explanation of Responses:
(1) William F. Dawson, Jr. is a Principal of DLJ Merchant Banking II, Inc. ("MB
II") which controls DLJ Merchant Banking Partners II, L.P., DLJ Merchant
Banking Partners II-A, L.P., DLJ Offshore Partners II, C.V., DLJ Millennium
Partners, L.P. and DLJ Millennium Partners-A, L.P. William F. Dawson, Jr.
disclaims beneficial ownership of the shares and warrants held by these
entities.
(2) The Equitable Life Assurance Society of the United States is a wholly
owned subsidiary of The Equitable Companies Incorporated ("EQ"). As of August
11, 1998 EQ owns, directly or indirectly 72.3% of Donaldson, Lufkin & Jenrette
Inc. ("DLJ"). DLJ Capital Investors, Inc. ("DLJCI") is a wholly owned
subsidiary of DLJ. MB II is a wholly owned subsidiary of DLJCI.William F.
Dawson, Jr. disclaims beneficial ownership of the shares and warrants held by
these entities.
++ Such Exercise Price subject to change.
/s/ William F. Dawson Jr. 8/25/98
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**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.
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.
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SEC 1473 (9-96)
