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, 1999
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Check here if Amendment [ ]; Amendment Number:
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This Amendment (Check only one.): [ ] is a restatement.
[ ] adds new holdings entries.
Institutional Investment Manager Filing this Report:
Name: Shay Assets Management, Inc.
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Address: 230 West Monroe Street, Suite 2810
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Chicago, IL 60606
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Form 13F File Number: 28-7232
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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: Edward E. Sammons, Jr.
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Title: President
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Phone: (312) 214-6590
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Signature, Place, and Date of Signing:
/s/ Edward E. Sammons, Jr. Chicago, IL 11/2/99
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Signature City, State Date
Report Type:
[X] 13F HOLDINGS REPORT.
[ ] 13F NOTICE.
[ ] 13F COMBINATION REPORT.
<PAGE>
FORM 13F SUMMARY PAGE
Report Summary:
Number of Other Included Managers: NONE
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Form 13F Information Table Entry Total: 32
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Form 13F Information Table Value Total: $ 168,654
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(thousands)
<PAGE>
<TABLE>
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
INVESTMENT
DISCRETION VOTING AUTHORITY
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TITLE OF VALUE SHRS OR SH/ PUT/ SHARED SHARED OTHER
NAME OF ISSUER CLASS CUSIP (X$1000) PRN AMT PRN CALL SOLE DEFINED OTHER MANAGERS SOLE SHARED NONE
-------------- ----- ----- -------- ------- --- ---- ---- ------- ------ -------- ---- ------ ----
<S> <C> <C> <C> <C> <C> <C>
Abbott Laboratories common 002824100 4,888 133,000 X X
Albertsons Inc common 013104104 5,143 130,000 X X
American Express common 025816109 2,693 20,000 X X
Automatic Data Processing common 053015103 6,694 150,000 X X
Berkshire Hathaway common 084670108 2,750 50 X X
Campbell Soup Company common 134429109 5,478 140,000 X X
Cintas Corp common 172908105 4,625 80,000 X X
Clorox Co common 189054109 4,973 130,000 X X
Coca-Cola Company common 191216100 5,167 107,500 X X
Disney Walt Co common 254687106 4,658 180,000 X X
Electronic Data Systems common 285661104 5,823 110,000 X X
Emerson Electric Co common 291011104 6,477 102,500 X X
Fannie Mae common 313586109 5,893 94,000 X X
Freddie Mac common 313400301 5,668 109,000 X X
Gannett Co Inc common 364730101 6,054 87,500 X X
<PAGE>
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
INVESTMENT
DISCRETION VOTING AUTHORITY
---------- ----------------
TITLE OF VALUE SHRS OR SH/ PUT/ SHARED SHARED OTHER
NAME OF ISSUER CLASS CUSIP (X$1000) PRN AMT PRN CALL SOLE DEFINED OTHER MANAGERS SOLE SHARED NONE
-------------- ----- ----- -------- ------- --- ---- ---- ------- ------ -------- ---- ------ ----
Gap Inc common 364760108 5,440 170,000 X X
Gillette Co common 375766102 4,751 140,000 X X
Hubbell Inc - Class B Class B 443510201 2,231 70,000 X X
Intel Corp common 458140100 7,060 95,000 X X
Int'l Flavors & Fragrances common 459506101 4,658 135,000 X X
Interpublic Group of Cos common 460690100 6,333 154,000 X X
Johnson & Johnson common 478160104 6,385 69,500 X X
M&T Bank Corp common 55261F104 2,295 5,000 X X
McDonald's Corp common 580135101 5,590 130,000 X X
Merck & Co common 589331107 5,704 88,000 X X
Microsoft Corp common 594918104 7,245 80,000 X X
Philip Morris Companies common 718154107 5,299 155,000 X X
Pitney Bowes Inc common 724479100 5,545 91,000 X X
Sysco Corporation common 871829107 7,363 210,000 X X
Wal-Mart Stores common 931142103 6,421 135,000 X X
<PAGE>
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
INVESTMENT
DISCRETION VOTING AUTHORITY
---------- ----------------
TITLE OF VALUE SHRS OR SH/ PUT/ SHARED SHARED OTHER
NAME OF ISSUER CLASS CUSIP (X$1000) PRN AMT PRN CALL SOLE DEFINED OTHER MANAGERS SOLE SHARED NONE
-------------- ----- ----- -------- ------- --- ---- ---- ------- ------ -------- ---- ------ ----
Walgreen Company common 931422109 4,365 172,000 X X
Wrigley Wm Jr Co common 982526105 4,989 72,500 X X
COLUMN TOTALS 168,654
</TABLE>
