UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 13F
FORM 13F COVER PAGE
Report for the Calendar Year or Quarter Ended: December 31, 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 02/03/00
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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: 30
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Form 13F Information Table Value Total: $ 176,298
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(thousands)
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<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 5,120 141,000 X X
Albertsons Inc common 013104104 5,160 160,000 X X
American Express common 025816109 3,325 20,000 X X
Automatic Data Processing common 053015103 8,081 150,000 X X
Berkshire Hathaway common 084670108 3,366 60 X X
Campbell Soup Company common 134429109 5,416 140,000 X X
Cintas Corp common 172908105 5,313 100,000 X X
Clorox Co common 189054109 6,549 130,000 X X
Coca-Cola Company common 191216100 6,699 115,000 X X
Disney Walt Co common 254687106 5,265 180,000 X X
Emerson Electric Co common 291011104 5,881 102,500 X X
Fannie Mae common 313586109 5,932 95,000 X X
Freddie Mac common 313400301 6,353 135,000 X X
Gannett Co Inc common 364730101 7,137 87,500 X X
Gap Inc common 364760108 7,820 170,000 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
-------------- ----- ----- -------- ------- --- ---- ---- ------- ------ -------- ---- ------ ----
Gillette Co common 375766102 5,766 140,000 X X
Hubbell Inc - Class B Class B 443510201 1,363 50,000 X X
Intel Corp common 458140100 7,820 95,000 X X
Int'l Flavors & Fragrances common 459506101 3,398 90,000 X X
Interpublic Group of Cos common 460690100 8,365 145,000 X X
Johnson & Johnson common 478160104 6,472 69,500 X X
M&T Bank Corp common 55261F104 2,486 6,000 X X
McDonald's Corp common 580135101 4,838 120,000 X X
Merck & Co common 589331107 5,902 88,000 X X
Microsoft Corp common 594918104 9,107 78,000 X X
Pitney Bowes Inc common 724479100 5,798 120,000 X X
Sysco Corporation common 871829107 7,121 180,000 X X
Wal-Mart Stores common 931142103 8,986 130,000 X X
<PAGE>
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
-------------- ----- ----- -------- ------- --- ---- ---- ------- ------ -------- ---- ------ ----
Walgreen Company common 931422109 5,031 172,000 X X
Wrigley Wm Jr Co common 982526105 6,428 77,500 X X
COLUMN TOTALS 176,298
</TABLE>
