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, 2000
Check here if Amendment [ ]; Amendment Number:
This Amendment (Check only one.): [ ] is a restatement.
[ ] adds new holdings
entries
Institutional Investment Manager Filing this Report:
Name: John P. Weyerhaeuser, IV
Address: P. O. Box 1278
Tacoma, Washington 98401-1278
Form 13F File Number: 28-5345
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: John P. Weyerhaeuser, IV
Title: Trustee
Phone: (253) 272-8336
Signature, Place, and Date of Signing:
/s/John P. Weyerhaeuser, IV Tacoma, Washington November 1, 2000
-------------------------- ----------------------- ----------------
[Signature] [City, State] [Date]
Report Type (Check only one.):
[X] 13F HOLDINGS REPORT. (Check here if all holdings of this reporting' manager
are reported in this report.)
[ ] 13F NOTICE. (Check here if no holdings reported are in this report, and
all holdings are reported by other reporting manager(s).)
[ ] 13F COMBINATION REPORT. (Check here if a portion of the holdings for this
reporting manager are reported in this report and a portion are reported by
other reporting manager(s).)
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Form 13F SUMMARY PAGE
Report Summary
Number of Other Included Managers: None
Form 13F Information Table Entry Total: 28
Form 13F Information Table Value Total: $ 68,139
(thousands)
Confidential information has been omitted from this public Form 13F
report, is subject to a request for confidential treatment of
information in accordance with Rule 24b-2 under the Securities
Exchange Act of 1934 and has been separately filed with the Secretary
of the Securities and Exchange Commission.
List of Other Included Managers
Provide a numbered list of the name(s) and Form 13F file number(s) of all
institutional investment managers with respect to which this report is filed,
other than the manager filing this report.
NONE
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<TABLE>
<CAPTION>
FORM 13F INFORMATION TABLE
COLUMN 1 COLUMN 2 COLUMN 3 COLUMN 4 COLUMN 5 COLUMN 6 COLUMN 7 COLUMN 8
-------------------------------- -------------- --------- -------- ----------------- ---------- -------- ---------------------------
VALUE SHRS OR SH/ PUT/ INVESTMENT OTHER VOTING AUTHORITY
NAME OF ISSUER TITLE OF CLASS CUSIP (x$1000) PRN AMT PRN CALL DISCRETION MANAGERS SOLE SHARED NONE
-------------------------------- -------------- --------- -------- -------- --- ---- ---------- -------- --------- -------- --------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
</TABLE>
The information contained in this table is subject to a request for confidential
treatment of information in accordance with Rule 24b-2 under the Securities
Exchange Act of 1934 and has been separately filed with the Secretary of the
Securities and Exchange Commission.
<PAGE>
