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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:
This Amendment: (Check only one:): [ ] is a restatement
[ ] adds new holdings entries
Institutional Investment manager Filing this Report:
Name: Michael Larson
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Address: 2365 Carillon Point
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Kirkland, WA 98033
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Form 13F File number: 28-
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: Michael Larson
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Title: Reporting Manager
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Phone: (425) 803-0720
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Signature, Place, and Date of Signing
/s/ Michael Larson Kirkland, Washington November 12, 1999
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[Signature] [City, State] [Date]
Report Type (Check only one.):
[X] 13F HOLDING 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 managers(s).)
Form 13F File Number Name
28-
[Repeat as necessary.]
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PURSUANT TO RULE 24b-2 OF THE SECURITIES EXCHANGE ACT OF 1934, CONFIDENTIAL
INFORMATION HAS BEEN OMITTED FROM THIS FORM 13F AND FILED SEPARATELY WITH THE
SECURITIES AND EXCHANGE COMMISSION.
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Form 13F SUMMARY PAGE
Report Summary:
Number of Other Included Managers: 0
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Form 13F Information Table Entry Value: *
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Form 13F Information Table Value Total: $*
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(thousands)
* PURSUANT TO RULE 24b-2 OF THE SECURITIES EXCHANGE ACT OF 1934, CONFIDENTIAL
INFORMATION HAS BEEN OMITTED FROM THIS FORM 13F AND FILED SEPARATELY WITH 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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Form 13F INFORMATION TABLE
PURSUANT TO RULE 24b-2 OF THE SECURITIES EXCHANGE ACT OF 1934, CONFIDENTIAL
INFORMATION HAS BEEN OMITTED FROM THIS FORM 13F AND FILED SEPARATELY WITH THE
SECURITIES AND EXCHANGE COMMISSION.
