UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SECTION 13G
Under the Securities Exchange Act of 1934
(Amendment No. _______________)*
HORN SILVER MINES, INC.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
440530202
(CUSIP Number)
Check the following box if a fee is being paid with this
statement [ ]. (A fee is not required only if the filing person
(1) has a previous statement on file reporting beneficial
ownership of more than five percent of the class of securities
described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of
such class.) (See Rule 13d-7).
* The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to
the subject class of securities, and for any subsequent amendment
containing information which would alter the disclosures provided
in a prior cover page.
The information required in the remainder of this cover page
shall not be deemed to be "filed" for the purpose of Section 18
of the Securities Exchange Act of 1934 ("Act") or otherwise
subject to the liabilities of that section of the Act but shall
be subject to all other provisions of the Act (however, see the
Notes).
<PAGE>
CUSIP No. 440530202 13G Page 2 of 8 Pages
1 NAME OF REPORTING PERSONS (Filing jointly)
S.S. or I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Page P. Blakemore, Sr., Social Security No.
2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * (a) []
(b) []
3 SEC USE ONLY
4 CITIZENSHIP OR PLACE OR ORGANIZATION
U.S.A. Citizen
5 SOLE VOTING POWER
1,600,574 shares of Common Stock
NUMBER OF
SHARES
BENEFICIALLY 6 SHARED VOTING POWER
OWNED BY 0
EACH
REPORTING
PERSON 7 SOLE DISPOSITIVE POWER
WITH 1,600,574 shares of Common Stock
8 SHARED DISPOSITIVE POWER
0
9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
Page P. Blakemore, Sr. - 1,600,574 shares of Common Stock
10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN
SHARES*
N/A
11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 26.3%
12 TYPE OF REPORTING PERSON*
Page P. Blakemore, Sr.: IN
*SEE INSTRUCTIONS BEFORE FILLING OUT!
In accordance with Rule 13d-4, any person may expressly
declare in any statement filed that the filing of such statement
shall not be construed as an admission that such person is, for
the purposes of Section 13(d) or 13(g) of the Act, the beneficial
owner of any securities covered by the statement.
<PAGE>
INSTRUCTIONS FOR SCHEDULE 13G
Instructions for Cover Page
(1) Names and Social Security Numbers of Reporting Persons -
Furnish the full legal name of each person for whom the report is
filed - i.e., each person required to sign the schedule itself -
including each member of a group. Do not include the name of a
person required to be identified in the report but who is not a
reporting person. Reporting persons are also requested to
furnish their Social Security or I.R.S. identification numbers,
although disclosure of such numbers is voluntary, not mandatory
(see "SPECIAL INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13G,"
below).
(2) If any of the shares beneficially owned by a reporting
person are held as a member of a group and such membership is
expressly affirmed, please check row 2(a). If the membership in
a group is disclaimed or the reporting person describes a
relationship with other persons but does not affirm the existence
of a group, please check row 2(b) [unless a joint filing pursuant
to Rule 13d-1(e)(1) in which case it may not be necessary to
check row 2(b)].
(3) The third row is for SEC internal use; please leave blank.
(4) Citizenship or Place of Organization - Furnish citizenship
if the named reporting person is a natural person. Otherwise,
furnish place of organization.
(5)-(9), (11) Aggregate Amount Beneficially Owned by Each
Reporting Person, Etc. - Rows (5) through (9) inclusive, and (11)
are to be completed in accordance with the provisions of Item 4
of Schedule 13G. All percentages are to be rounded off to the
nearest tenth (one place after decimal point).
(10) Check if the aggregate amount reported as beneficially
owned in row (9) does not include shares as to which beneficial
ownership is disclaimed pursuant to Rule 13d-4 [17 CFR 240.13d-4]
under the Securities Exchange Act of 1934.
(12) Type of Reporting Person - Please classify each "reporting
person" according to the following breakdown (see Item 3 of
Schedule 13G) and place the appropriate symbol on the form:
Category Symbol
Broker Dealer BD
Bank BK
Insurance Company IC
Investment Company IV
Investment Adviser IA
Employee Benefit Plan,
Pension Fund,
or Endowment Fund EP
Parent Holding Company HC
Corporation CO
Partnership PN
Individual IN
Other OO
Notes:
Attach as many copies of the second part of the cover page
as are needed, one reporting person per page.
Filing persons may, in order to avoid unnecessary
duplication, answer items on the schedules (Schedule 13D, 13G or
14D-1) by appropriate cross references to an item or items on the
cover page(s). This approach may only be used where the cover
page item or items provide all the disclosure required by the
schedule item. Moreover, such a use of a cover page item will
result in the item becoming a part of the schedule and
accordingly being considered as "filed" for purposes of Section
18 of the Securities Exchange Act or otherwise subject to the
liabilities of that section of the Act.
Reporting persons may comply with their cover page filing
requirements by filing either completed copies of the blank forms
available from the Commission, printed or typed facsimiles, or
computer printed facsimiles, provided the documents filed have
identical formats to the forms prescribed in the Commission's
regulations and meet existing Securities Exchange Act rules as to
such matters as clarity and size (Securities Exchange Act Rule
12b-12).
SPECIAL INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13G
Under Sections 13(d), 13(g), and 23 of the Securities
Exchange Act of 1934 and the rules and regulations thereunder,
the Commission is authorized to solicit the information required
to be supplied by this schedule by certain security holders of
certain issuers.
Disclosure of the information specified in this schedule is
mandatory, except for Social Security or I.R.S. identification
numbers, disclosure of which is voluntary. The information will
be used for the primary purpose of determining and disclosing the
holdings of certain beneficial owners of certain equity
securities. This statement will be made a matter of public
record. Therefore, any information given will be available for
inspection by any member of the public.
Because of the public nature of the information, the
Commission can utilize it for a variety of purposes, including
referral to other governmental authorities or securities
self-regulatory organizations for investigatory purposes or in
connection with litigation involving the Federal securities laws
or other civil, criminal or regulatory statutes or provisions.
Social Security or I.R.S. identification numbers, if furnished,
will assist the Commission in identifying security holders and,
therefore, in promptly processing statements of beneficial
ownership of securities.
Failure to disclose the information requested by this
schedule, except for Social Security or I.R.S. identification
numbers, may result in civil or criminal action against the
persons involved for violation of the Federal securities laws and
rules promulgated thereunder.
GENERAL INSTRUCTIONS
A. Statements containing the information required by this
schedule shall be filed not later than February 14 following the
calendar year covered by the statement or within the time
specified in Rule 13d-1(b)(2), if applicable.
B. Information contained in a form which is required to be
filed by rules under section 13(f)(15 U.S.C. 78m(f)) for the same
calendar year as that covered by a statement on this schedule may
be incorporated by reference in response to any of the items of
this schedule. If such information is incorporated by reference
in this schedule, copies of the relevant pages of such form shall
be filed as an exhibit to this schedule.
Item 1.
(a) Name of Issuer
Horn Silver Mines, Inc.
(b) Address of Issuer's Principal Executive Offices
4444 South 700 East, Suite 204
Salt Lake City, Utah 84107
Item 2.
(a) Name of Persons Filing
Page P. Blakemore, Sr.
(b) Address of Principal Business Office or, if
none, Residence
4444 South 700 East, Suite 204
Salt Lake City, Utah 84107
(c) Citizenship
Mr. Blakemore is a United States citizen.
(d) Title of Class of Securities
Common Stock
(e) CUSIP Number
440530202
Item 3. If this statement is filed pursuant to Rule
13d-1(b), or 13d-2(b), check whether the person filing is a: Not
applicable.
(a) ___ Broker or Dealer registered under Section
15 of the Act
(b) ___ Bank as defined in section 3(a(6) of the
Act
(c) ___ Insurance Company as defined in section
3(a)(19) of the act
(d) ___ Investment Company registered under
section 8 of the Investment Company Act
(e) ___ Investment Adviser registered under
section 203 of the Investment Advisers
Act of 1940
(f) ___ Employee Benefit Plan, Pension Fund which
is subject to the provisions of the
Employee Retirement Income Security Act
of 1974 or Endowment Fund; see Sec.
240.13d-1(b)(1)(ii)(F)
(g) ___ Parent Holding Company, in accordance
with Sec. 240.13d-1(b)(ii)(G) (Note: See
Item 7)
(h) ___ Group, in accordance with Sec.
240.13d-1(b)(1)(ii)(H)
Item 4. Ownership
If the percent of the class owned, as of December 31 of the
year covered by the statement, or as of the last day of any month
described in Rule 13d-1(b)(2), if applicable, exceeds five
percent, provide the following information as of that date and
identify those shares which there is a right to acquire.
(a) Amount Beneficially Owned
Page P. Blakemore, Sr. - 1,600,574 shares of
Common Stock
(b) Percent of Class
26.3%
(c) Number of shares as to which such person has:
(i) sole power to vote or to direct the vote
1,600,574 shares of Common Stock
(ii) shared power to vote or to direct the
vote
-0-
(iii) sole power to dispose or to direct the
disposition of
1,600,574 shares of Common Stock
(iv) shared power to dispose or to direct the
disposition of
-0-
Instruction: For computations regarding securities which
represent a right to acquire an underlying security see Rule
13d-3(d)(1).
Item 5. Ownership of Five Percent or Less of a Class
If this statement is being filed to report the fact that as
of the date hereof the reporting person has ceased to be the
beneficial owner of more than five percent of the class of
securities, check the following ___. N/A
Instruction: Dissolution of a group requires a response to this
item.
Item 6. Ownership of More than Five Percent on Behalf of
Another Person
If any other person is known to have the right to receive
or the power to direct the receipt of dividends from, or the
proceeds from the sale of, such securities, a statement to that
effect should be included in response to this item and, if such
interest relates to more than five percent of the class, such
person should be identified. A listing of the shareholders of an
investment company registered under the Investment Company Act of
1940 or the beneficiaries of employee benefit plan, pension fund
or endowment fund is not required.
Item 7. Identification and Classification of the
Subsidiary Which Acquired the Security Being Reported on By the
Parent Holding Company
If a parent holding company has filed this schedule,
pursuant to Rule 13d-1(b)(ii)(G), so indicate under Item 3(g) and
attach an exhibit stating the identity and the Item 3
classification of the relevant subsidiary. If a parent holding
company has filed this schedule pursuant to Rule 13d-1(c), attach
an exhibit stating the identification of the relevant subsidiary.
Item 8. Identification and Classification of Members of
the Group
If a group has filed this schedule pursuant to Rule
13d-1(b)(ii)(H), so indicate under Item 3(h) and attach an
exhibit stating the identity and Item 3 classification of each
member of the group. If a group has filed this schedule pursuant
to Rule 13d-1(c), attach an exhibit stating the identity of each
member of the group.
Item 9. Notice of Dissolution of Group
Notice of dissolution of a group may be furnished as an
exhibit stating the date of the dissolution and that all further
filings with respect to transactions in the security reported on
will be filed, if required, by members of the group, in their
individual capacity. See Item 5.
Item 10. Certification
The following certification shall be included if the
statement is filed pursuant to Rule 13d-1(b):
By signing below I certify that, to the best of my
knowledge and belief, the securities referred to above were
acquired in the ordinary course of business and were not acquired
for the purpose of and do not have the effect of changing or
influencing the control of the issuer of such securities and were
not acquired in connection with or as a participant in any
transaction having such purposes or effect.
Disclaimer of Beneficial Ownership
The filing of this statement shall not be construed as an
admission that George R. Quist is for the purposes of 13(d) or
13(g) of the Act, the beneficial owner of any securities held by
Associated Investors, of which Mr. Quist is general partner, or
by the Security National Financial Corporation Employee Stock
Ownership Plan, of which Mr. Quist is a trustee.
SIGNATURE
After reasonable inquiry and to the best of my knowledge
and belief, I certify that the information set forth in this
statement is true, complete and correct.
5 May 1997
Date
Page P. Blakemore, Sr.
The original statement shall be signed by each person on
whose behalf the statement is filed or his authorized
representative. If the statement is signed on behalf of a person
by his authorized representative other than an executive officer
or general partner of the filing person, evidence of the
representative's authority to sign on behalf of such person shall
be filed with the statement, provided, however, that a power of
attorney for this purpose which is already on file with the
Commission may be incorporated by reference. The name and any
title of each person who signs the statement shall be typed or
printed beneath his signature.
Note: Six copies of this statement, including all exhibits,
should be filed with the Commission.
Attention: Intentional misstatements or omissions of fact
constitute Federal criminal violations (see 18 U.S.C. 1001)
