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FORM 3
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OMB APPROVAL
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OMB Number: 3235-0104
Expires: December 31, 2001
Estimated average burden
hours per response ....... 0.5.
U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility
Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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<S> <C> <C>
1.Name and Address of Reporting Person* 2. Date of Event Requiring Statement 5. Relationship of Reporting
(Month/Day/Year) Person to Issuer
Anschutz Philip F. February 15, 2000 (Check all applicable)
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(Last) (First) (Middle) 3. IRS Identifi- 4. Issuer Name and Ticker of [ ] Director [X] 10% Owner
cation Number Trading Symbol [ ] Officer [ ] Other
2400 Qwest Tower of Reporting (give title (specify
555 Seventeenth Street Person, if an Forcenergy Inc. (FORC) below) below)
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(Street) (voluntary)
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Denver, CO 80202 6. If Amendment, 7. Individual or Joint/Group Filing
--------------------------------------- Date of Original (Check Applicable Line)
(City) (State) (Zip) (Month/Year)
[ ] Form filed by One Reporting Person
February 25, 2000 [X] Form filed by More than One Reporting Person
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TABLE I - NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership
(Instr.4) Beneficially Owned Form: Direct (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr.)
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Common Stock 6,018,676 I (1)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, SEE Instruction 5(b)(v).
POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION
CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE
FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER.
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(Over)
SEC 1473 (3-99)
Page 1 of 3
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FORM 3 (CONTINUED)
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TABLE II--DERIVATIVE SECURITIES BENEFICIALLY OWNED (e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
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<S> <C> <C>
1. Title of Derivative Security 2. Date Exercisable 3. Title and Amount of Securities
(Instr. 4) and Underlying Derivative Security
Expiration Date (Instr. 4)
(Month/Day/Year)
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Date Expira- Amount or
Exer- tion Number of
cisable Date Title Shares
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Warrants (2) 3/20/2010 Common Stock 652,320
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Warrants (2) 2/15/2005 Common Stock 225
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Warrants (2) 2/15/2005 Common Stock 225
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4. Conversion 5. Ownership Form 6. Nature of
or of Derivative Indirect
Exercise Security; Beneficial
Price or Direct (D) or Ownership
Derivative Indirect (I) (Instr. 5)
Security (Instr. 5)
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$10.00 per share I (3)
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$16.67 per share I (4)
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$20.83 per share I (4)
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(1) Philip F. Anschutz is the owner of 100% of the capital stock of Anschutz
Company, which is the owner of 100% of the capital stock of The Anschutz
Corporation, which is the registered owner of 6,017,775 of the securities
indicated. The Anschutz Corporation is the owner of Anschutz Investment Company,
which is the registered owner of 901 of the securities indicated.
(2) The warrants are immediately exercisable provided the Issuer: (1) registers
the shares; (2) receives a no action letter from the SEC that the shares are
exempt from registration; or (3) receives an opinion letter from counsel that
the shares are exempt from registration.
(3) Philip F. Anschutz is the owner of 100% of the capital stock of Anschutz
Company, which is the owner of 100% of the capital stock of The Anschutz
Corporation, which is the registered owner of the securities indicated.
(4) Philip F. Anschutz is the owner of 100% of the capital stock of Anshutz
Company, which is the owner of 100% of the capital stock of The Anshutz
Corporation, which is the owner of 100% of the capital stock of Anshutz
Investment Company, which is the registered owner of the securities indicated.
(5) Philip F. Anschutz executed a Power of Attorney that authorizes Robert M.
Swysgood to sign this Form 3 on his behalf as an individual, on his behalf as
Chairman of Anschutz Company, and on his behalf as Chairman of The Anschutz
Corporation.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Philip F. Anschutz
By: Robert M. Swysgood
/s/ Robert M. Swysgood 1/10/2000
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**Signature of Reporting Person Date
Robert M. Swysgood
Attorney-in-Fact(5)
Note: File three copies of this Form, one of which must be manually signed. If
space provided is insufficient,
SEE Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
Page 2 of 3
<PAGE>
JOINT INFORMATION
Name: Anschutz Company
Address: 2400 Qwest Tower
555 Seventeenth Street
Denver, CO 80202
Designated Filer: Philip F. Anschutz
Issuer and Trading
Symbol: Forcenergy Inc. (FORC)
Date of Event
Requiring Statement: February 15, 2000
Signature: Anschutz Company
By: /s/ Robert M. Swysgood January 10, 2001
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Philip F. Anschutz Date
Chairman by
Robert M. Swysgood
ATTORNEY-IN-FACT (5)
Name: The Anschutz Corporation
Address: 2400 Qwest Tower
555 Seventeenth Street
Denver, CO 80202
Designated Filer: Philip F. Anschutz
Issuer and Trading
Symbol: Forcenergy Inc. (FORC)
Date of Event
Requiring Statement: February 15, 2000
Signature: The Anschutz Corporation
By: /s/ Robert M. Swysgood January 10, 2001
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Philip F. Anschutz Date
Chairman by
Robert M. Swysgood
ATTORNEY-IN-FACT (5)
Name: Anschutz Investment Company
Address: 2400 Qwest Tower
555 Seventeenth Street
Denver, CO 80202
Designated Filer: Philip F. Anschutz
Issuer and Trading
Symbol: Forcenergy Inc. (FORC)
Date of Event
Requiring Statement: February 15, 2000
Signature: Anschutz Investment Company
By: /s/ Robert M. Swysgood January 10, 2001
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Robert M. Swysgood Date
Vice President
Attachment to SEC 1474 (3-99)
Page 3 of 3
