FORM 5
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
| | Check this box if no longer subject
to Section 16. Form 4 or Form 5
obligations may continue. See
Instruction 1(b).
| | Form 3 Holdings Reported
| | Form 4 Transactions Reported
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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1. Name and Address of Reporting Person*/ 2. Issuer Name and Ticker / 6. Relationship of Reporting Person(s) to Issuer
/ or Trading Symbol / (Check all applicable)
/ /
/ / X Director X 10% Owner
/ Hallador Petroleum Company / X Officer ___ Other
/ ("HPCO.OB") / (give title below) (specify below)
/ /
Hardie David C. / /
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(Last) (First) (Middle) / 3. I.R.S. / 4. Statement for / 7. Individual or Joint/Group Filing
/ Identification / (Month/Year) / (Check Applicable Line)
/ Number of / /
740 University Avenue, Suite 110 / Reporting Person,/ 12/01 / X Form filed by One Reporting Person
----------------------------------------/ if an entity /------------------/
(Street) / / 5. If Amendment, / ___ Form filed by more than One
/ / Date of / Reporting Person
/ / Original /
Sacramento, CA 95825 / / (Month/Year) /
--------------------------------------- / / /
(City) (State) (Zip) / / /
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TABLE I - NONDERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title /2.Trans- /3.Transaction / 4. Securities Acquired (A) / 5. Amount of /6. Ownership / 7. Nature of
of / action / Code / or Disposed of (D) / Securities / Form: / Indirect
Security / Date / (Instr. 8) / (Instr. 3, 4 and 5) / Beneficially / Direct (D) / Beneficial
(Inst.3) /(Mo/Day/Yr) / /-----------------------------/ Owned at End / or / Ownership
/ / / /(A) / / of Issuer's / Indirect(I) / (Instr.4)
/ / / / or / / Fiscal Year / (Instr.4) /
/ / / Amount /(D) / Price / (Inst. 3 and 4) / /
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Common Stock J(1) 823,041 A N/A I By Robert Hardie Q-
Tip Trust (1)(2)
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Common Stock J(1) 85,938 A N/A I By Douglas Hardie
Sep. Prop. Trust
(1)(2)
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Common Stock J(1) 70,919 A N/A I By Janet Hardie Sep.
Prop. Trust (1)(2)
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Common Stock J(1) 26,692 A N/A I By Douglas & Janet
Hardie CPT(1)(2)
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Common Stock J(1) 182,983 A N/A I By David Hardie Sep.
Prop.Trust (1)(2)
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Common Stock J(1) 65,094 A N/A I By Janice Hardie
Sep. Prop. Trust
(1)(2)
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Common Stock J(1) 67,714 A N/A I By David & Janice
Hardie CPT (1)(2)
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Common Stock J(1) 247,789 A N/A I By Steven Hardie
Sep. Prop.Trust (1)
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Common Stock J(1) 22,971 A N/A I By Marilyn Hardie
Sep. Prop.Trust (1)
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Common Stock J(1) 124,174 A N/A I By Robin Hardie Sep.
Prop.Trust (1)(2)
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Common Stock J(1) 32,764 A N/A I By Robin Hardie SPT
- Grandchildren
Trust (1)(2)
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Common Stock J(1) 91,008 A N/A I By Robin Hardie
Future Interest
Trust (1)(2)
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Common Stock J(1) 139,805 A N/A I By Cory Ritchie Sep.
Prop.Trust (1)(2)
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Common Stock J(1) 10,917 A N/A I By Cory Ritchie SPT
- Grandchildren
Trust (1)(2)
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Common Stock J(1) 8,000 A N/A I By Ryan Ritchie
(1)(2)
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Common Stock J(1) 78,662 A N/A I By Cory Ritchie
Future Interest
Trust (1)(2)
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Common Stock J(1) 33,654 A N/A I By Kirk Hardie Sep.
Prop.Trust (1)(2)
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Common Stock J(1) 10,917 A N/A I By Kirk Hardie SPT -
Grandchildren Trust
(1)(2)
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Common Stock J(1) 137,772 A N/A I By Kirk Hardie
Future Interest
Trust (1)(2)
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Common Stock J(1) 10,930 A N/A I By Brad Hardie SPT -
Grandchildren Trust
(1)(2)
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Common Stock J(1) 20,355 A N/A I By Bradford Hardie
Future Interest
Trust (1)(2)
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Common Stock J(1) 16,382 A N/A I By Joseph Hardie -
Grandchildren Trust
(1)(2)
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Common Stock J(1) 16,194 A N/A I By Alexander Hardie
Custodian (1)(2)
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Common Stock J(1) 16,382 A N/A I By Alexander Hardie
- Grandchildren
Trust (1)(2)
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Common Stock J(1) 169,206 A N/A I By Alexander Hardie
Present Interest
Trust (1)(2)
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Common Stock J(1) 75,035 A N/A I By Steven Hardie
Issue Future
Interest Trust
(1)(2)
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Common Stock J(1) 43,813 A N/A I By Three-Gee
Partners (1)
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Common Stock J(1) 56,279 A N/A By K.R.H.I., L.P.
(1)
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Common Stock J(1) 207,609 A N/A I B.W.H.I., L.P. (1)
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Common Stock J(1) 184,913 A N/A I J.S.H.I., L.P. (1)
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Common Stock J(1) 412,476 A N/A I Hardie Descendants
Trust - 25% to DHI
(1)
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Common Stock J(1) 2,558 A N/A I Douglas Hardie
Descendants' Trust
(1)(2)
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Common Stock J(1) 298,313 A N/A 3,791,259 I Hallador, Inc. (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 4(b)(v).
(1) Pursuant to the Amended and Restated Assignment and Nominee Agreement dated March 15, 2002, a coy of which
is attached as an exhibit to the Schedule 13D filed by the reporting person.
(2) The reporting person disclaims beneficial ownership.
2
FORM 5 (continued)
TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
(e.g., puts, calls, warrants, options, convertible securities)
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1. / 2. /3. /4. /5. /6. /7. /8. /9. /10. / 11.
Title of / Con- / Trans- / Trans- / Number of / Date / Title and / Price / Number / Owner- / Nature
Derivative / version / action / action / Derivative / Exercisable / Amount of / of / of / ship / of
Security / or / Date / Code / Securities / and / Underlying / Deriv- / Deriv- / form of/ Indirect
(Instr. 3) / exercise/ (Mo. /(Inst.8)/ Acquired / Expiration / Securities / ative / ative / Deriv- / Beneficial
/ Price of/ Day / / (A) or / Date / (Instr. 3,4) / Secu- / Secu- / ative / Ownership
/ of / Year) / / Disposed /(Month/Day/Year) / / rity / rities / Secu- / (Instr. 4)
/ Deriv- / / / of (D) / / /(Inst.5)/ Benefi-/ rity: /
/ ative / / /(Inst.3,4,5)/ / / / cially / Direct /
/ Secu- / / /------------/-----------------/---------------/ / Owned / (D) /
/ rity / / / (A) / (D) / Date / Expir-/ Title /Amount / / at End /Indirect/
/ / / / / / Exer- / ation / /or No. / / of Year/ (I) /
/ / / / / / cisable/ Date / /of / /(Inst.4)/(Inst.4)/
/ / / / / / / / /shares / / / /
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Explanation of Responses:
/S/ DAVID C. HARDIE March 19, 2002
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David C. Hardie Date
**Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.