13F-HR 1 a2121148z13f-hr.txt FORM 13F-HR 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, 2003 ----------------------- 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: Amelia Peabody Foundation ------------------------------- Address: One Hollis Street ------------------------------- Wellesley, MA 02482 ------------------------------- ------------------------------- Form 13F File Number: 28-05989 --------------------- 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: Margaret St. Clair ------------------------------- Title: Trustee ------------------------------- Phone: 781-237-6468 ------------------------------- Signature, Place, and Date of Signing: /s/ Margaret St. Clair Wellesley, Massachusetts October 28, 2003 ------------------------------- ------------------------ ---------------- [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).) FORM 13F SUMMARY PAGE Report Summary: Number of Other Included Managers: 5 -------------------- Form 13F Information Table Entry Total: 63 -------------------- Form 13F Information Table Value Total: $84,879 -------------------- (in thousands) 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. [If there are no entries in this list, state "NONE" and omit the column headings and list entries.] No. Form 13F File Number Name 1. 28-05999 Bayard D. Waring --- ----------------- --------------------------------- 2. 28-05991 Margaret N. St. Clair --- ----------------- --------------------------------- 3. 28-05993 Philip B. Waring --- ----------------- --------------------------------- 4. 28-05995 Deborah Carlson --- ----------------- --------------------------------- 5. 28-05997 Thomas B. St. Clair --- ----------------- --------------------------------- 2 AMELIA PEABODY FOUNDATION FORM 13F INFORMATION TABLE FOR PERIOD ENDED SEPTEMBER 30, 2003

PEABODY AMELIA FOUNDATION 13F-HR