U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 40 – F/A
[ ] Registration statement pursuant to Section 12 of the Securities Exchange Act of 1934.
[X] Annual report pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934.
For the Fiscal Year Ended: December 31, 2003 Commission File Number 1-9662
PLACER DOME INC. | ||
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Canada (Jurisdiction of incorporation or organization) Suite 1600, 1055 Dunsmuir Street P.O. Box 49330, Bentall Postal Stn. Vancouver, British Columbia Canada V7X 1P1 Telephone: (604) 682-7082 (Registrant's Principal Executive Offices) | 1041 (Primary Standard Industrial Classification Code Number) | Not Applicable (I.R.S. Employer Identification Number) Robert M. Riggs Carter Ledyard & Milburn LLP 2 Wall Street New York, New York 10005-2072 Telephone: (212) 732-3200 (Agent for Service in the United States) |
Securities registered pursuant to Section 12(b) of the Act:
Title of Each Class: Name of Each Exchange on Which Registered:
Common Shares | New York Stock Exchange Toronto Stock Exchange Australian Stock Exchange | Euronext-Paris Swiss Exchange |
Common Share Purchase Rights | New York Stock Exchange Toronto Stock Exchange |
Securities registered or to be registered pursuant to Section 12(g) of the Act: None
Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act: None
For annual reports, indicate by check mark the information filed with this Form:
|X| Annual Information Form |X| Audited Annual Financial Statements
At December 31, 2003, 411,530,294 Common Shares of the Registrant were outstanding.
Indicate by check mark whether the Registrant by filing the information in this form is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934 (the “Exchange Act”). If “Yes” is marked, indicate the file number assigned to the registrant in connection with such Rule. Yes No |X|
Indicate by check mark whether the Registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Exchange Act during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports); and (2) has been subject to such filing requirements for the past 90 days.
Yes |X| No
INTRODUCTORY NOTE
By this Amendment No. 1 on Form 40-F/A to its Annual Report on Form 40-F filed on March 5, 2004, the Registrant is correcting certain inadvertent typographical errors on page 169 of the Renewal Annual Information Form filed as Document 1 in its Annual Report on Form 40-F as follows:
Clifford L. Michel Gladstone, New Jersey, USA (4) | 1987 | Senior Counsel, Cahill Gordon & Reindel LLP (law firm) since February 2001, and prior thereto, Partner; President and CEO and a director of Wenonah Development Company (private investment company), President and CEO, HomeWinds Foundation; Trustee of a complex of mutual funds managed by Alliance Capital Management; Trustee of St. Mark's School; Treasurer of Jockey Hollow Foundation. |
UNDERTAKING AND CONSENT TO SERVICE OF PROCESS
Undertaking
The Registrant undertakes to make available, in person or by telephone, representatives to respond to inquiries made by the Securities and Exchange Commission (“SEC”) staff, and to furnish promptly, when requested to do so by the SEC staff, information relating to: the securities registered pursuant to Form 40-F; the securities in relation to which the obligation to file an annual report on Form 40-F arises; or transactions in said securities.
Consent to Service of Process
Consent to Service of Process on Form F-X in connection with the Common Shares has been previously filed with the SEC.
SIGNATURES
Pursuant to the requirements of the Exchange Act, the Registrant certifies that it meets all of the requirements for filing on Form 40-F and has duly caused this Amendment No. 1 to the annual report to be signed on its behalf by the undersigned, thereto duly authorized.
PLACER DOME INC.
Registrant
"J. Donald Rose"
J. Donald Rose
Executive Vice-President, Secretary and General Counsel
March 12, 2004