SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
AMR CORP

(Last) (First) (Middle)
4333 Amon Carter Blvd

(Street)
Fort Worth TX 76155

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ORBITZ INC [ ORBZ ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
12/19/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock 12/19/2003 C(1) 2,541,949 A (2) 2,541,949 I Subsidiary(6)
Class A Common Stock 12/19/2003 S 2,541,949 D $26 0 I Subsidiary(6)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Class A LLC Units(7) (2) 12/19/2003 C(1) 9,387,615 (3) (4) See Footnote(5) 9,387,615(5) (2) 0 I Subsidiary(6)
Class B LLC Units(7) (2) 12/19/2003 C(1) 159 (3) (4) Class A Common Stock or Series B- AA Common Stock 159 (2) 0 I Subsidiary(6)
Series B- AA Common Stock (2) 12/19/2003 C(1) 6,732,060 (3) (4) Class A Common Stock 6,732,060 (2) 6,733,847 I Subsidiary(6)
Series A Non-Voting Convertible Preferred Stock (2) 12/19/2003 C(1) 113,765 12/19/2008 (4) Class A Common Stock 113,765 (2) 113,765 I Subsidiary(6)
Series A Non-Voting Convertible Preferred Stock (2) 12/19/2003 S 113,765 12/19/2008 (4) Class A Common Stock 113,765 $26 0 I Subsidiary(6)
1. Name and Address of Reporting Person*
AMR CORP

(Last) (First) (Middle)
4333 Amon Carter Blvd

(Street)
Fort Worth TX 76155

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
AMERICAN AIRLINES INC

(Last) (First) (Middle)
4333 AMON CARTER BLVD.

(Street)
FORT WORTH TX 76155

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Reflects conversion of derivative security, exempt pursuant to Rule 16b-6(b)
2. 1 for 1
3. Immediate
4. None
5. 9,273,850 may be converted into Class A Common Stock or Series B- AA Common Stock and 113,765 may be converted into Series A Non-Voting Convertible Preferred Stock
6. The securities are owned directly by American Airlines, Inc., a subsidiary of the Reporting Person
7. Represents membership interests in Orbitz, LLC, which became an indirectly wholly-owned subsidiary of the Issuer following the conversion transactions reported herein
Remarks:
Exhibit 99 - Joint Filer Information
Charles D. MarLett, Corporate Secretary 12/19/2003
** Signature of Reporting Person Date
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).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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