-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PD8Zb0e6yu9SfLHhfTslAkgY2fYbB4pVKE6ICyG7XLHjpXu+oV0mCL+8aMdjh7Vz xZgixXvzw+yKAw/s9Gd72Q== 0001005757-99-000001.txt : 19990210 0001005757-99-000001.hdr.sgml : 19990210 ACCESSION NUMBER: 0001005757-99-000001 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981204 FILED AS OF DATE: 19990209 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CSG SYSTEMS INTERNATIONAL INC CENTRAL INDEX KEY: 0001005757 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 470783182 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-27512 FILM NUMBER: 99526500 BUSINESS ADDRESS: STREET 1: 7887 EAST BELLEVIEW AVE STREET 2: SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 3037962850 MAIL ADDRESS: STREET 1: 5251 DTC PARKWAY SUITE 625 CITY: ENGLEWOOD STATE: CO ZIP: 80111 COMPANY DATA: COMPANY CONFORMED NAME: HANSEN NEAL C CENTRAL INDEX KEY: 0001031871 STANDARD INDUSTRIAL CLASSIFICATION: [] OTHER IRS NUMBER: 507521673 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O CSG SYSTEMS INTERNATIONAL INC (CSGS) STREET 2: 7887 E BELLEVIEW AVE SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 3037962860 MAIL ADDRESS: STREET 1: C/O CSG SYSTEMS INTERNATIONAL INC(CSGS) STREET 2: 7887 E BELLEVIEW AVE SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 5 1 FORM 5 - DECEMBER 1998 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). ( ) Form 3 Holdings Reported ( ) Form 4 Transactions Reported 1. Name and Address of Reporting Person Hansen, Neal C. c/o CSG Systems International, Inc. 7887 E. Belleview Ave., Ste. 1000 Englewood, CO 80111 USA 2. Issuer Name and Ticker or Trading Symbol CSG Systems International, Inc. CSGS 3. IRS or Social Security Number of Reporting Person (Voluntary) ###-##-#### 4. Statement for Month/Year December 1998 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) (X) Other (specify below) Chairman of the Board & CEO 7. Individual or Joint/Group Reporting (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person
___________________________________________________________________________________________________________________________________ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1. Title of Security |2. |3. |4.Securities Acquired (A) |5.Amount of |6.Dir |7.Nature of Indirect | |Transaction| or Disposed of (D) | Securities |ect | Beneficial Ownership | |Date |Code| | Beneficially |(D)or | | | | | | A/| | Owned at |Indir | | | | | Amount | D | Price | End of Year |ect(I)| | ___________________________________________________________________________________________________________________________________| Common Stock |11.09.|G |5,850 |D |N/A | | | | |98 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock |12.04.|G |300 |D |N/A |850,984 | | | |98 | | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | |645,000 |I |Owned by limited partnershi| | | | | | | | |p* | - -----------------------------------------------------------------------------------------------------------------------------------| Common Stock | | | | | |51,204 |I |Owned by Spouse* | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________| ___________________________________________________________________________________________________________________________________ Table II -- Derivative Securitites Acquired, Disposed of, or Beneficially Owned | ___________________________________________________________________________________________________________________________________| 1.Title of Derivative |2.Con |3. |4. |5.Number of De |6.Date Exer|7.Title and Amount |8.Price|9.Number |10.|11.Nature of| Security |version |Transaction rivative Secu |cisable and| of Underlying |of Deri|of Deriva |Dir|Indirect | |or Exer |Date |Code| rities Acqui |Expiration | Securities |vative |tive |ect|Beneficial | |cise Pr | | | red(A) or Dis |Date(Month/| |Secu |Securities |(D)|Ownership | |ice of | | | posed of(D) |Day/Year) | |rity |Benefi |or | | |Deriva | | | |Date |Expir| | |ficially |Ind| | |tive | | | | A/|Exer-|ation| Title and Number | |Owned at |ire| | |Secu | | | | D |cisa-|Date | of Shares | |End of |ct | | |rity | | | Amount | |ble | | | |Year |(I)| | ___________________________________________________________________________________________________________________________________| Nonqualified Stock Optio|$53.4375|11.17|A |198,129 |A |*** |11.17|Common Stock|198,129| |384,763 |D | | ns** | |.98 | | | | |.08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| Incentive Stock Options*|$53.4375|11.17|A |1,871 |A |*** |11.17|Common Stock|1,871 | |27,487 |D | | * | |.98 | | | | |.08 | | | | | | | - -----------------------------------------------------------------------------------------------------------------------------------| ___________________________________________________________________________________________________________________________________|
Explanation of Responses: *The reporting person disclaims beneficial ownership of the Common Stock reported in Table I as being owned by his spouse and, except to the extent of his pecuniary interest therein, the 645,000 shares owned by a limited partnership. **All options become exercisable over either a four or five year period and are subject to the terms and provisions of the 1996 Stock Incentive Plan of CSG Systems International, Inc. ***The options reported in Table II, granted on 11.17.98, are exercisable in two equal, annual installments beginning on 11.17.02 and are subject to the terms and provisions of the 1996 Stock Incentive Plan of CSG Systems International, Inc. SIGNATURE OF REPORTING PERSON Neal C. Hansen DATE February 9, 1999 -----END PRIVACY-ENHANCED MESSAGE-----