0001005757-01-500013.txt : 20011009 0001005757-01-500013.hdr.sgml : 20011009 ACCESSION NUMBER: 0001005757-01-500013 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20010919 FILED AS OF DATE: 20010925 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: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27512 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: 7887 E. BELLVIEW AVE. STREET 2: SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 COMPANY DATA: COMPANY CONFORMED NAME: FISHER WILLIAM E CENTRAL INDEX KEY: 0001159998 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: CSG SYSTEMS INTERNATIONAL INC STREET 2: 7887 E BELLEVIEW AVENUE SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 3037962856 MAIL ADDRESS: STREET 1: CSG SYSTEMS INTERNATIONAL INC STREET 2: 7887 E BELLEVIEW AVENUE SYSTEMS 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 3 1 wfisherform3.txt WILLIAM FISHER FORM 3 SEPTEMBER 2001 1. Name and Address of Reporting Person FISHER, WILLIAM E. 7887 E. Belleview Avenue Suite 1000 Englewood, CO 80111 USA 2. Date of Event Requiring Statement (Month/Day/Year) 09/19/2001 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Issuer Name and Ticker or Trading Symbol CSG Systems International, Inc. (CSGS) 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Executive Vice President 6. If Amendment, Date of Original (Month/Day/Year) 7. Individual or Joint/Group Filing (Check Applicable Line) (X) Form filed by One Reporting Person ( ) Form filed by More than One Reporting Person TABLE I -- Non-Derivative Securities Beneficially Owned
+------------------------------------------+----------------------+----------------+-----------------------------------------------+ |1. Title of Security |2. Amount of |3. Ownership |4. Nature of Indirect Beneficial Ownership | | | Securities | Form: | | | | Beneficially Owned | Direct(D) or | | | | | Indirect(I) | | +------------------------------------------+----------------------+----------------+-----------------------------------------------+
TABLE II -- Derivative Securities Beneficially Owned
+-----------------------+---------------------+---------------------------------+----------+-------------+-------------------------+ |1.Title of Derivative |2.Date Exercisable |3.Title and Amount of Securities |4.Conver- |5.Ownership |6. Nature of Indirect | | Security | and Expiration Date| Underlying Derivative | sion or | Form of | Beneficial Ownership | | | (Month/Day/Year) | Security | Exercise | Derivative | | | +----------+----------+-----------------------+---------+ Price of | Security: | | | | Date | Expira- | |Amount or| Deri- | Direct(D) or| | | | Exer- | tion | Title |Number of| vative | Indirect(I) | | | | cisable | Date | |Shares | Security | | | +-----------------------+----------+----------+-----------------------+---------+----------+-------------+-------------------------+ Stock Options (Right to 09/19/2002 09/19/2011 Common Stock 250000 $41.95 D buy) Explanation of Responses: This stock option is exercisable in 4 equal installments.
SIGNATURE OF REPORTING PERSON /s/ WILLIAM E. FISHER DATE 09/25/2001