-----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, AN1k+rmrIxgVrENs2jFdpIJmyIhOR2zUO8HwDqgifYKNOpGU1qLaf9Eqn6YjqtoX bK6gamCIMFlk4sBoDl+IoQ== 0001005757-02-000008.txt : 20020414 0001005757-02-000008.hdr.sgml : 20020414 ACCESSION NUMBER: 0001005757-02-000008 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011231 FILED AS OF DATE: 20020201 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: 1934 Act SEC FILE NUMBER: 000-27512 FILM NUMBER: 02525452 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: KALAN PETER E CENTRAL INDEX KEY: 0001123273 OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O CSG SYSTEMS INTERNATIONAL STREET 2: 7887 EAST BELLEVIEW AVENEUE SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 30379639361 MAIL ADDRESS: STREET 1: C/O CSG SYSTEMS INTERNATIONAL INC STREET 2: 7887 E BELLEVIEW AVENUE SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 5 1 pkalanform5.txt PETER KALAN FORM 5 12-31-2001 1. Name and Address of Reporting Person KALAN, PETER 7887 E. Belleview Avenue Suite 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 2001 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) Chief Financial Officer 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 Acquired, Disposed of, or Beneficially Owned
+---------------------------------+----------+-------------+-----------------------------+----------------+-----------+------------+ |1. Title of Security |2. Trans- |3. Trans- |4. Securities Acquired (A) |5. Amount of |6. Owner- |7. Nature | | | action | action | or Disposed of (D) | Securities | ship | of In- | | | Date | Code | | Beneficially | Form: | direct | | | | | | Owned at | Direct | Bene- | | | (Month/ | | | End of | (D) or | ficial | | | Day/ | +-----------+------+----------+ Year | Indirect| Owner- | | | Year) | |Amount |A/D |Price | | (I) | ship | +---------------------------------+----------+-------------+-----------+------+----------+----------------+-----------+------------+ Common Stock 1600 D
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+-------------+--------+----------+---------+-----------+---------------------+----------------+----------+--------+-------+-------+ |1. |2. |3. |4. |5. |6. |7. |8. |9. |10. |11. | | | | | | | | | |Number |Owner- | | | | | | | | | | |of |ship | | | | | | | | | | |Deriv- |Form of| | | | | | | | |Title and Amount| |ative |Deriv- | | | | | | | | |of Underlying | |Secur- |ative |Nature | | |Conver- | | |Number of | |Securities | |ities |Secur- |of | | |sion or | | |Derivative |Date Exercisable +-------+--------+ |Benefi- |ity: |In- | | |Exercise| | |Securities |and Expiration Date | |Amount | |cially |Direct |direct | | |Price of|Transac- |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- | |Title of |Deriv- |tion Date |tion Code|Disposed(D)+----------+----------+ |Number |Price of |at End |In- |ficial | |Derivative |ative |(Month/ | +-----+-----+Date Exer-|Expira- | |of |Derivative|of |direct |Owner- | |Security |Security|Day/Year) | |(A) |(D) |cisable |tion Date |Title |Shares |Security |Year |(I) |ship | +-------------+--------+----------+---------+-----+-----+----------+----------+-------+--------+----------+--------+-------+-------+ Stock Options $9.6875 01/28/2007 Common 8400 D (Right to buy) Stock Stock Options $14.8438 08/14/2007 Common 420 D (Right to buy) Stock Stock Options $14.8438 08/18/2007 Common 2080 D (Right to buy) Stock Stock Options $21.125 01/20/2008 Common 3200 D (Right to buy) Stock Stock Options $26.72 11/17/2008 Common 40000 D (Right to buy) Stock Stock Options $27.9375 10/10/2010 Common 10000 D (Right to buy) Stock Stock Options $34.43 12/14/2001 A 40000 12/14/2002 12/14/2011 Common 40000 $0.0000 40000 D (Right to buy) Stock Stock Options $38.44 01/07/2010 Common 15000 D (Right to buy) Stock Stock Options $47 01/17/2011 Common 30000 D (Right to buy) Stock Stock Options $47.5 08/25/2010 Common 10000 D (Right to buy) Stock Explanation of Responses: This stock option is exercisable in 4 equal installments.
SIGNATURE OF REPORTING PERSON /s/ PETER KALAN DATE 02/01/2002 -----END PRIVACY-ENHANCED MESSAGE-----