-----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, Si0onzlBScu/pcyQY5W965X2M1q3btaoZyWa9zb4Pt7zcZy+ah4e0QDHbRQbZkt1 Smg7pEl2Mp+d6rkEDKZQ2A== 0001005757-02-000018.txt : 20020904 0001005757-02-000018.hdr.sgml : 20020904 20020904160137 ACCESSION NUMBER: 0001005757-02-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020831 FILED AS OF DATE: 20020904 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27512 FILM NUMBER: 02756585 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: NAFUS EDWARD C CENTRAL INDEX KEY: 0001070387 OTHER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O CSG SYSTEMS INTERNATIONAL INC STREET 2: 7887 E BELLEVIEW AVE SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 BUSINESS PHONE: 4024317000 MAIL ADDRESS: STREET 1: 7887 E BELLEVIEW AVE SUITE 1000 CITY: ENGLEWOOD STATE: CO ZIP: 80111 4 1 enafus082002form4.txt ED NAFUS FORM 4 AUGUST 2002 1. Name and Address of Reporting Person NAFUS, EDWARD C. 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 8/2002 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director ( ) 10% Owner ( ) Officer (give title below) (X) Other (specify below) President 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/ +-------+-----+-----------+------+----------+ Month | Indirect| Owner- | | | Year) |Code |V |Amount |A/D |Price | | (I) | ship | +---------------------------------+----------+-------+-----+-----------+------+----------+----------------+-----------+------------+ Common Stock 08/30/2002 A 60416 A $0.0000 96796 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) |Code |V |(A) |(D) |cisable |tion Date |Title |Shares |Security |Month |(I) |ship | +-------------+--------+----------+------+--+-----+-----+----------+----------+-------+--------+----------+--------+-------+-------+ Stock Options $21 08/18/2008 Common 160120 D (Right to buy) Stock Stock Options $26.7188 08/30/2002 D 76258 11/17/2002 11/17/2008 Common 76258 $0.0000 D (Right to buy) Stock Stock Options $26.7188 08/30/2002 D 3742 11/17/2003 11/17/2008 Common 3742 $0.0000 0 D (Right to buy) Stock Stock Options $34.43 08/30/2002 D 37500 12/14/2002 12/14/2011 Common 37500 $0.0000 0 D (Right to buy) Stock Stock Options $34.95 08/30/2002 D 34639 01/17/2003 01/17/2012 Common 34639 $0.0000 D (Right to buy) Stock Stock Options $34.95 08/30/2002 D 2861 01/17/2006 01/17/2012 Common 2861 $0.0000 0 D (Right to buy) Stock Stock Options $38.4375 08/30/2002 D 2603 01/07/2001 01/07/2010 Common 2603 $0.0000 D (Right to buy) Stock Stock Options $38.4375 08/30/2002 D 22397 01/07/2001 01/07/2010 Common 22397 $0.0000 0 D (Right to buy) Stock Stock Options $47 08/30/2002 D 32873 01/17/2002 01/17/2011 Common 32873 $0.0000 D (Right to buy) Stock Stock Options $47 08/30/2002 D 2127 01/17/2005 01/17/2011 Common 2127 $0.0000 0 D (Right to buy) Stock Explanation of Responses: On August 30, 2003, the reporting person surrendered to the issuer for cancellation, options granted to the reporting person as shown in Table II. In exchange for the surrendered options, the reporting person received 60,416 shares of restricted stock of the issuer.
SIGNATURE OF REPORTING PERSON /s/ EDWARD C. NAFUS DATE 09/04/2002 -----END PRIVACY-ENHANCED MESSAGE-----