-----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, KwToT/nnukGQ9CthCvZ7YrANNyd1t9qBngjwnNXghAYtaYTFaXfV0ELKdrYnkNkO 1jrmGs26oAzggkjQ8VAfQA== 0001005757-02-000019.txt : 20020904 0001005757-02-000019.hdr.sgml : 20020904 20020904160252 ACCESSION NUMBER: 0001005757-02-000019 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: 02756588 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: POGGE JOHN P CENTRAL INDEX KEY: 0001070388 OFFICER 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 jpoggeform4_082002.txt JOHN POGGE FORM 4 AUGUST, 2002 1. Name and Address of Reporting Person POGGE, JOHN P. 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) (X) Director ( ) 10% Owner (X) Officer (give title below) ( ) Other (specify below) President & COO 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 105104 A $0.0000 163395 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 $7.5 02/22/2006 Common 12600 D (Right to buy) Stock Stock Options $14.8438 08/14/2007 Common 15000 D (Right to buy) Stock Stock Options $21.125 01/20/2008 Common 17064 D (Right to buy) Stock Stock Options $26.7188 08/30/2002 D 3742 11/17/2003 11/17/2008 Common 3742 $0.0000 D (Right to buy) Stock Stock Options $26.7188 08/30/2002 D 19625 11/17/2002 11/17/2008 Common 196258 $0.0000 0 D (Right to buy) 8 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 01/17/2002 A 37139 01/17/2003 01/17/2012 Common 37139 $0.0000 D (Right to buy) Stock Stock Options $34.95 01/17/2002 A 2861 01/17/2006 01/17/2012 Common 2861 $0.0000 D (Right to buy) Stock Stock Options $34.95 08/30/2002 D 37139 01/17/2003 01/17/2012 Common 37139 $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 2601 01/07/2004 01/07/2010 Common 2601 $0.0000 D (Right to buy) Stock Stock Options $38.4375 08/30/2002 D 23649 01/07/2001 01/07/2010 Common 23649 $0.0000 0 D (Right to buy) Stock Stock Options $47 08/30/2002 D 47873 01/17/2002 01/17/2011 Common 47873 $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, 2002, the reporting person surrendered to the issuer for cancellation options previously granted to the reporting person as shown in Table II. In exchange for the surrendered options, the reporting person received 105,104 shares of restricted stock of the issuer. This stock option is exercisable in 4 installments of 10,000; 10,000; 10,000 and 7,139 shares each, respectively, beginning on January 17, 2003.
SIGNATURE OF REPORTING PERSON /s/ JOHN P. POGGE DATE 09/03/2002
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