-----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, H9T7stlSX/gWKK5bCs6KLJdes94gssDi0MXUvkhc0egkb2Xt6vV8Uvxzbx5E3vVh P2VRCci4p07GKIpcxHoO2A== 0001005757-02-000020.txt : 20020904 0001005757-02-000020.hdr.sgml : 20020904 20020904170441 ACCESSION NUMBER: 0001005757-02-000020 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: 02756757 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: HANSEN NEAL C CENTRAL INDEX KEY: 0001031871 OFFICER IRS NUMBER: 507521673 FILING VALUES: FORM TYPE: 4 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 4 1 nhansen082002form4.txt NEAL HANSEN FORM 4 AUGUST 2002 1. Name and Address of Reporting Person HANSEN, NEAL 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 (X) Officer (give title below) (X) Other (specify below) Chairman & CEO 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 110000 A $0.0000 1170129 D Common Stock 435000 I Partnership Common Stock 63408 I Spouse
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 $9.6875 01/28/2007 Common 115900 D (Right to buy) Stock Stock Options $21.125 01/20/2008 Common 80000 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 39625 11/17/2002 11/17/2008 Common 396258 $0.0000 0 D (Right to buy) 8 Stock Stock Options $34.43 08/30/2002 D 38000 12/14/2002 12/14/2011 Common 380000 $0.0000 0 D (Right to buy) 0 Stock Stock Options $34.95 01/17/2002 A 37000 01/17/2003 01/17/2012 Common 370000 $0.0000 D (Right to buy) 0 Stock Stock Options $34.95 08/30/2002 D 27501 01/17/2003 01/17/2012 Common 275012 $0.0000 D (Right to buy) 2 Stock Stock Options $34.95 08/30/2002 D 94988 01/17/2003 01/17/2012 Common 94988 $0.0000 0 D (Right to buy) Stock Stock Options $35.875 08/30/2002 D 80000 11/17/2002 01/14/2009 Common 80000 $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 57399 01/07/2001 01/07/2010 Common 57399 $0.0000 0 D (Right to buy) Stock Stock Options $47 08/30/2002 D 97873 01/17/2002 01/17/2011 Common 97873 $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 110,000 shares of restricted stock of the issuer.
SIGNATURE OF REPORTING PERSON /s/ NEAL C. HANSEN DATE 09/04/2002 -----END PRIVACY-ENHANCED MESSAGE-----