-----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, B7P2tUx659gmsxIJ7+nd8aNpDsWXe3mXqWNNguHrI83/ELXmAOMvF5KKE7pnxYqs Qip69Mq7JmunCh2K4VG1mw== 0001005757-02-000021.txt : 20020904 0001005757-02-000021.hdr.sgml : 20020904 20020904170551 ACCESSION NUMBER: 0001005757-02-000021 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: 02756760 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 OTHER FILING VALUES: FORM TYPE: 4 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 4 1 pkalan082002form4.txt PETER KALAN FORM 4 AUGUST 2002 1. Name and Address of Reporting Person KALAN, PETER E. 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) ( ) Other (specify below) Sr. VP and CFO 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 08/22/2002 A 30000 A $0.0000 D Common Stock 08/30/2002 A 50416 A $0.0000 82016 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 $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 08/30/2002 D 6218 11/17/2002 11/17/2008 Common 6218 $0.0000 D (Right to buy) Stock Stock Options $26.72 08/30/2002 D 33782 11/17/2002 11/17/2008 Common 33782 $0.0000 0 D (Right to buy) Stock Stock Options $27.9375 08/30/2002 D 10000 10/10/2001 10/10/2010 Common 10000 $0.0000 0 D (Right to buy) Stock Stock Options $34.43 08/30/2002 D 40000 12/14/2002 12/14/2011 Common 40000 $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 $38.44 08/30/2002 D 2602 01/07/2002 01/07/2010 Common 2602 $0.0000 D (Right to buy) Stock Stock Options $38.44 08/30/2002 D 12398 01/07/2001 01/07/2010 Common 12398 $0.0000 0 D (Right to buy) Stock Stock Options $47 08/30/2002 D 27873 01/17/2002 01/17/2011 Common 27873 $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 Stock Options $47.5 08/30/2002 D 10000 08/25/2001 08/25/2010 Common 10000 $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 50,416 shares of restricted stock of the issuer. On August 30, 2002, the reporting person surrendered to the issuer for cancellations options previously granted to the reporting person as shown in Table II. In exchange for the surrendered options, the reporting person received 50,416 shares of restricted stock of the issuer.
SIGNATURE OF REPORTING PERSON /s/ PETER E. KALAN DATE 09/04/2002 -----END PRIVACY-ENHANCED MESSAGE-----