-----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, Ub2XRvjM30nBly12TQgIHf0v1l+EAQoc0CfTx+gVZ//W731fsy0tVek5A7U/2Nlw GW6AdWgQn1AB/j5amP4vKw== 0001005757-03-000003.txt : 20030211 0001005757-03-000003.hdr.sgml : 20030211 20030211115710 ACCESSION NUMBER: 0001005757-03-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030130 FILED AS OF DATE: 20030211 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: 03549203 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: REZNICEK BERNARD W CENTRAL INDEX KEY: 0001017400 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O CENTRAL STATES INDEMNITY CO OF OMAHA STREET 2: 1212 N 96TH ST CITY: OMAHA STATE: NE ZIP: 68114 BUSINESS PHONE: 6177863000 MAIL ADDRESS: STREET 1: C/O CENTRAL STATES INDEMNITY CO OF OMAHA STREET 2: 1212 N 96TH ST CITY: OMAHA STATE: NE ZIP: 68114 4 1 f4reznicek013003.txt B REZNICEK FORM 4 1. Name and Address of Reporting Person REZNICEK, BERNARD W. 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/Day/Year 01/30/2003 5. If Amendment, Date of Original (Month/Day/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify below) 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- |2A.Execu- |3. Trans-|4. Securities Acquired (A)|5. Amount of |6. Owner- |7. Nature | | | action | action | action| or Disposed of (D) |Securities | ship | of In- | | | Date | Date | Code | |Beneficially | Form: | direct | | | | | | |Owned | Direct | Bene- | | | (Month/ | (Month/ | | |Following | (D) or | ficial | | | Day/ | Day/ +-----+---+-----------+---+----------+Reported | Indirect| Owner- | | | Year) | Year) |Code |V |Amount |A/D|Price |Transaction(s)| (I) | ship | +------------------------------+----------+----------+-----+---+-----------+---+----------+--------------+-----------+------------+ Common Stock 3000 D
TABLE II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
+----------+--------+-------+-------+---------+-----------+---------------------+----------------+----------+-------+-------+------+ |1. |2. |3. |3A. |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- |Trans- |Execu- | |Number of | |Securities | |ities |Secur- |of | | |sion or |action |tion | |Derivative |Date Exercisable +-------+--------+ |Benefi-|ity: |In- | | |Exercise|Date |Date | |Securities |and Expiration Date | |Amount | |cially |Direct |direct| | |Price of| | |Transac- |Acquired(A)|(Month/Day/Year) | |or | |Owned |(D) or |Bene- | |Title of |Deriv- |(Month/|(Month/|tion Code|Disposed(D)+----------+----------+ |Number |Price of | |In- |ficial| |Derivative|ative | Day/ | Day/ +------+--+-----+-----+Date Exer-|Expira- | |of |Derivative| |direct |Owner-| |Security |Security|Year) |Year) |Code |V |(A) |(D) |cisable |tion Date |Title |Shares |Security | |(I) |ship | +----------+--------+-------+-------+------+--+-----+-----+----------+----------+-------+--------+----------+-------+-------+------+ Stock $9.6875 01/28/2007 Common 24000 D Options Stock (Right to buy) Stock $10.48 01/30/2 A V 24000 01/30/2004 01/30/2013 Common 24000 $0.0000 24000 D Options 003 Stock (Right to buy) Stock $12.92 08/22/2012 Common 10000 D Options Stock (Right to buy) Stock $38.59 01/07/2012 Common 1500 D Options Stock (Right to buy) Stock $47.625 01/19/2010 Common 24000 D Options Stock (Right to buy) Explanation of Responses: The shares reported in Table II are exercisable in 3 equal installments beginning one year from grant date.
SIGNATURE OF REPORTING PERSON /s/ BERNARD W. REZNICEK DATE 02/11/2003 -----END PRIVACY-ENHANCED MESSAGE-----