-----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, G/FSqaitEisZCUPVH8r9WehSYQ57+8mUyZRA9poJhsyFMFbqVw/zrKcCWNOVo0wb 533flmyVth1rhoFMxt0E3w== 0001019056-99-000104.txt : 19990217 0001019056-99-000104.hdr.sgml : 19990217 ACCESSION NUMBER: 0001019056-99-000104 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990216 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CONECTIV INC CENTRAL INDEX KEY: 0001029590 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRIC & OTHER SERVICES COMBINED [4931] IRS NUMBER: 510377417 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 001-13895 FILM NUMBER: 99542871 BUSINESS ADDRESS: STREET 1: 800 KING STREET P O BOX 231 CITY: WILMINGTON STATE: DE ZIP: 19899 BUSINESS PHONE: 3024293114 MAIL ADDRESS: STREET 1: 800 KING ST STREET 2: P O BOX 231 CITY: WILMINGTON STATE: DE ZIP: 19899 COMPANY DATA: COMPANY CONFORMED NAME: COSGROVE HOWARD E CENTRAL INDEX KEY: 0001079395 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER IRS NUMBER: 510377417 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 800 KING STREET PO BOX 231 CITY: WILMINGTON STATE: DE ZIP: 19899 BUSINESS PHONE: 3024293315 MAIL ADDRESS: STREET 1: 800 KING STREET PO BOX 231 CITY: WILMINGTON STATE: DE ZIP: 19899 5 1 FORM 5
- --------------------------------------- FORM 5 - --------------------------------------- -------------------------------- OMB APPROVAL -------------------------------- / / CHECK THIS BOX IF NO LONGER OMB Number: 3235-0362 SUBJECT TO SECTION 16. FORM 4 OR FORM Expires: September 30, 1998 5 OBLIGATIONS MAY CONTINUE. SEE Estimated average burden INSTRUCTION 1(b). hours per response 1.0 /X/ FORM 3 HOLDINGS REPORTED / / FORM 4 TRANSACTIONS REPORTED U.S. SECURITIES AND EXCHANGE COMMISSION (Print or Type Responses) WASHINGTON, D.C. 20549 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 - ------------------------------------------------------------------------------------------------------------------------------------ 1.Name and Address of Reporting Person*(1) 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer Cosgrove Howard E. Conectiv (CIV) and (CIVA) (Check all applicable) - -------------------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS or Social 4. Statement for Month/Year [ ] Director [ ] 10% Owner Security Number [X] Officer [ ] Other of Reporting December 1998 (give title (specify 800 King Street Person below) below) - --------------------------------------- (Voluntary) (Street) ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ Wilmington, DE 19801 5. If Amendment, 7. Individual or Joint/Group Filing - --------------------------------------- Date of Original (Check Applicable Line) (City) (State) (Zip) (Month/Year) [X] Form filed by One Reporting Person N/A [ ] 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. Ownership Form: 7. Nature of (Instr.3) action action Code or Disposed of (D) Securities Direct (D) or Indirect Date (Instr. 8) (Instr. 3,4 and 5) Beneficially Indirect (I) Beneficial Owned at End of (Instr. 4) Ownership (Month/ Issuer's (Instr. 4) Day/Year)------------------------------------------------- Fiscal Year Code Amount (A) or (D) Price (Instr. 3 and 4) - ------------------------------------------------------------------------------------------------------------------------------------ Note: Options inadvertently omitted from Form 3 filed on April 6, 1998. - ------------------------------------------------------------------------------------------------------------------------------------ *If the form is filed by more than one reporting person, SEE Instruction 4(b)(v). Page 1 of 2 SEC 2270(7-97)
FORM 5 (continued) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - --------------------------------------------------------------------------------- 1. Title of 2. Conversion 3. Transaction 4. Transaction 5. Number of Derivative or Exercise Date Code Derivative Security Price of (Month/Day/Year) (Instr. 8) Securities (Instr. 3) Derivative Acquired (A) Security or Disposed of (D) (Instr. 3, 4 and 5) ---------------- (A) (D) - --------------------------------------------------------------------------------- Stock Options 21.25 N/A 3 N/A N/A - --------------------------------------------------------------------------------- Stock Options 20.50 N/A 3 N/A N/A - ----------------------------------------------------------------------------------------------------------- 6. Date 7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of Exercisable of Underlying Derivative Derivative Form of Indirect and Expiration Securities Security Securities Derivative Beneficial Date (Instr. 3 and 4) (Instr. 5) Beneficially Security: Ownership (Month/Day/Year) Owned at Direct (D) or (Instr. 4) End of Indirect (I) Year (Instr. 4) (Instr. 4) ------------------------------------------ Amount Date Expir- or Exer- ation Number cisable Date Title of Shares - ----------------------------------------------------------------------------------------------------------- 01/01/91 01/01/2000 Common Stock 8,500 N/A 8,500 D N/A - ----------------------------------------------------------------------------------------------------------- 01/01/92 01/01/2002 Common Stock 5,900 N/A 5,900 D N/A - ----------------------------------------------------------------------------------------------------------- Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, SEE instruction 6 for procedure. HOWARD E. COSGROVE By: Moira K. Donoghue Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number. /s/ MOIRA K. DONOGHUE February 15, 1999 ------------------------- ----------------- **Signature of Reporting Person Date for Howard E. Cosgrove Power of Attorney Page 2 of 2 SEC 2270 (7-97)
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