-----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, RqPVqkbTC5IKUuzA4+F7GAyik3U+9nJrLQbFz+op1NEPgO3d8sWymxG3nkU0id3T saADAYGyG6omOUj5BrF3Cg== 0001047469-98-000427.txt : 19980109 0001047469-98-000427.hdr.sgml : 19980109 ACCESSION NUMBER: 0001047469-98-000427 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19971230 FILED AS OF DATE: 19980108 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHOICETEL COMMUNICATIONS INC /MN/ CENTRAL INDEX KEY: 0001031927 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 411649949 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-23017 FILM NUMBER: 98502572 BUSINESS ADDRESS: STREET 1: 9724 10TH AVE NORTH STREET 2: 612-544-1260 CITY: PLYMOUTH STATE: MN ZIP: 55441 MAIL ADDRESS: STREET 1: 9724 10TH AVE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55441 FORMER COMPANY: FORMER CONFORMED NAME: INTELLIPHONE INC DATE OF NAME CHANGE: 19970625 COMPANY DATA: COMPANY CONFORMED NAME: KOHLER GARY S CENTRAL INDEX KEY: 0001045714 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O CHOICETEL COMMUNICATIONS INC STREET 2: 9724 10TH AVENUE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55441 BUSINESS PHONE: 6125441260 MAIL ADDRESS: STREET 1: C/O CHOICETEL COMMUNICATIONS INC STREET 2: 9724 10TH AVENUE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55441 4 1 FORM 4 - ---------------------- FORM 4 - ---------------------- /X/ Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. SEE Instruction 1(b). U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 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* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person CHOICETEL COMMUNICATIONS, INC. (PHON) to Issuer (Check all applicable) KOHLER, GARY S. x Director X 10% Owner ----- ----- Officer (give Other(specify ----- title below)* ----- below) - ------------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS or Social Security 4.Statement for C/O CHOICETEL Number of Reporting Month/Year COMMUNICATIONS, INC. Person (Voluntary) 9724 10th AVENUE NORTH ------------------------------------- DECEMBER 1997 7. Individual or Joint/Group Filing (Check applicable line) - ---------------------------------------- --------------- (Street) 5. If Amendment, X Form filed by One Reporting Person PLYMOUTH, MINNESOTA 55441 Date of ----- Original Form filed by More than One Reporting (Month/Year) ----- Person* - ----------------------------------------------------------------------------------------------------------------------------------- (City) (State) (Zip) TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Trans- 3. Trans- 4.Securities 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action Acquired (A) Securities ship of In- Date Code or Disposed Beneficially Form: direct Instr.8) of (D) Owned at Direct Bene- (Month/ (Instr. 3, 4 End of (D) or ficial Day/ and 5) Month Indirect Owner- Year) -------------------------------- (Instr. 3 (I) ship and 4) (Instr. 4) (Instr. 4) Code V Amount (A) Price or (D) - ----------------------------------------------------------------------------------------------------------------------------------- COMMON STOCK 12/30/97 G 19,000 D $4.875 973,784 D - ----------------------------------------------------------------------------------------------------------------------------------- COMMON STOCK 40,000 I FOR SELF AS CUSTODIAN FOR CHILDREN. - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- * If the Form is filed by more than one Reporting Person SEE Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) FORM 4 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of 2. Conver- 3. Trans- 4. Transac- 5. Number of 6. Date Exercisable 7. Title and Amount 8. Price of Derivative sion or action Code Derivative and Expiration of Underlying Derivative Security Exercise Date (Instr.8) Securities Date Securities Security- (Instr.3) Price of (Month/ Acquired (A) (Month/Day/Year) (Instr. 3 and 4) (Instr. 5) Deriv- Day/ or Disposed ative Year) of (D) (Instr. Security 3, 4, and 5) -------------------------------------------- Date Expira- Title Amount or --------------------------- Exercisable tion Date Number of Code V (A) (D) Shares - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------- 9. Number of 10. Ownership 11. Nature of Derivative Form of Indirect Securities Derivative Beneficial Beneficially Security: Ownership Owned at End Direct (D) or (Instr. 4.) of Month Indirect (I) (Instr. 4) (Instr. 4) - ---------------------------------------------------- - ---------------------------------------------------- - ---------------------------------------------------- - ---------------------------------------------------- - ---------------------------------------------------- - ---------------------------------------------------- - ----------------------------------------------------
EXPLANATION OF RESPONSES: ** Intentional misstatements or /s/ Gary S. Kohler January 6, 1998 omissions of fact constitute ------------------ --------------- Federal Criminal Violations. Gary S. Kohler Date 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 sufficient, SEE Instruction 6 for procedure. -----END PRIVACY-ENHANCED MESSAGE-----