-----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, RS8+c9Tg7nDSwlhdOjfp+82OhTGKZABh4KWHSliySU5Fh6MhyFCiz+eowaQvARjZ vO3PW5gxjZYPxaZgwGZj1A== 0000950124-00-000712.txt : 20000216 0000950124-00-000712.hdr.sgml : 20000216 ACCESSION NUMBER: 0000950124-00-000712 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000211 FILED AS OF DATE: 20000215 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CUMULUS MEDIA INC CENTRAL INDEX KEY: 0001058623 STANDARD INDUSTRIAL CLASSIFICATION: RADIO BROADCASTING STATIONS [4832] IRS NUMBER: 364159663 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-24525 FILM NUMBER: 544274 BUSINESS ADDRESS: STREET 1: 111 KILBOURNE AVE STREET 2: SUITE 2700 CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 4146152800 MAIL ADDRESS: STREET 1: 111 EAST KILBOURN AVE STREET 2: SUITE 2700 CITY: MILWAUKEE STATE: WI ZIP: 53202 COMPANY DATA: COMPANY CONFORMED NAME: CUMULUS MEDIA INC CENTRAL INDEX KEY: 0001058623 STANDARD INDUSTRIAL CLASSIFICATION: RADIO BROADCASTING STATIONS [4832] DIRECTOR IRS NUMBER: 364159663 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 111 KILBOURNE AVE STREET 2: SUITE 2700 CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 4146152800 MAIL ADDRESS: STREET 1: 111 EAST KILBOURN AVE STREET 2: SUITE 2700 CITY: MILWAUKEE STATE: WI ZIP: 53202 4 1 FORM 4 1 - -------- -------------------------------- FORM 4 | | OMB APPROVAL | - -------- -------------------------------- |OMB Number 3235-0287| |Expires: February 1, 1994| |Estimated average burden | |hours per response........ 0.5| -------------------------------- - ------ FORM 4 - ------ U.S. SECURITIES AND EXCHANGE COMMISSION [ ] Check box if no longer WASHINGTON, DC 20549 subject to Section 16. Form 4 or Form 5 obligations may STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP continue. See Instruction 1(b). 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 (Check all applicable) Weening, Richard W. | Cumulus Media Inc. (CMLS) | X Director X 10% Owner - -------------------------------------------------------------------------------------------| ----- ----- (Last) (First) (Middle) |3. IRS Identification | 4. Statement for | X Officer (give title below) | Number of | Month/Year | ----- 111 E. Kilbourn Avenue, Suite 2700 | Reporting Person, | 2/00 | Other (specify below) | if an Entity | | ----- | (Voluntary) | | - ------------------------------------------| |-------------------------|---------------------------------------- (Street) | | 5. If Amendment, |7. Individual or Joint/Group Filing | | Date of Original | (Check applicable line) Milwaukee, WI 53202 | | (Month/Year) | X Form Filed by One Reporting Person | | | -- - ------------------------------------------|------------------------------------------------| -- Form Filed by More than One (City) (State) (Zip) | | Reporting Person | | - ------------------------------------------------------------------------------------------------------------------------------------ TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security |2. Transaction| 3. Transaction|4. Securities Acquired (A)| 5. Amount of|6. Owner- |7. Nature (Instr. 3) | Date | Code | or Disposed of (D) | Securities | ship | of | | (Instr. 8) | (Instr. 3, 4 and 5) | Beneficially| Form: | Indirect | | | | Owned at End| Direct | Bene- | |---------------|--------------------------| of Month | (D) or | ficial | | | | | (A) | | (Instr. 3 | Indirect | Owner- | (Month/Day/ | | | | or | | and 4) | (I) | ship | Year) | Code | V | Amount | (D) | Price | |(Instr. 4)|(Instr. 4) - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- Class A Common Stock, $.01 par value | | | | | | | 1,000 | D | - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | |Quaestus Class A Common Stock, $.01 par value | | | | | | | 101,000 (1) | I |Management | | | | | | | | |Corporation - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | |CML Class A Common Stock, $.01 par value | | | | | | | 201,100 (1) | I |Holdings, | | | | | | | | |LLC - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | |Quaestus Class A Common Stock, $.01 par value | | | | | | | 100,000 (1) | I |Partner | | | | | | | | |Fund - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | | - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | | - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | | - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | | - -------------------------------------|--------------|-------|-------|--------|------|----------|-------------|--------- |----------- | | | | | | | | | - ------------------------------------------------------------------------------------------------------------------------------------
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative |2. Conver- |3. Trans- |4. Trans- |5. Number of |6. Date Exer- |7. Title and Amount |8. Price Security | sion or | action | action | Derivative | cisable and | of Underlying | of (Instr. 3) | Exercise | Date | Code | Securities Ac- | Expiration | Securities | Deriv- | Price of | (Month/ | (Instr. 8)| quired (A) or | Date | (Instr. 3 and 4) | ative | Deriv- | Day/ | | Disposed of (D)| (Month/Day/ | | Secur- | ative | Year) | | (Instr. 3, 4, | Year) | | ity | Security | | | and 5) | | | (Instr. 5) | | | | |--------------------------------------| | | | | |Date |Expira- | | Amount or| | | |-------------------------------|Exer- |tion | Title | Number of| | | | Code | V | (A) |(D) |cisable|Date | | Shares | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- Class C Common Stock | 1 for 1 |2/1/00 | A | V | 128,000| |On | |Class A | | $.01 par value per share| | | | | | |Demand | |Common | | | | | | | | | | |Stock |128,000 |$39.00 | | | | | | | | |$.01 par | | | | | | | | | | |value per| | | | | | | | | | |share | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- Stock Option (right to |$14.00 | | | | | | (2) |6/22/08 |Class C | | buy | | | | | | | | |Common | | | | | | | | | | |Stock |1,000,690 |$14.00 | | | | | | | | |$.01 par | | | | | | | | | | |value per| | | | | | | | | | |share | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- Stock Option (right to |$27.875 | | | | | | (3) |8/30/09 |Class C | | buy | | | | | | | | |Common | | | | | | | | | | |Stock |500,000 |$27.875 | | | | | | | | |$.01 par | | | | | | | | | | |value per| | | | | | | | | | |share | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- Stock Option (right to |$27.875 | | | | | | (4) |8/30/09 |Class A | | buy | | | | | | |Immed. | |Common | | | | | | | | | | |Stock |30,000 |$27.875 | | | | | | | | |$.01 par | | | | | | | | | | |value per| | | | | | | | | | |share | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- Class C Common Stock | 1 for 1 | | | | | |On | |Class A | | $.01 par value per share| | | | | | |Demand | |Common | | | | | | | | | | |Stock |337,313 | | | | | | | | | |$.01 par | | | | | | | | | | |value per| | | | | | | | | | |share | | - ------------------------|------------|-------- -|-------|----|--------|---------|-------|---------|---------|----------|----------- Class C Common Stock | 1 for 1 | | | | | |On | |Class A | | $.01 par value per share| | | | | | |Demand | |Common | | | | | | | | | | |Stock |1,522,422 | | | | | | | | | |$.01 par | | | | | | | | | | |value per| | | | | | | | | | |share | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- | | | | | | | | | | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- | | | | | | | | | | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- | | | | | | | | | | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- | | | | | | | | | | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- | | | | | | | | | | | - ------------------------|------------|----------|-------|----|--------|---------|-------|---------|---------|----------|----------- | | | | | | | | | | | - ----------------------------------------------------------------------------------------------------------------------------------- 9. Number of | 10. Ownership | 11. Nature of Derivative | Form of | Indirect Securities | Derivative | Beneficial Beneficially | Security: | Ownership Owned at End | Direct (D) | (Instr. 4) of Month | or Indirect (I) | (Instr. 4) | (Instr. 4) | - ------------------|------------------------|------------------------------------ 128,000 | D | - ------------------|------------------------|------------------------------------ 1,000,690 | D | - ------------------|------------------------|------------------------------------ 500,000 | D | - ------------------|------------------------|------------------------------------ 30,000 | D | - ------------------|------------------------|------------------------------------ 337,313 | I |By Quaestus Management Corporation - ------------------|------------------------|------------------------------------ 1,522,422 | I |By CML Holdings, LLC - -------------------------------------------------------------------------------- Explanation of Responses: (1) Mr. Weening elects to report the entire amount of CMLS stock held by Quaestus Management Corporation, CML Holdings, LLC and Quaestus Partner Fund. Mr. Weening disclaims any beneficiary ownership in excess of his pecuniary interest and the filing of this report shall not be claimed an admission that the report person is the beneficial owner of such securities for purposes of Section 16 or any other purpose. (2) Grant to reporting person of option to buy 1,000,690 shares of Class C Common Stock in transaction exempt under Rule 16b.3. The options become exercisable in three separate tranches. Each tranche has a separate quarterly or annual vesting schedule. All options will vest during the period commencing 9/30/1998 and ending 7/1/2002. Such shares of Class C Common Stock are convertible into shares of Class A Common Stock at the option of the holder. (3) Grant to reporting person of option to buy 500,000 shares of Class C Common Stock in transaction exempt under Rule 16b.3. The options become exercisable over four years, vesting quarterly. All options will vest during period commencing 9/1/99 and ending 8/30/03. Such shares of Class C Common stock are convertible into shares of Class A Common Stock at the option of the holder. (4) Options for 30,000 shares of Class A Common Stock are fully vested and immediately exercisable. Note File three copies of this form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Richard W. Weening 2/11/00 ---------------------------------- ------- **Signature of Reporting Person(1) Date Page 2
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