-----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, AQ1Fm3XpuKUqtAtf3/UIRzW6VNNiXzak5nle69rGgMWAB/jfbcEl5KCjxxaAcqrl AzsOBpzol4oE/ME36qII8Q== 0001116679-02-000071.txt : 20020414 0001116679-02-000071.hdr.sgml : 20020414 ACCESSION NUMBER: 0001116679-02-000071 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020123 FILED AS OF DATE: 20020124 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CHOICE ONE COMMUNICATIONS INC CENTRAL INDEX KEY: 0001091953 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] IRS NUMBER: 161550742 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29279 FILM NUMBER: 02516408 BUSINESS ADDRESS: STREET 1: 100 CHESTNUT ST STREET 2: SUITE 700 CITY: ROCHESTER STATE: NY ZIP: 14604 BUSINESS PHONE: 7162464231 MAIL ADDRESS: STREET 1: 100 CHESTNUT ST STREET 2: SUITE 700 CITY: ROCHESTER STATE: NY ZIP: 14604 COMPANY DATA: COMPANY CONFORMED NAME: FAIRPOINT COMMUNICATIONS INC CENTRAL INDEX KEY: 0001062613 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] DIRECTOR IRS NUMBER: 133725229 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 521 EAST MOREHEAD ST STREET 2: STE 250 CITY: CHARLOTTE STATE: NC ZIP: 28202 BUSINESS PHONE: 7043448150 FORMER COMPANY: FORMER CONFORMED NAME: MJD COMMUNICATIONS INC DATE OF NAME CHANGE: 19980527 3 1 form3-012402.txt DATE OF EVENT: 01/23/02 - -------- ---------------------------- FORM 3 U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL - -------- Washington, D.C. 20549 ---------------------------- OMB Number: 3235-0104 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Expires: December 31, 2001 Estimated average burden Filed pursuant to Section 16(a) of the Securities Exchange hours per response.......0.5 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
(Print or Type Responses) ________________________________________________________________________________ 1. Name and Address of Reporting Person* Johnson, Eugene B. - -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o FairPoint Communications, Inc. 521 East Morehead Street, Suite 250 - -------------------------------------------------------------------------------- (Street) Charlotte NC 28202 - -------------------------------------------------------------------------------- (City) (State) (Zip) ________________________________________________________________________________ 2. Date of Event Requiring Statement (Month/Day/Year) 01/23/02 ________________________________________________________________________________ 3. IRS Identification Number of Reporting Person, if an entity (voluntary) ________________________________________________________________________________ 4. Issuer Name and Ticker or Trading Symbol Choice One Communications Inc. (CWON) ________________________________________________________________________________ 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) |X| Director |_| 10% Owner |_| Officer (give title below) |_| Other (specify below) ________________________________________________________________________________ 6. If Amendment, Date of Original (Month/Day/Year) ________________________________________________________________________________ 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 Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Direct (D) or (Instr. 5) (Instr. 4) Indirect (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ No securities owned. (1) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If the Form is filed by more than one reporting person, see Instruction 5(b)(v).
Page 1 of 2
FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Date Exercisable 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Security (Instr. 4) and Expiration Date Underlying Derivative Security sion or ship Indirect (Month/Day/Year) (Instr. 4) Exercise Form of Beneficial ---------------------- --------------------------------- Price of Derivative Ownership Date Expira- Amount Derivative Security: (Instr. 5) Exer- tion or Security Direct cisable Date Title Number (D) or of Indirect Shares (I) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Reporting Person is the Chief Executive Officer of FairPoint Communications, Inc. ("FairPoint") and FairPoint Communications Solutions Corp. ("FairPoint Solutions"), a wholly owned subsidiary of FairPoint. Reporting Person was appointed as a director pursuant to FairPoint Solutions' right to nominate a director to the Issuer's Board of Directors. Reporting Person disclaims beneficial ownership of all shares of common stock beneficially owned by FairPoint and FairPoint Solutions. ** Intentional misstatements or omissions of facts constitute /s/ Eugene B. Johnson January 24, 2002 Federal Criminal Violations. --------------------------- ------------------- See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Name: Eugene B. Johnson Date Title: Chief Executive Officer Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, See Instruction 6 for this procedure.
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. Page 2 of 2
-----END PRIVACY-ENHANCED MESSAGE-----