-----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, C8XQSh6AaxYzLwfs/+f1u+U1SEEng1USh1njEse61vT0zwsqzFaHNom8gLAt+A33 iZ3zaV+ccIOv6qBjwEUzjQ== 0000950138-01-000062.txt : 20010224 0000950138-01-000062.hdr.sgml : 20010224 ACCESSION NUMBER: 0000950138-01-000062 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20001231 FILED AS OF DATE: 20010221 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: WORLD ACCESS INC /NEW/ CENTRAL INDEX KEY: 0001071645 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATIONS EQUIPMENT, NEC [3669] IRS NUMBER: 582398004 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-29782 FILM NUMBER: 1551143 BUSINESS ADDRESS: STREET 1: 945 EAST PACES FERRY ROAD STREET 2: SUITE 2200 CITY: ATLANTA STATE: GA ZIP: 30326 BUSINESS PHONE: 4042312025 MAIL ADDRESS: STREET 1: 945 EAST PACES FERRY ROAD STREET 2: SUITE 2200 CITY: ATLANTA STATE: GA ZIP: 30326 FORMER COMPANY: FORMER CONFORMED NAME: WAXS INC DATE OF NAME CHANGE: 19981006 COMPANY DATA: COMPANY CONFORMED NAME: WORLDCOM INC/GA// CENTRAL INDEX KEY: 0000723527 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813] OWNER IRS NUMBER: 581521612 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 500 CLINTON CENTER DRIVE CITY: CLINTON STATE: MS ZIP: 39056 BUSINESS PHONE: 6014605600 FORMER COMPANY: FORMER CONFORMED NAME: MCI WORLDCOM INC DATE OF NAME CHANGE: 19980914 FORMER COMPANY: FORMER CONFORMED NAME: WORLDCOM INC /GA/ DATE OF NAME CHANGE: 19970127 FORMER COMPANY: FORMER CONFORMED NAME: LDDS COMMUNICATIONS INC /GA/ DATE OF NAME CHANGE: 19930916 4 1 0001.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP - -------- FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION - -------- Washington, DC 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 [ ] Check box if no longer subject to Section 16. Form 4 or 5 obligations may continue. See Instruction 1(b) ================================================================================ 1. Name and Address of Reporting Person* WorldCom, Inc. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 500 Clinton Center Drive - -------------------------------------------------------------------------------- (Street) Clinton Mississippi 39056 - -------------------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol World Access, Inc. (WAXS) 3. IRS or Social Security Number of Reporting Person (Voluntary) 4. Statement for Month/Year December 2000 5. If Amendment, Date of Original (Month/Year) 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [X] 10% Owner [ ] Officer (give title below) - ------------------------------------------------------------------------------- [ ] Other (specify below) - ------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing [ ] Form filed by One Reporting Person [X] Form filed by More than One Reporting Person Table 1 C - Non Derivative Securities Acquired, Disposed of, or Beneficially Owned - ------------------------------------------------------------------------------------------------------------------------------------
1. Title of Security 2. Transaction Date 3. Transaction 4. Securities Acquired 5. Amount of 6. Ownership 7. Nature of (Instr. 3) (Month/Day/Year) Code (A) or Disposed of (D) Securities Form: Indirect (Instr. 8) (Instr. 3, 4 and 5) Beneficially Direct Beneficial Owned at (D) or Ownership End of Month Indirect (Instr. 4) (Instr. 3 (I) and 4) (Instr. 4) - -------------------- ------------------- -------------- ------------------------- --------------- ------------- -------------- Code V Amount (A) Price or (D) ------ ------ -------- --- ---------- ====================================================================================================================================
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 4(b)(v). FORM 4 (continued) Table II C Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------ 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. - ---------- -------- -------- -------- ---------- ------------ -------------- ------ ---------- --------- ---------- Title and Ownership Number of Date Exer- Amount of Form of Derivative cisable and Underlying Number of Deriv- Securities Expiration Securities Price Derivative ative Conver- Trans- Acquired (A) Date (Month/ (Instr. 3 of Securities Security: sion or Trans- action or Disposed Day/Year) and 4) Deriv- Benefi- Direct Exercise action Code of (D) -------------- -------------- ative cially (D) or Nature of Title of Price of Date (Instr. (Instr. 3, Date Amount Secur- Owned at Indirect Indirect Derivative Deriv- (Month/ 8) 4 and 5) Exer- Expir- or Num- ity End of (I) Beneficial Security ative Day/ -------- ---------- cis- ation ber of (Instr. Month (Instr. Ownership (Instr. 3) Security Year) Code V (A) (D) able Date Title Shares 5) (Instr. 4) 4) (Instr. 4) - ---------- -------- -------- ---- --- ---- ---- ------- ----- ----- ------ ------ ---------- -------- ---------- Convertible $11.50 12/19/00 A 10,402.84 Immed. (1) Common 904,595 (1) 10,402.84 D Preferred (1) Stock Stock Series H
Explanation of Responses: (1) In connection with the merger between World Access, Inc. and WorldxChange Communications, the reporting persons acquired 10,402.84 shares of Convertible Preferred Stock, Series H in satisfaction of obligations owed by WorldxChange Communications to the reporting persons in the approximate amount of $10 million. The Convertible Preferred Stock, Series H is convertible into 904,595 shares of Common Stock, subject to certain anti-dilution rights. The Convertible Preferred Stock, Series H is convertible at the option of the holder at any time and shall be converted automatically upon the third anniversary of the issue date or upon a "change of control," as defined. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). WorldCom, Inc. /s/ Scott D. Sullivan 2/21/01 - --------------------------------------------- --------------------------- **Signature of Reporting Person Date Note. File three copies of this form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. JOINT FILER INFORMATION Designated Filer: WorldCom, Inc. Issuer: World Access, Inc. (WAXS) Statement for: December 2000 Name of Additional MCI WORLDCOM Network Services, Inc. (successor to Reporting Person: WorldCom Network Services, Inc.) IRS I.D. #: 13-2745892 Signature: MCI WORLDCOM Network Services, Inc. By: /s/ Scott D. Sullivan ------------------------------------------------- Name: Scott D. Sullivan --------------------------------------- Title: Chief Financial Officer and Secretary --------------------------------------- Name of Additional MFS Telecom, Inc. Reporting Person: IRS I.D. #: 36-3547776 Signature: MFS Telecom, Inc. By: /s/ Scott D. Sullivan ------------------------------------------------- Name: Scott D. Sullivan --------------------------------------- Title: Chief Financial Officer and Secretary --------------------------------------- Name of Additional Brooks Fiber Communications of Texas, Inc. Reporting Person: IRS I.D. #: 43-1714867 Signature: Brooks Fiber Communications of Texas, Inc. By: /s/ Scott D. Sullivan ------------------------------------------------- Name: Scott D. Sullivan --------------------------------------- Title: Chief Financial Officer and Secretary ---------------------------------------
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