10-K/A 1 a04-4007_110ka.htm 10-K/A

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 10-K/A
(Amendment No. 1)

 

AMENDMENT TO ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934

 


 

For the fiscal year ended: December 31, 2003   Commission File No.: 0-25581

 

priceline.com Incorporated

(Exact name of Registrant as specified in its charter)

 

Delaware

 

06-1528493

(State or other Jurisdiction of Incorporation or
Organization)

 

(I.R.S. Employer
Identification No.)

 

 

 

800 Connecticut Avenue
Norwalk, Connecticut

 

06854

(Address of Principal Executive Offices)

 

(Zip Code)

 

Registrant’s telephone number, including area code: (203) 299-8000

 


 

Securities Registered Pursuant to Section 12(b) of the Act:

 

None

 

Securities Registered Pursuant to Section 12(g) of the Act:

 

Common Stock, par value $0.008 per share

 


 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.  Yes   ý   No   o

 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K.   ý

 

Indicate by check mark whether the registrant is an accelerated filer (as defined in Exchange Act Rule 12b-2).  Yes   ý   No   o

 

The aggregate market value of common stock held by non-affiliates of priceline.com as of June 30, 2003 was approximately $469 million based upon the closing price reported for such date on the Nasdaq National Market.  For purposes of this disclosure, shares of common stock held by persons who are known by priceline.com to own more than 5% of the outstanding shares of common stock on June 30, 2003 and shares held by executive officers and directors of priceline.com on June 30, 2003 have been excluded because such persons may be deemed to be affiliates of priceline.com.  This determination of affiliate status is not necessarily a conclusive determination for other purposes.

 

The number of outstanding shares of priceline.com’s common stock was 37,690,111 as of March 10, 2004.

 

 

 



DOCUMENTS INCORPORATED BY REFERENCE

 

None.

 


 

EXPLANATORY NOTE

 

This amendment to priceline.com Incorporated’s Annual Report on Form 10-K for the fiscal year ended December 31, 2003, as filed by priceline.com on March 15, 2004, is being filed for the purpose of amending the information required by Part IV, Item 15 of Form 10-K.

 

 

 

Index

 

PART IV

 

Item 15.

Exhibits

3

Signatures

 

4

 

2



 

Part IV

 

Item 15.  Exhibits

 

 

(c)           Exhibits

 

Exhibit
Number

 

Description

 

 

 

10.82

 

Priceline Mortgage Company, L.L.C. Financial Statements for the Years ended December 31, 2003 and 2002 and Independent Auditors’ Report

23.1

 

Consent of Deloitte & Touche LLP

31.1

 

Certificate of Jeffery H. Boyd, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

31.2

 

Certificate of Robert J. Mylod, pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

32.1

 

Certification of Jeffery H. Boyd, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (Subsections (a) and (b) of Section 1350, Chapter 63 of Title 18, United States Code).

32.2

 

Certification of Robert J. Mylod, pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (Subsections (a) and (b) of Section 1350, Chapter 63 of Title 18, United States Code).

 

3



 

Signatures

 

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this amendment to be signed on its behalf by the undersigned, thereunto duly authorized.

 

 

 

PRICELINE.COM INCORPORATED

 

 

 

 

 

By:

 /s/ Jeffery H. Boyd

 

 

 

 Name:

Jeffery H. Boyd

 

 

 Title:

Chief Executive Officer

 

 

 Date:

March 30, 2004

 

 

Power of Attorney

 

KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Jeffery H. Boyd, Robert J. Mylod Jr. and Peter J. Millones, and each of them severally, his or her true and lawful attorney-in-fact with power of substitution and resubstitution to sign in his or her name, place and stead, in any and all capacities, to do any and all things and execute any and all instruments that such attorney may deem necessary or advisable under the Securities and Exchange Act of 1934 and any rules, regulations and requirements of the U.S. Securities and Exchange Commission in connection with this Amendment to Annual Report on Form 10-K/A and any and all amendments hereto, as fully and for all intents and purposes as he or she might do or could do in person, and hereby ratifies and confirms all said attorneys-in-fact and agents, each acting alone, and his or her substitute or substitutes, may lawfully do or cause to be done by virtue hereof.

 

Pursuant to the requirements of the Securities Exchange Act of 1934, this amendment has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.

 

 

Signature

 

Title

 

Date

 

 

 

 

 

 

Chairman

March 30, 2004

 Richard S. Braddock

and Director

 

 

 

 

 

 

 

 /s/ Jeffery H. Boyd

 

President, Chief Executive Officer and

March 30, 2004

 Jeffery H. Boyd

Director (Principal Executive Officer)

 

 

 

 

 

 

 

 /s/ Thomas P. D’Angelo

 

Chief Accounting Officer and Controller

March 30, 2004

 Thomas P. D’Angelo

(Principal Accounting Officer)

 

 

 

 

 

4



 

Signature

 

Title

 

Date

 

 

 

 

 

 

 

 /s/ Robert J. Mylod Jr.

 

Chief Financial Officer

March 30, 2004

 Robert J. Mylod Jr.

(Principal Financial Officer)

 

 

 

 

 

 

 

 /s/ Ralph M. Bahna

 

Director

March 30, 2004

 Ralph M. Bahna

 

 

 

 

 

 

 

 

 /s/ Howard W. Barker, Jr.

 

Director

March 30, 2004

 Howard W. Barker, Jr.

 

 

 

 

 

 

 

 

 /s/ Jeffrey E. Epstein

 

Director

March 30, 2004

 Jeffrey E. Epstein

 

 

 

 

 

 

 

 

 /s/ Patricia L. Francy

 

Director

March 30, 2004

 Patricia L. Francy

 

 

 

 

 

 

 

 

 /s/ James M. Guyette

 

Director

March 30, 2004

 James M. Guyette

 

 

 

 

 

 

 

 

 

 

Director

March 30, 2004

 Edmond Tak Cheun Ip

 

 

 

 

 

 

 

 

 /s/ Dominic Kai Ming Lai

 

Director

March 30, 2004

 Dominic Kai Ming Lai

 

 

 

 

 

 

 

 

 /s/ Marshall Loeb

 

Director

March 30, 2004

 Marshall Loeb

 

 

 

 

 

 

 

 

 /s/ Nancy B. Peretsman

 

Director

March 30, 2004

 Nancy B. Peretsman

 

 

 

 

 

 

 

 

 /s/ Ian F. Wade

 

Director

March 30, 2004

 Ian F. Wade

 

 

 

5