4 1 form4-kimkelly.txt FORM 4 ------------------------------ OMB APPROVAL ------------------------------ OMB Number: 3235-0287 Expires: January 31, 2005 Estimated average burden hours per response.........0.5 ------------------------------ UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, DC 20549 FORM 4 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(h) of the Investment Company Act of 1940 |_| Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print of Type Responses) -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Kelly Kim D. -------------------------------------------------------------------------------- (Last) (First) (Middle) c/o Insight Communications Company, Inc. 810 Seventh Avenue -------------------------------------------------------------------------------- (Street) New York New York 10019 -------------------------------------------------------------------------------- (City) (State) (Zip) -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Insight Communications Company, Inc. (ICCI) -------------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) -------------------------------------------------------------------------------- 4. Statement for Month/Day/Year December 23, 2002 -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Day/Year) -------------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) |X| Director |_| 10% Owner |X| Officer (give title below) |_| Other (specify below) President and Chief Operating Officer -------------------------------------------------------------------- -------------------------------------------------------------------------------- 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 Acquired, Disposed of, or Beneficially Owned ================================================================================
5. Amount of 6. 4. Securities Owner- Securities Acquired (A) or Beneficially ship 2A. 3. Disposed of (D) Owned Form: 7. 2. Deemed Transaction (Instr. 3, 4, and 5) Following Direct Nature of Trans- Execution Code -------------------------- Reported (D) or Indirect 1. action Date, if (Instr. 8) (A) Transaction(s) Indirect Beneficial Title of Security Date any ----------- or (Instr. 3 & (I) Ownership (Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V Amount (D) Price (Instr. 4) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
9. Number 10. of Owner- deriv- ship ative Form 2. Secur- of Conver- 5. 7. ities Deriv- 11. sion Number of Title and Amount Bene- ative Nature or Derivative 6. of Underlying 8. ficially Secur- of Exer- 3A. 4. Securities Date Securities Price Owned ity: In- cise Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct Price 3. Execut- action or Disposed Expiration Date ---------------- Deriv- ing (D) or Bene- 1. of Trans- ion Code of(D) (Month/Day/Year) Amount ative Reported In- ficial Title of Deriv- action Date if (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner- Derivative ative Date any 8) 4 and 5) Date Expira- Number ity action(s) (I) ship Security Secur- (mm/dd/ (mm/dd/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity yy) yy) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) ------------------------------------------------------------------------------------------------------------------------------------ Class B 1-for-1 12/23/02 D 746,941 Immed. None Class A 746,941 $12.83(2) D Common Common Stock (1) Stock ------------------------------------------------------------------------------------------------------------------------------------ Class B 1-for-1 12/23/02 A 450,000 (3) None Class A 450,000 491,479 D Common Common Stock (1) Stock ------------------------------------------------------------------------------------------------------------------------------------ Stock $12.83 12/23/02 A 600,000 (4) 12/22/12 Class A 600,000 600,000 D Option Common (right to Stock (5) buy) ------------------------------------------------------------------------------------------------------------------------------------ Stock $12.83 12/23/02 A 300,000 12/23/11 12/22/12 Class A 300,000 300,000 D Option Common (right to Stock buy) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
(1) Each share of Class B Common Stock is convertible into one share of Class A Common Stock upon the occurrence of certain events that are specified in the Issuer's Restated Certificate of Incorporation, including upon any transfer to a person not a member of a defined "Management Group". (2) Securities surrendered in repayment of a loan made to the Reporting Person by the Issuer at a price equal to its aggregate principal amount of $9,583,250.11. (3) The restricted stock vests in five equal installments beginning on November 15, 2003. (4) The option vests in five equal installments beginning on December 23, 2003. (5) The stock option is exercisable into 303,059 shares of Class A Common Stock and 296,941 shares of Class B Common Stock. Upon issuance, the 296,941 shares of Class B Common Stock are convertible at any time into 296,941 shares of Class A Common Stock as set forth in Footnote (1) above. Explanation of Responses: /s/ Kim D. Kelly 12/26/2002 --------------------------------------------- ----------------------- **Signature of Reporting Person Date 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). ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. 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 is insufficient, see Instruction 6 for procedure. Page 2