-----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, Me1O75F9yO7DJ9ME0nts1CYQcN+TmOklSzF1kUTAfd2ExB9qgpV2Z7ed9/pVYeyZ XHNO9gqt9486mrE6vv1LNQ== 0000889812-99-003649.txt : 19991213 0000889812-99-003649.hdr.sgml : 19991213 ACCESSION NUMBER: 0000889812-99-003649 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991130 FILED AS OF DATE: 19991210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TELECORP PCS INC CENTRAL INDEX KEY: 0001089341 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 541872248 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-27901 FILM NUMBER: 99772992 BUSINESS ADDRESS: STREET 1: 1010 N GLEBE ROAD STREET 2: SUITE 800 CITY: ARLINGTON STATE: VA ZIP: 22201 BUSINESS PHONE: 7032361100 MAIL ADDRESS: STREET 1: 1010 N GLEBE ROAD STREET 2: SUITE 800 CITY: ARLINGTON STATE: VA ZIP: 22201 COMPANY DATA: COMPANY CONFORMED NAME: CB CAPITAL INVESTORS LP CENTRAL INDEX KEY: 0001056596 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER IRS NUMBER: 133986302 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 380 MADISON AVENUE 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2126223100 MAIL ADDRESS: STREET 1: 380 MADISON AVENUE 12TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 4 1 FORM 4 ------------------------------ OMB APPROVAL ------------------------------ OMB Number 3235-0287 Expires: December 31, 2001 Estimated average burden hours per response ....... 0.5 ------------------------------ U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 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(f) of the Investment Company Act of 1940 [ ] Check this box if no longer subject of Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). ================================================================================ 1. Name and Address of Reporting Person CB Capital Investors, L.P. ("CBCI,L.P.") c/o Chase Capital Partners - -------------------------------------------------------------------------------- (Last) (First) (Middle) 380 Madison Avenue - 12th Floor - -------------------------------------------------------------------------------- (Street) New York, New York 10017 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Issuer Name and Ticker or Trading Symbol TeleCorp PCS, Inc. ("TLCP") ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Statement for Month/Year November 1999 ================================================================================ 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 (Check Applicable Line) [ ] Form filed by One Reporting Person [ X ] Form filed by More than One Reporting Person -------------------------------------------------------------------- ================================================================================ Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned ================================================================================
6. 4. 5. Owner- Securities Acquired (A) or Amount of ship 3. Disposed of (D) Securities Form: 7. Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of 2. Code ------------------------------- Owned at End (D) or Indirect 1. Transaction (Instr. 8) (A) of Month Indirect Beneficial Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership (Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Class A Common Stock 11/23/99 P 480,000 A $20 15,265,692 D - ------------------------------------------------------------------------------------------------------------------------------------ Class A Common Stock N.A. N.A. N.A. N.A. N.A. 352,956 I (FN 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 4(b)(v). FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) ================================================================================
9. 10. Number Owner- of ship form 2. Deriv- of Conver- 5. 7. ative Deriv- 11. sion Number of Title and Amount Secur- ative Nature of Derivative 6. of Underlying 8. ities Secur- of Exer- 4. Securities Date Securities Price Bene- ity: In- cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene- 1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner- Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr. (Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4) - ------------------------------------------------------------------------------------------------------------------------------------ Class C Class A Common Stock (2) (3) (3) (3) (4) Common Stock 27,489 (3) 27,489 D - ------------------------------------------------------------------------------------------------------------------------------------ By TeleCorp Invest. Class C Class A Corp. Common Stock (2) (3) (3) (3) (4) Common Stock 575 (3) 575 I L.L.C. - ------------------------------------------------------------------------------------------------------------------------------------ Class D Class A Common Stock (2) (3) (3) (3) (4) Common Stock 199,522 (3) 199,522 D - ------------------------------------------------------------------------------------------------------------------------------------ By TeleCorp Invest. Class D Class A Corp. Common Stock (2) (3) (3) (3) (4) Common Stock 3,780 (3) 3,780 I L.L.C. - ------------------------------------------------------------------------------------------------------------------------------------ ====================================================================================================================================
Explanation of Response: (1) By Telecorp Investment Corp., L.L.C. (2) Shares convert on a one-for-one basis; no conversion price (3) There were no transactions in derivative securities during November, 1999; Table II has been completed solely for informational purposes. (4) Convertible at the option of the holder after receipt by the issuer of an opinion of regulatory counsel that Class A Common Stock and the Voting Preference Stock can vote and be treated as a single class of stock with one vote per share and the affirmative vote of the holders of 66 2/3% or more of the Class A Common Stock. CB Capital Investors, L.P. Signature of Reporting Person By: ---------------------------- Title: of CB Capital ------------------------ Investors, Inc., the General Partner of CB Capital Investors, L.P.
- ------------------------------------------------------------------------------------------------------------------------------ NAME AND ADDRESS OF DESIGNATED STATEMENT FOR ISSUER NAME, TICKER TITLE OF AMOUNT OF OWNERSHIP FORM: REPORTING PERSON REPORTER(1) MONTH/YEAR OR TRADING SYMBOL SECURITY SECURITIES DIRECT (D) OR BENEFICIALLY INDIRECT (I) OWNED - ------------------------------------------------------------------------------------------------------------------------------ John R. Baron CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ Chris Behrens CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ Mitchell J. Blutt CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ Arnold L. Chavkin CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 `----------------------------------------------------------------------------------------------------------------------------- Michael R. Hannon CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ Donald J. Hofmann CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ Stephen P. Murray CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------ NAME AND ADDRESS OF NATURE OF INDIRECT DISCLAIMS REPORTING PERSON BENEFICIAL OWNERSHIP PECUNIARY INTEREST - ------------------------------------------------------------ John R. Baron See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ Chris Behrens See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ Mitchell J. Blutt See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ Arnold L. Chavkin See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ Michael R. Hannon See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ Donald J. Hofmann See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ Stephen P. Murray See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------ NAME AND ADDRESS OF DESIGNATED STATEMENT FOR ISSUER NAME, TICKER TITLE OF AMOUNT OF OWNERSHIP FORM: REPORTING PERSON REPORTER(1) MONTH/YEAR OR TRADING SYMBOL SECURITY SECURITIES DIRECT (D) OR BENEFICIALLY INDIRECT (I) OWNED - ------------------------------------------------------------------------------------------------------------------------------ John M.B. O'Connor CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------- Brian J. Richmand CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------- Shahan D. Soghikian CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 50 California Street, Suite 2940 San Francisco, CA 94111 - ------------------------------------------------------------------------------------------------------------------------------- Jeffrey C. Walker CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------- Damion E. Wicker CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ CCP European CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I Principals, L.P. Investors, L.P. ("TLCP") Stock c/o Chase Capital Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ CCP Principals, L.P. CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ Chase Capital CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I Corporation Investors, L.P. ("TLCP") Stock c/o Chase Capital Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------ NAME AND ADDRESS OF NATURE OF INDIRECT DISCLAIMS REPORTING PERSON BENEFICIAL OWNERSHIP PECUNIARY INTEREST - ------------------------------------------------------------ John M.B. O'Connor See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ----------------------------------------------------------- Brian J. Richmand See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ----------------------------------------------------------- Shahan D. Soghikian See Explanatory No c/o Chase Capital Note 2 below Partners 50 California Street, Suite 2940 San Francisco, CA 94111 - ----------------------------------------------------------- Jeffrey C. Walker See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ----------------------------------------------------------- Damion E. Wicker See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ----------------------------------------------------------- CCP European See Explanatory No Principals, L.P. Note 2 below c/o Chase Capital Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ CCP Principals, L.P See Explanatory No c/o Chase Capital Note 2 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ Chase Capital See Explanatory No Corporation Note 2 below c/o Chase Capital Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------ NAME AND ADDRESS OF DESIGNATED STATEMENT FOR ISSUER NAME, TICKER TITLE OF AMOUNT OF OWNERSHIP FORM: REPORTING PERSON REPORTER(1) MONTH/YEAR OR TRADING SYMBOL SECURITY SECURITIES DIRECT (D) OR BENEFICIALLY INDIRECT (I) OWNED - ------------------------------------------------------------------------------------------------------------------------------ Chase Capital CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I Partners Investors, L.P. ("TLCP") Stock 380 Madison Avenue 12th Floor New York, NY 10017 - -------------------------------------------------------------------------------------------------------------------------------- CB Capital CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I Investors, Inc. Investors, L.P. ("TLCP") Stock c/o Chase Capital Partners 380 Madison Avenue 12th Floor New York, New York 10017 - -------------------------------------------------------------------------------------------------------------------------------- The Chase Manhattan CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I Bank Investors, L.P. ("TLCP") Stock 270 Park Avenue 35th Floor New York, New York 10017 - -------------------------------------------------------------------------------------------------------------------------------- The Chase Manhattan CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I Corporation Investors, L.P. ("TLCP") Stock 270 Park Avenue 35th Floor New York, NY 10017 - -------------------------------------------------------------------------------------------------------------------------------- I. Robert Greene CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Flatiron Partners Investors, L.P. ("TLCP") Stock 257 Park Avenue South 12th Floor New York, NY 10010 - -------------------------------------------------------------------------------------------------------------------------------- Jonas Steinmann CB Capital November, 1999 TeleCorp PCS, Inc. Class A Common 15,618,648 I c/o Chase Capital Investors, L.P. ("TLCP") Stock Partners 380 Madison Avenue 12th Floor New York, NY 10017 - -------------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------ NAME AND ADDRESS OF NATURE OF INDIRECT DISCLAIMS REPORTING PERSON BENEFICIAL OWNERSHIP PECUNIARY INTEREST - ------------------------------------------------------------ Chase Capital See Explanatory No Partners Note 3 below 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------ CB Capital See Explanatory No Investors, Inc. Note 4 below c/o Chase Capital Partners 380 Madison Avenue 12th Floor New York, New York 10017 - ------------------------------------------------------------ The Chase Manhattan See Explanatory No Bank Note 270 Park Avenue 5 below 35th Floor New York, New York 10017 - ------------------------------------------------------------ The Chase Manhattan See Explanatory No Corporation Note 6 below 270 Park Avenue 35th Floor New York, NY 10017 - ------------------------------------------------------------ I. Robert Greene See Explanatory No c/o Flatiron Partners Note 7 below 257 Park Avenue South 12th Floor New York, NY 10010 - ------------------------------------------------------------ Jonas Steinmann See Explanatory No c/o Chase Capital Note 8 below Partners 380 Madison Avenue 12th Floor New York, NY 10017 - ------------------------------------------------------------
Explanatory Note: 1) The Designated Reporter is executing this report on behalf of all reporting persons, each of whom has authorized it to do so. 2) The amounts shown in Tables I and II represent the beneficial ownership of the Issuer's equity securities by CBCI, L.P., a portion of which may be deemed attributable to the reporting person because the reporting person is a general partner of Chase Capital Partners ("CCP"), which is the sole limited partner of CBCI, L.P., and the investment manager of CB Capital Investors, Inc., the general partner of CBCI, L.P. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the reporting person is not readily determinable because it is subject to several variables, including internal rate of return and vesting of interests within CCP and CBCI, L.P. 3) The amounts shown in Table I and II represent the beneficial ownership of the Issuer's equity securities by CBCI, L.P., a portion of which may be deemed attributable to the reporting person because CCP is the sole limited partner of CBCI, L.P. and the investment manager of CB Capital Investors, Inc., the general partner of CBCI, L.P. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the reporting person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within CCP and CBCI, L.P. 4) The amounts shown in Tables I and II represent beneficial ownership of the Issuer's equity securities by CBCI, L.P., a portion of which may be deemed attributable to the reporting person because it is the sole general partner of CBCI, L.P. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the reporting person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within CBCI, L.P. 5) The amounts shown in Tables I and II represent the beneficial ownership of the Issuer's equity securities by CBCI, L.P., a portion of which may be deemed attributable to the reporting person because the reporting person is the sole stockholder of CB Capital Investors, Inc., the sole general partner of CBCI, L.P. The actual pro rata portion of such beneficial ownership that may be attributable to the reporting person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting within CBCI, L.P. 6) The amounts shown in Tables I and II represent the beneficial ownership of the Issuer's equity securities by CBCI, L.P., a portion of which may be deemed attributable to the reporting person because the reporting person is (i) the sole stockholder of Chase Capital Corporation, which is a general partner of CCP (the sole limited partner of CBCI, L.P.) and the investment manager of CB Capital Investors, Inc. (the sole general partner of CBCI, L.P.) and (ii) the sole stockholder of The Chase Manhattan Bank, which is the sole stockholder of CB Capital Investors, Inc. (the sole general partner of CBCI, L.P.). The actual pro rata portion of such beneficial ownership that may be attributable to the reporting person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting of interests within CCP and CBCI, L.P. 7) The amount shown in Tables I and II represent the beneficial ownership of the Issuer's equity securities by CBCI, L.P., a portion of which may be deemed attributable to the reporting person because he was a general partner of CCP, the sole limited partner of CBCI, L.P. and the investment manager of CB Capital Investors, Inc., the general partner of CBCI, L.P., until May 31, 1999. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the reporting person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting within CCP and CBCI, L.P. 8) The amount shown in Tables I and II represent the beneficial ownership of the Issuer's equity securities by CBCI, L.P., a portion of which may be deemed attributable to the reporting person because he was a general partner of CCP, the sole limited partner of CBCI, L.P. and the investment manager of CB Capital Investors, Inc., the general partner of CBCI, L.P., until July 1, 1999. The actual pro rata portion of such beneficial ownership that may be deemed to be attributable to the reporting person is not readily determinable because it is subject to several variables, including the internal rate of return and vesting within CCP and CBCI, L.P. Potential persons who are to respond to the collection of information contained in this form are not required to respond Page 2 of 2 unless the form displays a currently valid OMB Number SEC 1474 (7-97) -----END PRIVACY-ENHANCED MESSAGE-----