-----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, TtOcBvbph1//25WtzZbXEwDdk9HimtfRo71oC/v/t/rQJ9ca0SyufxD8V4W1oftD 6P0iqndpSNRXnmkjhtmqEg== 0000950172-00-000504.txt : 20000310 0000950172-00-000504.hdr.sgml : 20000310 ACCESSION NUMBER: 0000950172-00-000504 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000201 FILED AS OF DATE: 20000309 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: OFFICIAL PAYMENTS CORP CENTRAL INDEX KEY: 0001094998 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 522190781 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-28187 FILM NUMBER: 564668 BUSINESS ADDRESS: STREET 1: 2333 SAN RAMON VALLEY BOULEVARD STREET 2: SUITE 450 CITY: SAN RAMON STATE: CA ZIP: 94583 BUSINESS PHONE: 9258387996 MAIL ADDRESS: STREET 1: 2333 SAN RAMON VALLEY BOULEVARD STREET 2: SUITE 450 CITY: SAN RAMON STATE: CA ZIP: 94583 FORMER COMPANY: FORMER CONFORMED NAME: US AUDIOTEX CORP DATE OF NAME CHANGE: 19990914 COMPANY DATA: COMPANY CONFORMED NAME: COTSAKOS CHRISTOS CENTRAL INDEX KEY: 0001100621 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 2333 SAN RAMON VALLEY BLVD STREET 2: SUITE 450 CITY: SAN RAMON STATE: CA ZIP: 94583 MAIL ADDRESS: STREET 1: 2333 SAN RAMON VALLEY BLVD STREET 2: SUITE 450 CITY: SAN RAMON STATE: CA ZIP: 94583 4 1 FORM 4 ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). UNITED STATES SECURITIES AND EXCHANGE COMMISSION _____________________ WASHINGTON, D.C. 20549 | OMB APPROVAL | |---------------------| STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB NUMBER: 3235-0287| |EXPIRES: | | DECEMBER 31, 2001 | Filed pursuant to Section 16(a) of the |ESTIMATED AVERAGE | Securities Exchange Act of 1934, |BURDEN HOURS | Section 17(a) of the Public Utility |PER RESPONSE ... 0.5 | Holding Company Act of 1935 |_____________________| or Section 30(f) of the Investment Company Act of 1940 - ----------------------------------------------------------------------------- 1. Name and Address of Reporting Person Cotsakos Christos - ----------------------------------------------------------------------------- (Last) (First) (Middle) c/o Official Payments Corp. 2333 San Ramon Valley Boulevard - ----------------------------------------------------------------------------- (Street) San Ramon California 94583 - ----------------------------------------------------------------------------- (City) (State) (Zip) - ----------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Official Payments Corporation ("OPAY") - ----------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) - ----------------------------------------------------------------------------- 4. Statement for Month/Year February/2000 - ----------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) - ----------------------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) (X) Director ( ) 10% Owner ( ) Officer (give title below) ( ) Other (specify title below) --------------------------------------------- - ----------------------------------------------------------------------------- 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 - ----------------------------------------------------------------------------- 1. Title of Security (Instr. 3) Common Stock - ----------------------------------------------------------------------------- 2. Transaction Date (Month/Day/Year) February 4, 2000 - ----------------------------------------------------------------------------- 3. Transaction Code (Instr. 8) M - ----------------------------------------------------------------------------- 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) 75,000 shares/Acquired/$15.00 - ----------------------------------------------------------------------------- 5. Amount of Securities Beneficially Owned at End of Month (Instr. 3 and 4) 75,000 (1) - ----------------------------------------------------------------------------- 6. Ownership Form: Direct(D) or Indirect(I) (Instr. 4) Direct - ----------------------------------------------------------------------------- 7. Nature of Indirect Beneficial Ownership (Instr. 4) - ----------------------------------------------------------------------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. ============================================================================= TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ----------------------------------------------------------------------------- 1. Title of Derivative Security (Instr. 3) Option to Purchase - ----------------------------------------------------------------------------- 2. Conversion or Exercise Price of Derivative Security $15.00 - ----------------------------------------------------------------------------- 3. Transaction Date (Month/Day/Year) February 4, 2000 - ----------------------------------------------------------------------------- 4. Transaction Code (Instr. 8) M - ----------------------------------------------------------------------------- 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) 75,000/Disposed - ----------------------------------------------------------------------------- 6. Date Exercisable and Expiration Date (Month/Day/Year) Immediately/November 28, 2009 - ----------------------------------------------------------------------------- 7. Title and Amount of Underlying Securities (Instr. 3 and 4) Common Stock/75,000 shares - ----------------------------------------------------------------------------- 8. Price of Derivative Securities (Instr. 5) - ----------------------------------------------------------------------------- 9. Number of Derivative Securities Beneficially Owned at End of Month (Instr. 4) O - ----------------------------------------------------------------------------- 10. Ownership Form of Derivative Security: Direct(D) or Indirect(I) (Instr. 4) N/A - ----------------------------------------------------------------------------- 11. Nature of Indirect Beneficial Ownership (Instr. 4) - ----------------------------------------------------------------------------- EXPLANATION OF RESPONSES: (1) Purchase of shares of issuer's common stock pursuant to exercise of Non-Qualified Stock Options under issuer's 1999 Stock Incentive Plan. Such options were immediately exercisable upon grant but the acquired shares of common stock reported herein are subject to a right of repurchase by the issuer, which right of repurchase lapses as follows: with respect to one- third (1/3) of the acquired shares, such right lapses on November 28, 2000 and with respect to the remaining two-thirds (2/3) of the acquired shares, such right lapses in equal monthly installments over the 24 months thereafter. /s/ Christos Cotsakos March 8, 2000 ** SIGNATURE OF REPORTING PERSON DATE ** 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. 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. ============================================================================= -----END PRIVACY-ENHANCED MESSAGE-----