-----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, M/EaZ6T73F6wSCtMPQ7hxSi+wV731nv64SY47nssbq75WwvLvba6F4AZfsUa1EvO nr6PTS0LHgrg/7wY8sHOoA== 0000903423-99-000507.txt : 19991222 0000903423-99-000507.hdr.sgml : 19991222 ACCESSION NUMBER: 0000903423-99-000507 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19991201 FILED AS OF DATE: 19991221 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MAGELLAN HEALTH SERVICES INC CENTRAL INDEX KEY: 0000019411 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 581076937 STATE OF INCORPORATION: DE FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 3/A SEC ACT: SEC FILE NUMBER: 001-06639 FILM NUMBER: 99778407 BUSINESS ADDRESS: STREET 1: 6950 COLUMBIA GATEWAY STREET 2: STE 400 CITY: COLUMBIA STATE: MD ZIP: 21046 BUSINESS PHONE: 4109531000 FORMER COMPANY: FORMER CONFORMED NAME: CHARTER MEDICAL CORP DATE OF NAME CHANGE: 19920703 COMPANY DATA: COMPANY CONFORMED NAME: TPG ADVISORS II INC CENTRAL INDEX KEY: 0001075944 STANDARD INDUSTRIAL CLASSIFICATION: [] OWNER IRS NUMBER: 752695490 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3/A BUSINESS ADDRESS: STREET 1: 201 MAIN STREET STREET 2: STE 2420 CITY: FORT WORTH STATE: TX ZIP: 76102 BUSINESS PHONE: 8178714000 MAIL ADDRESS: STREET 1: 201 MAIN STREET STREET 2: STE 2420 CITY: FORT WORTH STATE: TX ZIP: 76102 3/A 1 AMENDED FORM 3 FILING FORM 3 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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 1. Name and Address of Reporting Person* TPG Advisors II, Inc. 201 Main Street, Suite 2420 Fort Worth, TX 76102 2. Date of Event Requiring Statement (Month/Day/Year) 12/14/99 3. IRS or Social Security Number of Reporting Person, if an Entity (Voluntary) 4. Issuer Name and Ticker or Trading Symbol Magellan Health Services, Inc. (MGL) 5. Relationship of Reporting Person to Issuer (Check all applicable) |_| Director |X| 10% Owner |_| Officer (give title below) |_| Other (specify below) 6. If Amendment, Date of Original (Month/Day/Year) 7/19/99 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 Beneficially Owned
1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect (Instr. 4) Beneficially Owned Form: Direct Beneficial Ownership (Instr. 4) (D) or Indirect (Instr. 5) (I) (Instr. 5) Series A Cumulative Through funds managed Convertible Preferred Stock 59,063 shares I by Reporting Person * If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses)
FORM 3 (continued) Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of 2. Date Exercisable and 3. Title and Amount 4. Conversion 5. Ownership Form of 6. Nature of Derivative Expiration of Securities or Derivative Indirect Security Date Underlying Derivative Exercise Security: Direct Beneficial (Instr. 4) (Month/Day/Year) Security (Instr. 4) Price of (D) or Indirect (I) Ownership Deri-vative (Instr. 5) (Instr. 5) Security Date Exer- Expira- Amount cisable tion or Date Title Number of Shares Option (a) (b) (b) Series A Cumulative 21,000 $1,000 per I Through Convertible Preferred share funds Stock managed by Reporting Person Explanation of Responses: (a) TPG Advisors II, Inc. expressly disclaims beneficial ownership of the Option. (b) The Option becomes exercisable upon the occurrence of certain events, none of which has occurred as of the date hereof.
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ** Signature of Reporting Person TPG ADVISORS II, INC. By: /s/ Richard A. Ekleberry ------------------------- Name: Richard A. Ekleberry Title: Vice President Date: December 21, 1999
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