-----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, DXErun0pKzxumIx3Uj5dXN+jLSdy6YS+40VuQJ2BAkoVnApLogwlDM8N+/zZARiG RG/gUHwmiHLL5uCbLjuJog== 0000950103-03-002094.txt : 20031029 0000950103-03-002094.hdr.sgml : 20031029 20031029190013 ACCESSION NUMBER: 0000950103-03-002094 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20031027 FILED AS OF DATE: 20031029 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CVC PARTNERS LLC CENTRAL INDEX KEY: 0001264887 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964773 MAIL ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITIGROUP VENTURE CAPITAL GP HOLDINGS LTD CENTRAL INDEX KEY: 0001264888 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964774 MAIL ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COURT SQUARE CAPITAL LTD CENTRAL INDEX KEY: 0001167013 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964776 BUSINESS ADDRESS: STREET 1: 399 PARK AVE CITY: NEW YORK STATE: NY ZIP: 10043 MAIL ADDRESS: STREET 1: 399 PARK AVE CITY: NEW YORK STATE: NY ZIP: 10043 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITIGROUP VENTURE CAPITAL EQUITY PARTNERS LP CENTRAL INDEX KEY: 0001171228 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964775 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE STREET 2: 14TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10043 BUSINESS PHONE: 2125591127 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: AMIS HOLDINGS INC CENTRAL INDEX KEY: 0001161963 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 510309588 BUSINESS ADDRESS: STREET 1: AMI SEMICOUNDUCTOR INC STREET 2: 2300 BUCKSKIN RD CITY: POCATELLO STATE: ID ZIP: 83201 BUSINESS PHONE: 2082346732 MAIL ADDRESS: STREET 1: AMI SEMICONDUCTOR INC STREET 2: 2300 BUCKSKIN RD CITY: PACATELLO STATE: ID ZIP: 83201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITIGROUP INC CENTRAL INDEX KEY: 0000831001 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964780 BUSINESS ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 BUSINESS PHONE: 2125591000 MAIL ADDRESS: STREET 1: 399 PARK AVENUE CITY: NEW YORK STATE: NY ZIP: 10043 FORMER NAME: FORMER CONFORMED NAME: TRAVELERS GROUP INC DATE OF NAME CHANGE: 19950519 FORMER NAME: FORMER CONFORMED NAME: TRAVELERS INC DATE OF NAME CHANGE: 19940103 FORMER NAME: FORMER CONFORMED NAME: PRIMERICA CORP /NEW/ DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITICORP CENTRAL INDEX KEY: 0000020405 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964778 BUSINESS ADDRESS: STREET 1: 399 PARK AVE CITY: NEW YORK STATE: NY ZIP: 10043 BUSINESS PHONE: 2125591000 MAIL ADDRESS: STREET 1: 425 PARK AVE- 2ND F STREET 2: ATTN: LEGAL AFFAIRS OFFICE CITY: NEW YORK STATE: NY ZIP: 10043 FORMER NAME: FORMER CONFORMED NAME: FIRST NATIONAL CITY CORP DATE OF NAME CHANGE: 19740414 FORMER NAME: FORMER CONFORMED NAME: CITY BANK OF NEW YORK NATIONAL ASSOCIATI DATE OF NAME CHANGE: 19680903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITICORP BANKING CORP CENTRAL INDEX KEY: 0001080104 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964777 BUSINESS ADDRESS: STREET 1: ONE PENNS WAY CITY: NEW CASTLE STATE: DE ZIP: 19720 BUSINESS PHONE: 3023233120 MAIL ADDRESS: STREET 1: ONE PENNS WAY CITY: NEW CASTLE STATE: DE ZIP: 19720 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CITIGROUP HOLDINGS CO CENTRAL INDEX KEY: 0001105742 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50397 FILM NUMBER: 03964779 BUSINESS ADDRESS: STREET 1: ONE RODENY SQUARE CITY: WILMINGTON STATE: DE ZIP: 19899 BUSINESS PHONE: 2125595103 MAIL ADDRESS: STREET 1: 336 THE STRAND CITY: LONDON ENGLAND 4 1 citigroup_ex.xml X0201 4 2003-10-27 0 0001161963 AMIS HOLDINGS INC AMIS 0000831001 CITIGROUP INC 399 PARK AVENUE NEW YORK NY 10043 0 0 1 0 0001105742 CITIGROUP HOLDINGS CO ONE RODENY SQUARE WILMINGTON DE 19899 0 0 1 0 0000020405 CITICORP 399 PARK AVE NEW YORK NY 10043 0 0 1 0 0001080104 CITICORP BANKING CORP ONE PENNS WAY NEW CASTLE DE 19720 0 0 1 0 0001167013 COURT SQUARE CAPITAL LTD 399 PARK AVE NEW YORK NY 10043 0 0 1 0 0001171228 CITIGROUP VENTURE CAPITAL EQUITY PARTNERS LP 399 PARK AVENUE 14TH FLOOR NEW YORK NY 10043 0 0 1 0 0001264888 CITIGROUP VENTURE CAPITAL GP HOLDINGS LTD 399 PARK AVENUE NEW YORK NY 10043 0 0 1 0 0001264887 CVC PARTNERS LLC 399 PARK AVENUE NEW YORK NY 10043 0 0 1 0 Common Stock 2003-10-27 4 X 0 4400041 0.03 A 20347017 I See footnote Common Stock 2003-10-27 4 J 0 6718 19.65 D 20340299 I See footnote Common Stock Warrants (right to buy) 0.03 2003-10-27 4 X 0 4400041 0 D 2012-06-26 Common Stock 4400041 0 I See footnote The securities reported herein include 4,315,849 shares of Common Stock Warrants exercised held by Citigroup Venture Capital Equity Partners, L.P. as the record holder and 84,192 shares of Common Stock Warrants exercised held by affiliates of the Reporting Persons. Each Reporting Person disclaims beneficial ownership of the shares reported herein except to the extent of its pecuniary interest therein. Pursuant to the terms of the warrant, the exercise price of the warrants was paid for by the warrant holders by surrendering 6,718 shares of Common Stock having the Fair Market Value equal to the exercise price. The Fair Market Value of the shares surrendered was determined under the warrant to be $19.65 which was based on the average of the closing price for the last 21 trading days. Immediately See Exhibit 99 (Attachment I) for signatures of remaining Reporting Owners /s/ Serena D. Moe, Assistant Secretary 2003-10-29 EX-99 3 exhibit-99.txt Attachment I Citigroup Holdings Company One Rodney Square Wilmington, Delaware 19899 Citicorp 399 Park Avenue New York, New York 10043 By: /s/ Serena D. Moe Date: October 29, 2003 --------------------------------- **Signature of Reporting Person Name: Serena D. Moe Title: Assistant Secretary of each of Citigroup Holdings Company and Citicorp Citicorp Banking Corporation One Penn's Way New Castle, Delaware 19720 By: /s/ William H. Wolf Date: October 29, 2003 --------------------------------- **Signature of Reporting Person Name: William H. Wolf Title: Senior Vice President Court Square Capital Limited 399 Park Avenue New York, New York 10043 By: /s/ Anthony P. Mirra Date: October 29, 2003 --------------------------------- **Signature of Reporting Person Name: Anthony P. Mirra Title: Vice President Citigroup Venture Capital Equity Partners, L.P. 399 Park Avenue New York, New York 10043 By: CVC Partners LLC, as general partner By: Citigroup Venture Capital GP Holdings, Ltd., as managing member By: /s/ Anthony P. Mirra Date: October 29, 2003 --------------------------------- **Signature of Reporting Person Name: Anthony P. Mirra Title: Vice President CVC Partners, LLC 399 Park Avenue New York, New York 10043 By: /s/ Anthony P. Mirra Date: October 29, 2003 --------------------------------- **Signature of Reporting Person Name: Anthony P. Mirra Title: Vice President Citigroup Venture Capital GP Holdings, Ltd. 399 Park Avenue New York, New York 10043 By: /s/ Anthony P. Mirra Date: October 29, 2003 --------------------------------- **Signature of Reporting Person Name: Anthony P. Mirra Title: Vice President -----END PRIVACY-ENHANCED MESSAGE-----