SEC Form 3
FORM 3 UNITED STATES 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
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
DELTA AIR LINES INC /DE/

(Last) (First) (Middle)
P. O. BOX 20706

(Street)
ATLANTA GA 30320

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/16/2003
3. Issuer Name and Ticker or Trading Symbol
ORBITZ INC [ ORBZ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series B- DL Common Stock (1) (2) Class A Common Stock 1,250 (3) I Subsidiary(5)
Class A LLC Units (6) (1) (2) See Footnote (4) 6,566,253(4) (3) I Subsidiary(5)
Class B LLC Units (6) (1) (2) Class A Common Stock or Series B- DL Common Stock 111 (3) I Subsidiary(5)
Explanation of Responses:
1. Immediate
2. None
3. 1 for 1
4. May be converted into Class A Common Stock, Series B- DL Common Stock and/or Series A Non-Voting Convertible Preferred Stock
5. The securities are owned directly by Omicron Reservations Management, Inc., a subsidiary of the Reporting Person
6. Represents membership interests in Orbitz, LLC, an affiliate of the Issuer
Remarks:
Exhibit 99 - Joint Filer Information
Les Klemperer, Vice President, Deputy General Counsel and Assistant Secretary 12/16/2003
** 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 5 (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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.