-----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, OFlziFPTt/9LD34JcVyZUozodZQqvfbdpStI51CZN09NGNFTHxjQ29/FgjjP7XtR Ie7v4jZLTlB66BdMzUoi9A== 0000950145-03-000051.txt : 20031219 0000950145-03-000051.hdr.sgml : 20031219 20031219125706 ACCESSION NUMBER: 0000950145-03-000051 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20031219 FILED AS OF DATE: 20031219 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ORBITZ INC CENTRAL INDEX KEY: 0001173495 STANDARD INDUSTRIAL CLASSIFICATION: TRANSPORTATION SERVICES [4700] IRS NUMBER: 522237052 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 200 S WACKER DRIVE STREET 2: SUITE 1900 CITY: CHICAGO STATE: IL ZIP: 60606 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: OMICRON RESERVATIONS MANAGEMENT INC CENTRAL INDEX KEY: 0001273781 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50515 FILM NUMBER: 031064370 BUSINESS ADDRESS: STREET 1: P O BOX 20706 CITY: ATLANTA STATE: GA ZIP: 30320 BUSINESS PHONE: 4047156087 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DELTA AIR LINES INC /DE/ CENTRAL INDEX KEY: 0000027904 STANDARD INDUSTRIAL CLASSIFICATION: AIR TRANSPORTATION, SCHEDULED [4512] STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-50515 FILM NUMBER: 031064371 BUSINESS ADDRESS: STREET 1: HARTSFIELD ATLANTA INTL AIRPORT STREET 2: 1030 DELTA BLVD CITY: ATLANTA STATE: GA ZIP: 30354-1989 BUSINESS PHONE: 4047152600 MAIL ADDRESS: STREET 1: P.O. BOX 20706 STREET 2: DEPT 981 CITY: ATLANTA STATE: GA ZIP: 30320-6001 FORMER NAME: FORMER CONFORMED NAME: DELTA AIR CORP DATE OF NAME CHANGE: 19660908 4 1 edgar.xml PRIMARY DOCUMENT X0201 42003-12-19 0001173495 ORBITZ INC ORBZ 0000027904 DELTA AIR LINES INC /DE/ P. O. Box 20706AtlantaGA303200010 0001273781 OMICRON RESERVATIONS MANAGEMENT INC P. O. BOX 20706 ATLANTA GA 30320 0010Class A Common Stock2003-12-194C01281143A1281143ISu bsidiaryClass A Common Stock 2003-12-194S0128114326.00D0ISubsidiaryClass A LLC Units2003-12-194C06566253DSee Footnote65662530ISubsidiaryClass B LLC Units2003-12-194C0111DClass A Common Stock or Series B- DL Common Stock1110ISubsidiarySeries B- DL Common Stock2003-12-194C05205647AClass A Common Stock52056475206897ISubsidiarySeries A Non-Voting Convertible Preferred Stock2003-12-194C079574A2008-12-19Class A Common Stock7957479574ISubsidiarySeries A Non-Voting Convertible Preferred Stock2003-12-194S07957426.00D2008-12-19Class A Common Stock 795740ISubsidiaryReflects conversion of derivative security, exempt pursuant to Rule 16b-6(b) 1 for 1 ImmediateNone6,486,679 may be converted into Class A Common Stock or Series B- DL Common Stock and 79,574 may be converted into Series Non - -Voting Convertible Preferred StockThe securities are owned directly by Omicron Reservations Management, Inc., a subsidiary of the Reporting PersonRepresents membership interests in Orbitz, LLC, which became an indirectly wholly-owned subsidiary of the Issuer following the conversion transaction reported herein Exhibit List: Exhibit 99 - Joint Filer InformationLes Klemperer, Vice President, Deputy General Counsel and Assistant Secretary2003-12-19 EX-99 3 attach_1.txt EXHIBIT 99 - JOINT FILER INFORMATION Exhibit 99 Form 4 Joint Filer Information Name: Omicrom Reservations Management, Inc. Address: P.O. Box 20706 Atlanta, Georgia 30320 Designated Filer: Delta Air Lines, Inc. Issuer & Ticker Symbol: Orbitz, Inc. (ORBZ) Date of Event Requiring Statement: 12/19/03 Signature: By: s/James Coblin Secretary -----END PRIVACY-ENHANCED MESSAGE-----