-----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, BlyJ4qcKGhNbvZ0uq8pPOZSgNmCHfJ/wOgU90vY32tjp2jlbRXkZ6HesoKRgjZZ3 XCaAg1f9VMuCH/5qyyoJOQ== 0001128840-03-000003.txt : 20030207 0001128840-03-000003.hdr.sgml : 20030207 20030207151258 ACCESSION NUMBER: 0001128840-03-000003 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030207 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: PAGE H LYNN CENTRAL INDEX KEY: 0001128840 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O GARILOU PAGE STREET 2: 901 FRONT AVENUE, SUITE 202 CITY: COLUMBUS STATE: GA ZIP: 31901 MAIL ADDRESS: STREET 1: 901 FRONT AVENUE, SUITE 202 STREET 2: 901 FRONT AVENUE, SUITE 202 CITY: COLUMBUS STATE: GA ZIP: 31901 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TOTAL SYSTEM SERVICES INC CENTRAL INDEX KEY: 0000721683 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 581493818 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10254 FILM NUMBER: 03544623 BUSINESS ADDRESS: STREET 1: 1600 FIRST AVENUE STREET 2: P O BOX 1755 CITY: COLUMBUS STATE: GA ZIP: 31901 BUSINESS PHONE: 7066492267 MAIL ADDRESS: STREET 1: 1600 FIRST AVENUE CITY: COLUMBUS STATE: GA ZIP: 31901 5 1 pag43.htm H. LYNN PAGE FORM 5 DEC 2002 SEC Form 5
FORM 5

[ ] Check this box if no longer
subject to Section 16. Form 4 or Form
5 obligations may continue.
See Instruction 1(b).

[ ]Form 3 Holdings Reported
[ ]Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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(h) of the Investment Company Act of 1940
OMB APPROVAL



OMB Number: 3235-0362
Expires: January 31, 2005
Estimated average burden
hours per response. . . . . 0.5
1. Name and Address of Reporting Person*
Page, H.     Lynn

(Last)                      (First)                      (Middle)
P. O. Box 1755


(Street)
Columbus, GA     31902-755

(City)                      (State)                      (Zip)

2. Issuer Name and Ticker or Trading Symbol

Total System Services, Inc.   TSS
6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

           X          Director                           10% Owner
                        Officer                             Other

Officer/Other
Description                              

7. Individual or Joint/Group
    Filing (Check Applicable Line)

X   Individual Filing
      Joint/Group Filing
3. I.R.S. Identification
    Number of Reporting
    Person, if an entity
    (voluntary)
4. Statement for
    Month/Day/Year

    December 31, 2002


5. If Amendment,
    Date of Original
    (Month/Day/Year)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
    (Instr. 3)

2. Transaction Date
    (Month/Day/Year)
2A. Deemed
      Execution
      Date, if any

      (Month/Day/Year)
3. Transaction
    Code
    (Instr. 8)
4. Securities Acquired (A) or Disposed (D) Of
    (Instr. 3, 4, and 5)





        Amount      |         A/D         |         Price          
5. Amount of
    Securities
    Beneficially
    Owned at
    End of
    Issuer's Fiscal
    Year

    (Instr. 3 and 4)
6. Owner-
    ship
    Form:
    Direct(D)
    or
    Indirect (I)

    (Instr. 4)
7. Nature of
     Indirect
     Beneficial
     Ownership

    (Instr. 4)
Common Stock
11/19/2001

G
485   |           D           |          

D

Common Stock
01/07/2002

G
625   |           D           |          

D

Common Stock
03/15/2002

G
500   |           D           |          

D

Common Stock
07/15/2002

G
350   |           D           |          

D

Common Stock
08/13/2002

G
1,000   |           D           |              

D

Common Stock
12/26/2002

G
1,600   |           D           |              
129,717 (1)
D

Common Stock




95,646
I
By Spouse
Common Stock




102,884 (1)
I
GRAT (October, 2002)
Common Stock




232,828
I
GRAT 2002








If the form is filed by more than one reporting person, see instruction 4(b)(v).
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 control number.
(over)
SEC 2270 (7-02)

Page, H. Lynn - December 31, 2002
Form 5 (continued)
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)
2. Conver-
    sion or
    Exercise
    Price of
    Deri-
    vative
    Security
3. Transaction
    Date

    (Month/
    Day/
    Year)
3A. Deemed
      Execution
      Date, if
      any

      (Month/
      Day/
      Year)
4. Transaction
    Code
5. Number of Derivative
    Securities Acquired (A)
    or Disposed (D) Of

    (Instr. 3,4 and 5)
6. Date Exercisable(DE) and
    Expiration Date(ED)
    (Month/Day/Year)






  (DE)     |     (ED)  
7. Title and Amount of
    Underlying Securities
    (Instr. 3 and 4)
8. Price
    of
    Derivative
    Security
    (Instr.5)
9. Number of
    Derivative
    Securities
    Beneficially
    Owned
    at End of
    Year
    (Instr.4)
10.
Owner-
ship
Form of
Deriv-
ative
Security:
Direct
(D)
or
Indirect
(I)
(Instr.4)
11. Nature of
      Indirect
      Beneficial
      Ownership
      (Instr.4)












Explanation of Responses :


** 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.
By: Signed by Garilou Page as Attorney in Fact                   02-07-2003    
** Signature of Reporting Person                         Date


Power of Attorney

Page 2

Page, H. Lynn - December 31, 2002
Form 5 (continued)
FOOTNOTE Descriptions for Total System Services, Inc. TSS

Form 5 - December 2002

H. Lynn Page
P. O. Box 1755

Columbus, GA 31902-755

Explanation of responses:

(1)   Since the reporting person's last report, 102,884 shares were distributed to his 10/2002 grantor retained annuity trust, and 64,852 shares were transferred from his 1999 grantor retained annuity trust to the reporting person.
Page 3
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