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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 04/21/2004 |
3. Issuer Name and Ticker or Trading Symbol
MCI INC [ MCIAV.PK ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) 04/21/2004 |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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) |
Common Stock, $0.01 par value per share ("MCI Shares") | 25,620,055 | I | By Financial Ventures |
MCI Shares | 2,916,515 | I | By Global Telecom LLC |
MCI Shares | 5,901,380 | I | By Promotora |
MCI Shares | 1,085,726 | I | By Inmobiliaria Inbursa |
MCI Shares | 6,643,468 | I | By Orient Star |
MCI Shares | 1,280,540 | I | By Commercial LLC |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 |
Explanation of Responses: |
Remarks: |
This Form 3/A amends and restates the original Form 3 filed on behalf of the Reporting Persons on April 21, 2004 to reflect the number of MCI Shares issued to each direct beneficial owner, including MCI Shares issued with respect to accrued and unpaid interest on each such direct beneficial owner's prior holdings of WorldCom, Inc. bonds. See Attached Exhibit 99 to Form 3/A, which is hereby incorporated herein by reference. Exhibits The Powers of Attorney filed as Exhibits to the original Form 3 filed on behalf of the Reporting Persons on April 21, 2004 are hereby incorporated herein by reference. |
Eduardo Valdes Acra Attorney-in-Fact | 05/12/2004 | |
** 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. |