3 1 mdffm3.txt 11/02/00
---------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION FORM 3 Washington, D.C. 20549 ------------------------------ ---------- OMB APPROVAL ------------------------------ INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB Number: 3235-0104 Expires: December 31, 2001 Estimated average burden hours per response........ 0.5 ------------------------------ Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, (Print or Type Responses) Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event 4. Issuer Name and Ticker or Trading Symbol Requiring Statement (Month/Day/Year) Corrections Corporation of America (CXW) Income Opportunity Fund I LLC ------------------------------------------ ------------------------------------------------------------------ (Last) (First) (Middle) 5. Relationship of Reporting 6. If Amendment, Date of Person(s) to Issuer Original (Month/Day/Year) 11/02/00 (Check all applicable) ----------------------- c/o Millennium Partners 3. I.R.S. Identification ------------------------------------ 1995 Broadway Number of Reporting |_| Director |X|10% Owner 7. Individual or Joint/Group Filing ------------------------------------------ Person, if an entity |_| Officer |_|Other (Check Applicable Line) (Street) (voluntary) (give (specify |_| Form filed by One Reporting title below) below) Person |X| Form filed by More than One May be deemed to be part Reporting Person New York NY 10023 of a 13(d) group. ----------------------------------------------------------------------------------------------------------------------------------- (City) (State) (Zip) Table I - Non-Derivative Securities Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Form: Direct (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ 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). Potential persons who are to respond to the collection of information contained in this form are not (Over) required to respond unless the form displays a currently valid OMB control number. SEC 1473 (3-99)
FORM 3 (continued)
FORM 3 (continued) Table II - Derivative Securities Beneficially Owned (e.g. puts, calls, warrants, options, convertible securities) ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect Security cisable and Underlying Derivative Security sion or ship Beneficial Ownership (Instr. 4) Expiration (Instr. 4) Exercise Form of (Instr. 5) Date Price of Deriv- (Month/Day/Year) Deriv- ative ------------------------------------------------------- -ative Security: Date Expira- Amount Security Direct Exer- tion or (D) or cisable Date Title Number Indirect of (I) Shares (Instr. 5) ------------------------------------------------------------------------------------------------------------------------------------ 10% convertible subordinated notes due 2008 1/1/01 12/31/08 Common stock, par value 1,307,417 (1) (2)(5) (2)(5) $.01 per share ------------------------------------------------------------------------------------------------------------------------------------ 10% convertible subordinated notes due 2008 1/1/01 12/31/08 Common stock, par value 1,307,416 (1) (3)(5) (3)(5) $.01 per share ------------------------------------------------------------------------------------------------------------------------------------ 10% convertible subordinated notes due 2008 1/1/01 12/31/08 Common stock, par value 840,404 (1) (4)(5) (4)(5) $.01 per share ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) $84.04040 shares of common stock, par value $.01 per share, per $1,000 principal amount of 10% convertible subordinated notes due 2008. (2) These securities are directly owned by Income Opportunity Fund I LLC ("IOF"). Millennium Development Partners V LLC ("MDP V") has an indirect beneficial interest in these securities in its capacity as managing member of IOF. Christopher M. Jeffries has an indirect beneficial interest in these securities in his capacity as the controlling member of MDP V. (3) These securities are directly owned by Millennium Holdings III LLC ("MH III"). Mr. Jeffries has an indirect beneficial interest in these securities in his capacity as the controlling member of MH III. (4) These securities are directly owned by Millennium Holdings II LLC ("MH II"). Mr. Jeffries has an indirect beneficial interest in these securities in his capacity as the controlling member of MH II. (5) All reporting persons disclaim beneficial ownership in the securities of the issuer except to the extent of their pecuniary interest, if any, therein. ** Intentional misstatements or omissions of facts INCOME OPPORTUNITY FUND I LLC constitute Federal Criminal Violations. By: MILLENNIUM DEVELOPMENT PARTNERS V LLC, its See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). managing member Note: File three copies of this Form, one of which must be manually signed. By: /s/ Steven L. Hoffman If space is insufficient, See Instruction 6 for this procedure. --------------------- Name: Steven L. Hoffman Title: Vice President 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 Date: December 20, 2001 valid OMB Number. ------------------- Page 2 of 3
CONTINUATION SHEET RELATING TO JOINT FORM 3 FILED BY INCOME OPPORTUNITY FUND I LLC JOINT FILER INFORMATION DESIGNATED FILER: Income Opportunity Fund I LLC ISSUER & TICKLER SYMBOL: Corrections Corporation of America (CXW) DATE OF EVENT REQUIRING STATEMENT: 11/02/00 OTHER REPORTING PERSONS: 1. Millennium Development Partners V LLC c/o Millennium Partners 1995 Broadway New York, NY 10023 By: /s/ Steven L. Hoffman ------------------------------ Name: Steven L. Hoffman Title: Vice President 2. Millennium Holdings II LLC c/o Millennium Partners 1995 Broadway New York, NY 10023 By: /s/ Steven L. Hoffman ------------------------------ Name: Steven L. Hoffman Title: Vice President 3. Millennium Holdings III LLC c/o Millennium Partners 1995 Broadway New York, NY 10023 By: /s/ Steven L. Hoffman ------------------------------ Name: Steven L. Hoffman Title: Vice President 4. Christopher M. Jeffries c/o Millennium Partners 1995 Broadway New York, NY 10023 /s/ Christopher M. Jeffries ------------------------------