-----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, GFM0BNFpa+bFDORwHFPqysPc5I22+8pOBpnpJmOPuOEWwGDE4c24UJBZ2udTun0X fOynetSm43+lgImDZT/AuQ== 0001014909-99-000119.txt : 19990408 0001014909-99-000119.hdr.sgml : 19990408 ACCESSION NUMBER: 0001014909-99-000119 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19981231 FILED AS OF DATE: 19990407 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: UNITED INTERNATIONAL HOLDINGS INC CENTRAL INDEX KEY: 0000887949 STANDARD INDUSTRIAL CLASSIFICATION: CABLE & OTHER PAY TELEVISION SERVICES [4841] IRS NUMBER: 841116217 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-21974 FILM NUMBER: 99588428 BUSINESS ADDRESS: STREET 1: 4643 S ULSTER ST STREET 2: STE 1300 CITY: DENVER STATE: CO ZIP: 80237 BUSINESS PHONE: 3037704001 MAIL ADDRESS: STREET 1: 4643 S ULSTER ST STREET 2: STE 1300 CITY: DENVER STATE: CO ZIP: 80237 COMPANY DATA: COMPANY CONFORMED NAME: ROCHELLE CURTIS CENTRAL INDEX KEY: 0001034043 STANDARD INDUSTRIAL CLASSIFICATION: [] DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: 4643 S. ULSTER SUITE 1300 CITY: DENVER STATE: CO ZIP: 80237 MAIL ADDRESS: STREET 1: 4643 S. ULSTER STREET 2: SUITE 1300 CITY: DENVER STATE: CO ZIP: 80237 5 1
- ------------------ U.S. SECURITIES AND EXCHANGE COMMISION ---------------------------- | F O R M 5 | Washington, D.C. 20549 | OMB APPROVAL | - ------------------ |--------------------------| [ ] Check this box if ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0362| no longer subject |Expires: September 30,1998| to Section 16. Form 4 |Estimated avg. burden | or Form 5 obligations |hours per response.....1.0| may continue. Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, ---------------------------- [ ] Form 3 Holdings Reported Section 17(a) of the Public Utility Holding Company Act of 1935 or [ ] Form 4 Transactions Section 30(f) of the Investment Company Act 1940 Reported - ------------------------------------------------------------------------------------------------------------------------------------ |1.Name and Address of Reporting Person* |2.Issuer Name and Ticker or Trading Symbol |6.Relationship of Reporting Person(s) to| | | | Issuer (Check all Applicable) | | | United International Holdings, Inc. (UIHIA) | | | Rochelle Curtis W. | | X Director X 10% Owner | |----------------------------------------|------------------------------------------------|--- --- | | (Last) (First) (MI)|3.IRS Identification |4.Statement for Month/ | Officer Other | | | Number of Reporting | Year |---(give title below) ---(Specify below)| | | Person, if an entity | | | | | (Voluntary) | | | | 4643 S. Ulster Street, Suite 1300 | | December 31, 1998* | | |----------------------------------------| |------------------------|----------------------------------------| | (Street) | |5.If Amendment, Date of |7. Individual or Joint/Group Filing | | | | Original (Month/Year) | (Check Applicable Line) | | | | | | | | | | Form filed by One Reporting Person | | | | |--- | | | | | X Form filed by More than One | | Denver CO 80237 | | |--- Reporting Person | |----------------------------------------------------------------------------------------------------------------------------------| | (City) (State) (Zip) | | TABLE I - Non-Derivative Securities Acquired, Disposed of or Beneficially Owned | |----------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security |2.Transac- |3.Trans- |4.Security Acquired (A) or |5.Amount of |6. |7.Nature of Indirect| | (Instr. 3) | tion Date | action | Disposed of (D) | Securities |Own.| Beneficial | | |(Month/ | Code | (Instr. 3, 4 & 5) | Beneficially |Form| Ownership | | |Day/Year) |(Instr.8)|-------------------------------| Owned at End of|(D) | (Instr. 4) | | | | | |(A) | | Issuer's |or | | | | | | |or | | Fiscal Year |(I) | | | | | | Amount |(D) | Price | (Instr. 3 & 4) | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | 1/21/94 | P4 | 4,000 | A | $14.125 | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | 2/8/95 | P4 | 4,500 | A | $14.25 | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | 5/10/95 | P4 | 1,470 | A | $15.00 | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | 7/23/96 | P4 | 1,520 | A | $12.00 | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | 2/27/97 | P4 | 2,000 | A | $10.50 | | | | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | 8/28/97 | P4 | 2,130 | A | $10.50 | 15,620(1) | I |By Spouse | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | 6/18/98 | P | 447 | A | $15.25 | 16,067(1) | I |By Spouse | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| | | | | | | | | | | |Class A Common Stock | | | | | | 25,000(1) | I |By a Trust(2) | |-------------------------------|------------|---------|----------------|----|---------|-----------------|----|--------------------| * In reliance upon a SEC interpretation of Rule 13a-10, this Report has been timely filed within 45 days of February 24, 1999, the date the Issuer's Board of Directors approved the change in the Issuer's fiscal year end from February 28 to December 31, commencing December 31, 1998. Page 1 Reminder: Report on a separate line for each class securities owned directly or indirectly. SEC 2270 (7-97) *If the form is filed by more than one reporting person, see Instruction 4(b)(v).
FORM 5 (continued) TABLE II - Derivative Securities Acquired, Disposed of, Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------------------------ |1.Title of|2.Conver-|3. |4.Tran- |5.Number of |6.Date |7.Title and Amount |8.Price of|9.Number |10. |11.Nature | |Derivative|sion or |Trans| saction| Derivative |Exercisable| of Underlying |Derivative| of |Own.| of | |Security |Exercise |Date | Code | Securities |and | Securities |Security |Derivative|Form|Indirect | |(Instr. 3)|Price of |(Mon/|(Instr.8)| Acquired (A) or |Expiration | (Instr. 3 & 4) |(Instr. 5)|Securities|of |Beneficial| | |Deriva- | Day/| | Disposed of (D) |Date | | |Benefi- |Deri|Ownership | | |tive |Year)| | (Instr. 3, 4 & 5) |(Month/Day/| | |cially |Sec.|(Instr. 4)| | |Security | | | | Year) | | |Owned at |Dir.| | | | | | | |-----------|---------------------| |End of |(D) | | | | | | | | | | |Amount or | |Year |or | | | | | | |---------------------|Date |Exp. | Title |Number of | |(Instr. 4)|Ind.| | | | | | | (A) | (D) |Exbl.|Date | |Shares | | |(I) | | |----------|---------|-----|---------|----------|----------|-----|-----|----------|----------|----------|----------|----|----------| | | | | | | | | | | | | | | | |Class B | 1 for 1 |7/22/| J4(3) | | 769,116 |Immed| | Class A | 769,116 | | 0 | I |By a Ltd. | |Common | |1993 | | | | | | Common | | | | |Partner- | |Stock | | | | | | | | Stock | | | | |ship | | | | | | | | | | | | | | | | |----------|---------|-----|---------|----------|----------|-----|-----|----------|----------|----------|----------|----|----------| |Class B | 1 for 1 |7/22/| J4(3) | 653,748 | |Immed| | Class A | 653,748 | | 998,470 | I |By a | |Common | |1993 | | | | | | Common | | | (1)(3) | |Trust(2) | |Stock | | | | | | | | Stock | | | | | | | | | | | | | | | | | | | | | |----------|---------|-----|---------|----------|----------|-----|-----|----------|----------|----------|----------|----|----------| |Class B | 1 for 1 |7/22/| J4(3) | 38,456 | |Immed| | Class A | 38,456 | | 111,184 | I |By Spouse | |Common | |1993 | | | | | | Common | | | (1)(3) | | | |Stock | | | | | | | | Stock | | | | | | | | | | | | | | | | | | | | | |----------|---------|-----|---------|----------|----------|-----|-----|----------|----------|----------|----------|----|----------| |Director | $9.50 |7/23/| A | 40,000 | |7/23/| | Class A | 40,000 | | 40,000 | D | | |Stock Op- | |1993 | | | |1997 | | Common | | | (1) | | | |tions (rt | | | | | | | | Stock | | | | | | |to buy) | | | | | | | | | | | | | | |----------|---------|-----|---------|----------|----------|-----|-----|----------|----------|----------|----------|----|----------| |Director | $8.3125 |12/17/ A | 15,000 | | (4) | | Class A | 15,000 | | 15,000 | D | | |Stock Op- | |1998 | | | | | | Common | | | (1) | | | |tions (rt | | | | | | | | Stock | | | | | | |to buy) | | | | | | | | | | | | | | |----------|---------|-----|---------|----------|----------|-----|-----|----------|----------|----------|----------|----|----------| Explanation of Responses: (1) The Reporting Person and Marian Rochelle each is a party to a Stockholders' Agreement. The securities reported herein do not include securities beneficially owned by other parties to the Stockholders' Agreement. The Reporting Person and Marian Rochelle each disclaims any beneficial ownership of such other parties' securities and this Report shall not be deemed an admission that the Reporting Person or Marian Rochelle is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. (2) On May 27, 1994, the Reporting Person transferred all of his Class B Common Stock to the Curtis Rochelle Trust of which the Reporting Person is the trustee and a beneficiary. The Reporting Person disclaims beneficial ownership of the reported stock, except to the extent of his pecuniary interest therein. (3) The limited partnership, Rochelle Investments Ltd., liquidated and distributed its holdings in the Issuer's securities to its partners, pursuant to which the Reporting Person received 653,748 shares based on his 85% interest in the partnership and the remaining shares have been distributed to the other partners, including his spouse, Marian Rochelle, who received 38,456 shares for her 5% interest in the partnership. (4) The option is exercisable in 48 equal monthly installments commencing on October 8, 1998. **Intentional misstatements or omissions of facts constitute Federal /s/ Curtis W. Rochelle March 31, 1999 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ----------------------------------- ----------------- **Signature of Reporting Person Date Note: File three copies of this form, one of which must be manually signed. Curtis W. Rochelle If space provided is insufficient, see Instruction 6 for procedure. Individually & as Attorney in Fact for Marian Rochelle Potential persons who are to respond to the collection of information contained in this form are not Page 2 required to respond unless the form displays a currently valid OMB Number
PAGE 3 OF 3 FORM 5 Joint Filer Confirming Statement Joint Filer: Marian Rochelle Designated Filer: Curtis Rochelle Issuer & Tickler Symbol: United International Holdings, Inc. (UIHIA) The undersigned Marian Rochelle is a party to that certain Stockholders' Agreement with respect to the securities of the Issuer and as such is a Joint Filer with Curtis Rochelle, her spouse. This statement confirms that the undersigned has authorized and designated Curtis Rochelle to execute and file on behalf of the undersigned all Forms 3, 4 and 5, including amendments thereto, to be filed jointly with regard to the undersigned's ownership of or transactions in the securities of the Issuer. The authority of Curtis Rochelle under this statement shall continue until the undersigned is no longer required to file Forms 3, 4 and 5 with regard to the Issuer's securities, unless earlier revoked in writing. The undersigned acknowledges that Curtis Rochelle is not assuming any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934, as amended. Date: March 31, 1999 /s/ Marian Rochelle ----------------------------------- Marian Rochelle PO Box 996 1914 Happy Hollow Drive Rawlins, Wyoming 82301 -----END PRIVACY-ENHANCED MESSAGE-----