|4Dec 23, 5:43 PM ET

Andrews Dennis Keith 4

4 · OTELCO INC. · Filed Dec 23, 2004

Insider Transaction Report

Form 4
Period: 2004-12-21
Andrews Dennis Keith
Vice Pres, Regulatory Affairs
Transactions
  • Other

    Options

    2004-12-212,0000 total
    Income Deposit Securities (2,799 underlying)
  • Sale

    Class A Common Stock

    2004-12-21$14.29/sh1,015$14,5021,784 total
  • Sale

    Class B Common Stock

    2004-12-211750 total
    Income Deposit Securities (175 underlying)
  • Conversion

    Class A Common Stock

    2004-12-21+2,7992,799 total
  • Conversion

    Class B Common Stock

    2004-12-21+175175 total
    Income Deposit Securities (175 underlying)
Footnotes (10)
  • [F1]The reported securities are included within 2,799 Income Deposit Securities ("IDSs"). Each IDS consists of one share of Class A common stock and one 13% senior subordinated note due 2019 with a $7.50 principal amount.
  • [F10]The Class B common stock was repurchased by the issuer for $14.288 per share of Class B common stock.
  • [F2]This is the sale price of the IDSs set forth in the repurchase agreement relating to the sale of the IDSs.
  • [F3]Exchange ratio of 1.39950 IDSs and 0.08750 shares of Class B common stock per option.
  • [F4]Pursuant to an option exchange agreement, the options were exchanged for IDSs and Class B common stock in connection with the issuer's conversion from a limited liability company to a corporation.
  • [F5]The options were exchanged for IDSs and Class B common stock on December 21, 2004, the closing date of the offering of the IDSs.
  • [F6]These represent the same 2,000 options disposed of as shown in the line above.
  • [F7]The Class B common stock will be exchangable for IDSs beginning on December 21, 2006, subject to the satisfaction of certain conditions, including a financial test set forth in an investor rights agreement.
  • [F8]None.
  • [F9]The Class B common stock will be exchangable for IDSs on a 1 for 1 basis, subject to adjustment.

Documents

1 file
  • 4
    edgar.xmlPrimary

    FORM 4 -