SEC FORM
3
SEC Form 3
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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OMB APPROVAL |
OMB Number: |
3235-0104 |
Estimated average burden |
hours per response: |
0.5 |
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1. Name and Address of Reporting Person*
C/O BAIN CAPITAL, LLC |
111 HUNTINGTON AVENUE |
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 08/02/2004
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3. Issuer Name and Ticker or Trading Symbol
CMGI INC
[ CMGI ]
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
X |
10% Owner |
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Officer (give title below) |
X |
Other (specify below) |
See Footnote (6) |
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Beneficially Owned |
1. Title of Security (Instr.
4)
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2.
Amount of Securities Beneficially Owned (Instr.
4)
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3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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4. Nature of Indirect Beneficial Ownership (Instr.
5)
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Common Stock, $0.01 par value |
21,213,616 |
I |
See Footnotes
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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)
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2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
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6. Nature of Indirect Beneficial Ownership (Instr.
5)
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Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of Responses: |
Remarks: |
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/s/ Jonathan S. Lavine |
08/03/2004 |
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** 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. |
rrd40884_46517.html
Attachment to Form 3
Pursuant to Instruction 5(b)(v) of the General Instructions to Form 3, this
Form 3 is also being filed on behalf of the Reporting Persons set forth below.
All of the information set forth in the attached Form 3 for Jonathan S. Lavine
is the same for the Reporting Persons set forth below unless otherwise noted.
TABLE I: Non-Derivative Securities
Ownership
Form of
Derivative
Security:
Direct Nature of
Amount or (D) or Indirect
Number Indirect Beneficial
Name and Address of Reporting Person of Shares (I) Ownership
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BCM Capital Partners, L.P. 518,967 D
Sankaty High Yield Partners II, L.P. 174,719 D
Sankaty High Yield Partners III, L.P. 174,719 D
Sankaty Credit Opportunities, L.P. 174,719 D
Bain Capital Mezzanine Partners, L.P. 518,967 I (2)
Sankaty High Yield Asset Investors II, LLC 174,719 I (3)
Sankaty High Yield Asset Investors III, LLC 174,719 I (4)
Sankaty Credit Opportunities Investors, LLC 174,719 I (5)
Sankaty Investors, LLC 518,967 I (2)
Sankaty Investors II, LLC 174,719 I (3)
Sankaty Investors III, LLC 174,719 I (4)
Sankaty Credit Member, LLC 174,719 I (5)
Bain Capital Fund IV, L.P. 11,059,221 I (6)
Information Partners 389,331 I (6)
BCIP Associates 641,116 I (6)
BCIP Trust Associates, L.P. 380,700 I (6)
Bain Capital Partners V, L.P. 7,694,938 I (6)
BCIP Trust Associates II 3,942 I (6)
BCIP Trust Associates II-B 1,244 I (6)
Signature of Reporting Persons:
SANKATY INVESTORS, LLC, for itself, on behalf of itself in
its capacity as general partner of Bain Capital V Mezzanine
Partners, L.P., and on behalf of Bain Capital V Mezzanine
Partners, L.P. in its capacity as general partner of BCM
Capital Partners, L.P.
SANKATY INVESTORS II, LLC, for itself, on behalf of itself
in its capacity as managing member of Sankaty High Yield
Asset Investors II, LLC, and on behalf of Sankaty High Yield
Asset Investors II, LLC in its capacity as general partner
of Sankaty High Yield Partners II, L.P.
SANKATY INVESTORS III, LLC, for itself, on behalf of itself
in its capacity as managing member of Sankaty High Yield
Asset Investors III, LLC, and on behalf of Sankaty High
Yield Asset Investors III, LLC in its capacity as general
partner of Sankaty High Yield Partners III, L.P.
SANKATY CREDIT MEMBER, LLC, for itself, on behalf of itself
in its capacity as managing member of Sankaty Credit
Opportunities Investors, LLC, and on behalf of Sankaty
Credit Opportunities Investors, LLC in its capacity as
general partner of Sankaty Credit Opportunities, L.P.
By: /s/ Jonathan S. Lavine
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Name: Jonathan S. Lavine
Title: Managing Director
By: /s/ Jonathan S. Lavine
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Jonathan S. Lavine