SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
C/O BAIN CAPITAL, LLC |
111 HUNTINGTON AVENUE |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CMGI INC
[ CMGI ]
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5. 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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3. Date of Earliest Transaction
(Month/Day/Year) 11/11/2004
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Form filed by One Reporting Person |
X |
Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock, $0.01 par value |
11/11/2004 |
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S |
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541,715 |
D |
$1.66
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20,671,901 |
I |
See Footnote
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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11. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
1. Name and Address of Reporting Person*
C/O BAIN CAPITAL, LLC |
111 HUNTINGTON AVENUE |
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
Remarks: |
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/s/ Jonathan S. Lavine |
11/15/2004 |
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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
4
(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. |
rrd48444_54772.html
Attachment to Form 4
Pursuant to Instruction 5(b)(v) of the General Instructions to Form 4,
this Form 4 is also being filed on behalf of the Reporting Persons set forth
below. All of the information set forth in the Attached Form 4 for Bain Capital
Investors, LLC is the same for the Reporting Person set forth below unless
otherwise noted.
TABLE I: Non-Derivative Securities
Amount of
Securities
Beneficially
Owned Ownership Nature of
Securities Following Form: Indirect
Name and Address of Disposed of (D) Reported Direct (D) or Beneficial
Reporting Person Amount Transaction(s) Indirect (I) Ownership
- ------------------------------ --------------- --------------- -------------- -------------
Bain Capital Fund IV, L.P. 282,410 10,776,811 D
Information Partners 9,942 379,389 D
BCIP Associates 16,372 624,744 D
BCIP Trust Associates, L.P. 9,721 370,979 D
Bain Capital Partners V, L.P. 196,499 7,498,439 D
BCIP Trust Associates II 101 3,841 D
BCIP Trust Associates II-B 32 1,212 D
Signature of Reporting Persons:
BAIN CAPITAL INVESTORS, LLC for itself, on behalf of itself in its
capacity as general partner of Bain Capital Partners IV, L.P., on behalf
of Bain Capital Partners IV, L.P. in its capacity as general partner of
Bain Capital Fund IV, L.P. and in its capacity as managing partner of
Information Partners, for itself in its capacity as general partner of
Bain Capital Partners V, L.P., for itself in its capacity as sole member
of the management committee of BCIP Associates and BCIP Trust
Associates, L.P. and for itself in its capacity as managing partner of
BCIP Trust Associates II and BCIP Trust Associates II-B.
/s/ Michael F. Goss
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Name: Michael F. Goss
Title: Managing Director