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
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
X
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*
CEA CAPITAL PARTNERS USA L P

(Last) (First) (Middle)
199 WATER STREET, 20TH FLOOR

(Street)
NEW YORK NY 10038

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
OTELCO INC. [ OTT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/06/2005
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Class A Common Stock(1) 01/06/2005 S 421,999 D $14.288(2) 3,855 I See Footnote(3)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
CEA CAPITAL PARTNERS USA L P

(Last) (First) (Middle)
199 WATER STREET, 20TH FLOOR

(Street)
NEW YORK NY 10038

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CEA CAPITAL PARTNERS USA C1 LP

(Last) (First) (Middle)
199 WATER STREET, 20TH FLOOR

(Street)
NEW YORK NY 10038

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CEA Equity Offshore, Ltd.

(Last) (First) (Middle)
CAYMAN NATIONAL BUILDING, #200 ELGIN AVE
P.O. BOX 1790 GT

(Street)
BSI GRAND CAYMAN E9 00000

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
CEA Investment Partners, L.P.

(Last) (First) (Middle)
101 EAST KENNEDY BLVD., SUITE 3300

(Street)
TAMPA FL 33602

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Atlantic American Holdings, Inc.

(Last) (First) (Middle)
101 EAST KENNEDY BLVD., SUITE 3300

(Street)
TAMPA FL 33602

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
J. Patrick Michaels, Jr. Family Trust

(Last) (First) (Middle)
101 EAST KENNEDY BLVD., SUITE 3300

(Street)
TAMPA FL 33602

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. Included in the sale of 421,999 Income Deposit Securites ("IDSs") that each consisted of one share of Class A common stock and one 13% senior subordinated note due 2019 with a $7.50 principal amount.
2. This is the sale price of the IDSs set forth in the Underwriting Agreement dated December 16, 2004, relating to the sale of the IDSs.
3. See Exhibit 99.1.
[See CEA Capital Partners USA, L.P. Signature attached as Exhibit 99.2] 01/06/2005
[See CEA Capital Partners USA CI, L.P. Signature attached as Exhibit 99.2] 01/06/2005
[See CEA Equity Offshore, Ltd. Signature attached as Exhibit 99.2] 01/06/2005
[See CEA Investment Partners, L.P. Signature attached as Exhibit 99.2] 01/06/2005
[See Atlantic American Holdings, Inc. Signature attached as Exhibit 99.2] 01/06/2005
[See J. Patrick Michaels, Jr. Family Trust Signature attached as Exhibit 99.2] 01/06/2005
** 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.