-----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, Ojw/j3hE1EQS1uodwceDienx/KZ3Q+w0wn+yoZUtNK/YLtu/43FV8gmH6433b+ct xwaCEcHdkvZnWFDjZXdb6A== 0001209191-05-010962.txt : 20050218 0001209191-05-010962.hdr.sgml : 20050218 20050218161311 ACCESSION NUMBER: 0001209191-05-010962 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050216 FILED AS OF DATE: 20050218 DATE AS OF CHANGE: 20050218 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: DOUBLECLICK INC CENTRAL INDEX KEY: 0001049480 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 133870996 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 450 W 33RD ST STREET 2: 16TH FL CITY: NEW YORK STATE: NY ZIP: 10001 BUSINESS PHONE: 2126830001 MAIL ADDRESS: STREET 1: 450 W 33RD ST STREET 2: 16TH FL CITY: NEW YORK STATE: NY ZIP: 10001 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MERRIMAN DWIGHT A CENTRAL INDEX KEY: 0001237858 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23709 FILM NUMBER: 05627773 BUSINESS ADDRESS: BUSINESS PHONE: 2126830001 MAIL ADDRESS: STREET 1: C/O DOUBLECLICK INC., STREET 2: 111 EIGHTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10011 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2005-02-16 0 0001049480 DOUBLECLICK INC DCLK 0001237858 MERRIMAN DWIGHT A C/O DOUBLECLICK INC. 111 EIGHTH AVENUE NEW YORK NY 10011 1 1 0 0 Chief Technology Officer Common Stock 2005-02-16 4 J 0 68381 D 3039768 D Forward Purchase Contract (contract to sell) 2005-02-16 4 J 0 85000 D 2005-02-16 2005-02-16 Common Stock 85000 0 D On February 16, 2005, the Reporting Person settled his obligation to deliver shares of common stock of DoubleClick Inc. under a pre-paid forward agreement entered into by the Reporting Person and an unaffiliated buyer (the "Buyer") on August 21, 2002. Upon entering into the forward agreement, the Reporting Person received a cash payment of $422,450 in exchange for his obligation to deliver to the Buyer on February 16, 2005 (the "Settlement Date") up to 85,000 shares of common stock. The number of shares to be delivered by the Reporting Person to the Buyer at settlement depended upon the value per share of the common stock (the "Settlement Value") on the Settlement Date as follows: (i) if the Settlement Value was less than or equal to $6.01, then the Reporting Person would be required to deliver all 85,000 shares to the Buyer; (ii) if the Settlement Value was greater than $6.01 and less than or equal to $7.81, then the Reporting Person would be required to deliver a number of shares equal to the product of 85,000 times $6.01, divided by the Settlement Value; and (iii) if the Settlement Value was greater than $7.81, then the Reporting Person would be required to deliver a number of shares equal to 85,000 less the product of 85,000 multiplied by a fraction, the numerator of which would be the difference between $7.81 and $6.01 and the denominator of which would be the Settlement Value. The Settlement Value on the Settlement Date was $7.53. Accordingly, on the Settlement Date, the Reporting Person transferred 68,381 shares of common stock (including settlement fee adjustments) to the Buyer and retained, and was not required to deliver to the Buyer, 16,619 shares. Pamela Schoenfeld Attorney-in-Fact 2005-02-18 -----END PRIVACY-ENHANCED MESSAGE-----