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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1. Name and Address of Reporting Person*
RYDIN CRAIG W

(Last) (First) (Middle)
PRICELINE.COM INCORPORATED
800 CONNECTICUT AVENUE

(Street)
NORWALK CT 06854

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/25/2005
3. Issuer Name and Ticker or Trading Symbol
PRICELINE COM INC [ PCLN ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Restricted Common Stock 2,000(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (right to buy) (2) (2) Common Stock 8,000 (3) D
Explanation of Responses:
1. On January 25, 2005, Mr. Rydin was granted 2,000 shares of restricted common stock, par value $0.008 per share, of priceline.com Incorporated. One-fourth of the shares vests on each of the four anniversaries of the date of grant.
2. On January 25, 2005, Mr. Rydin was granted stock options to purchase 8,000 shares of priceline.com Incorporated common stock, par value $0.008 per share. The options vest as follows: 2,667 shares vest on January 25, 2006; and the remaining shares vest pro rata monthly thereafter on the 25th of each month through January 25, 2008. The options expire January 25, 2015.
3. Priceline.com Incorporated's closing price on the Nasdaq on January 24, 2005.
/s/ Craig W. Rydin 01/25/2005
** 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 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.
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