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*
DVORAK BERNARD G

(Last) (First) (Middle)
12300 LIBERTY BLVD.

(Street)
ENGLEWOOD CO 80112

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/16/2005
3. Issuer Name and Ticker or Trading Symbol
Liberty Global, Inc. [ LBTY ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Senior VP & Co-CFO
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)
Series A common stock 290 D
Series A common stock 437 I by 401(k) Plan
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 Option (right to buy) (1) 07/08/2012 Series A common 931 $33.92 D
Stock Option (right to buy) (2) 06/22/2014 Series A common 42,554 $33.41 D
Explanation of Responses:
1. The option vests in five equal annual installments commencing July 8, 2003.
2. The option vests in five equal annual installments commencing June 22, 2005.
Remarks:
The trading symbols for the Issuer's Series A and Series B Common Stock are, respectively, LBTYA and LBTYB. The referenced securities were all received by the Reporting Person in exchange for securities of Liberty Media International, Inc. ("LMI") and/or UnitedGlobalCom, Inc. ("UGC") in the merger of LMI and UGC with wholly-owned subsidiaries of the Issuer, which merger was consummated on June 15, 2005, prior to the filing date for the Current Report on Form 8-K filed by the Issuer reporting such merger. The acquisition of all such securities by the reporting person was approved and exempted pursuant to Rule 16b-3 under the Securities Act of 1933 (the "Securities Act"). The filing on Form 8-K commenced the reporting person's obligation to make reports pursuant to Section 16(a) of the Securities Act.
Bernard G. Dvorak 06/16/2005
** 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).
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