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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 11/19/2003 |
3. Issuer Name and Ticker or Trading Symbol
SCIENTIFIC GAMES CORP [ SGMS ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. 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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Table I - Non-Derivative Securities Beneficially Owned | |||
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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 B Preferred Stock (par value $1.00)(1) | 1,097.664 | I | By SGMS Acquisition Corporation and Mafco Holdings Inc.(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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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 | ||||
Series A Convertible Preferred Stock (par value $1.00)(3) | (3) | (3) | Common Stock | 21,588,601(3) | (4) | I | By SGMS Acquisition Corporation and Mafco Hoildings Inc.(5) |
Stock Options (right to buy)(6) | (7) | 11/19/2013 | Common Stock | 50,000 | $14.76 | D |
Explanation of Responses: |
1. The Series B Preferred Stock has limited economic and voting rights. |
2. Mr. Perelman is the sole stockholder of Mafco Holdings, Inc., which is the sole stockholder of SGMS Acquisition Corporation. |
3. The 1,200,327 shares of Convertible Preferred Stock are convertible into 21,588,601 shares of Common Stock of Scientific Games Corporation based on the conversion rate set forth in note F4, upon terms set forth in the Certificate of Designations governing the Convertible Preferred Stock (the "Certificate of Designations"), filed as Exhibit 3.3 to the 10-Q Quarterly Report of Scientific Games Corporation filed on September 14, 2000. |
4. Each share of Convertible Preferred Stock is convertible into 17.9856 shares of Common Stock of Scientific Games Corporation. Such conversion rate is subject to adjustment in certain circumstances as described in the Certificate of Designations. |
5. Mr. Perelman is the sole stockholder of Mafco Holdings Inc., which is the sole stockholder of SGMS Acquisition Corporation. |
6. The right to buy Stock Options is owned only by Ronald O. Perelman and not jointly. |
7. The options vest and become exercisable in equal 25% installments over four years upon each anniversary of issuance. |
Barry F. Schwartz for Ronald O. Perelman pursuant to a Power of Attorney filed with the SEC | 11/21/2003 | |
** 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. | ||
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. |