-----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, FDFjXMy67KcPNNI/IKqGsCIIgPIO0JDH4sBdN4CWGC0MWaAPSJk9ao0RMQA+CaY4 ec5x7pATTUWahvkBKEKY5g== 0001209191-04-059680.txt : 20041229 0001209191-04-059680.hdr.sgml : 20041229 20041229112916 ACCESSION NUMBER: 0001209191-04-059680 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041228 FILED AS OF DATE: 20041229 DATE AS OF CHANGE: 20041229 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SMITH DEREK V CENTRAL INDEX KEY: 0001206049 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13069 FILM NUMBER: 041229868 BUSINESS ADDRESS: BUSINESS PHONE: 7707524020 MAIL ADDRESS: STREET 1: 1000 ALDERMAN DRIVE CITY: ALPHARETTA STATE: GA ZIP: 30005 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CHOICEPOINT INC CENTRAL INDEX KEY: 0001040596 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374] IRS NUMBER: 582309650 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1000 ALDERMAN DR CITY: ALPHARETTA STATE: GA ZIP: 30005 BUSINESS PHONE: 7707526000 MAIL ADDRESS: STREET 1: CHOICEPOINT INC STREET 2: 1000 ALDERMAN DR CITY: ALPHARETTA STATE: GA ZIP: 30005 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-12-28 0 0001040596 CHOICEPOINT INC CPS 0001206049 SMITH DEREK V 1000 ALDERMAN DRIVE ALPHARETTA GA 30005 1 1 0 0 Chairman & CEO Common stock 18959 I By Daughter's Trust Common stock 18958 I By Son's Trust Common stock 400 I By Wife Common stock 28754 I By 401(k) Plan Common Stock 2004-12-28 2004-12-28 4 M 0 6024 5.6492 A 419164 D Common stock 2004-12-28 2004-12-28 4 M 0 15116 6.1202 A 434280 D Common Stock 2004-12-28 2004-12-28 4 M 0 21140 45.6324 D 413140 D Stock option, right to buy 5.6492 2004-12-28 2004-12-28 4 M 0 6024 5.6492 D 1997-01-31 2006-01-31 common 6024 3700522 D Stock option, right to buy 6.1202 2004-12-28 2004-12-28 4 M 0 15116 6.1202 D 1997-01-31 2006-01-31 common 15116 3685406 D David W. Davis, Attorney-in-Fact for Derek V. Smith 2004-12-29 -----END PRIVACY-ENHANCED MESSAGE-----