4 1 v68528e4.txt FORM 4 1 ------ U.S. SECURITIES AND EXCHANGE COMMISSION ------------------------------ FORM 4 WASHINGTON, D.C. 20549 OMB APPROVAL ------ ------------------------------ STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB Number: 3235-0287 [ ] Check this box if no Expires: December 31, 2001 longer subject to Filed pursuant to Section 16(a) of the Securities Estimated average burden Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the hours per response........0.5. or Form 5 obligations Public Utility Holding Company Act of 1935 ------------------------------ may continue. See or Section 30(f) of the Investment Company Instruction 1(b). Act of 1940 ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) Savoy William D. InfoSpace, Inc. (INSP) to Issuer (check all applicable) -------------------------------------------- ---------------------------------------------- X Director 10% Owner (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- --- Vulcan Ventures Inc., Number of Reporting Month/Year Officer Other (specify 110 110th Ave. NE, Suite 415 Person (Voluntary) ---- --- below) -------------------------------------------- ------------------- (give title below) (Street) 5. If Amendment, Bellevue WA 98004 Date of Original ------------------------------------ -------------------------------------------- (Month/Year) (City) (State) (Zip) October 2000 7. 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 ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of (Instr. 3) action action or Disposed of (D) Securities Form: Indirect Date Code (Instr. 3, 4 and 5) Beneficially Direct Beneficial (Instr. 8) Owned at (D) or Ownership (Month/ End of Month Indirect (Instr. 4) Day/ --------------------------------------- (Instr. 3 and 4) (I) Year) Code V Amount (A) or Price (Instr. 4) (D) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/12/2000 A 21,698,778 A (1) 21,698,778 (1)(2) (2) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Page 1 of 2 (Over) *If the form is filed by more than one reporting person, see Instruction 4(b)(v). SEC 1474 (3/99)
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FORM 4 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price Security sion or action action Derivative cisable and of Underlying of (Instr. 3) Exercise Date Code Securities Expiration Securities Deriv- Price of (Month/ (Instr. Acquired (A) Date (Instr. 3 and 4) ative Deriv- Day/ 8) or Disposed (Month/Day/ Secur- ative Year) of (D) (Instr. Year) ity Security 3, 4, and 5) (Instr. 5) ----------------------------------- Date Expira- Amount or -------------------------- Exer- tion Title Number of Code V (A) (D) cisable Date Shares ------------------------------------------------------------------------------------------------------------------------------------ Employee Stock Option Common (right to buy) $32.01 10/12/2000 A 45,500 (3) 10/14/05 Stock 45,500 (4) ------------------------------------------------------------------------------------------------------------------------------------ Common Director Stock Grant $17.6250 10/12/2000 A 20,000 (5) 10/12/10 Stock 20,000 (6) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ 9. Number of 10. Ownership 11. Nature of Derivative Form of Indirect Securities Derivative Beneficial Beneficially Security: Ownership Owned at End Direct (D) (Instr. 4) of Month or Indirect (I) (Instr. 4) (Instr. 4) -------------------------------------------------------------------------- 45,500 D -------------------------------------------------------------------------- 20,000 D -------------------------------------------------------------------------- -------------------------------------------------------------------------- -------------------------------------------------------------------------- -------------------------------------------------------------------------- -------------------------------------------------------------------------- Explanation of Responses: (1) Received 1.82 of InfoSpace, Inc. shares in exchange for each share of common stock of Go2Net in connection with the Agreement and Plan of Reorganization dated July 26, 2000 by and among InfoSpace, Inc. and Go2Net, Inc. effective 10/12/2000 (the "Reorganization Agreement"). (2) Owned directly by Vulcan Ventures, Incorporated ("VVI") and indirectly by Paul G. Allen, the sole shareholder of VVI. Mr. Savoy is an advisor of VVI and a director of InfoSpace, Inc. Mr. Savoy disclaims beneficial ownership of the shares held by VVI, except to the extent of his pecuniary interest therein. (3) The option vested 25% on 10/14/00 and then vests in quarterly installments (6.25%) for 12 quarters. (4) Received in exchange for an employee stock option to purchase 25,000 shares of Go2Net, Inc. common stock for $58.25 per share in connection with the Reorganization Agreement. (5) The option vests 100% on 12/12/2001, in the event that Mr. Savoy is still serving on the Board of Directors as of that date. (6) Received as a non-employee director grant of non-qualified stock options. **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 /s/ WILLIAM D. SAVOY 1/11/01 signed. If space is insufficient, see Instruction 6 for ------------------------------- ------- procedure. **Signature of Reporting Person Date William D. Savoy Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form Page 2 displays a currently valid OMB Number. SEC 1474 (3/99)