-----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, DrhwI39vXE+oEvRMcryRdAtPHQc6WSd4kBkaOI0qhtgbYKrPo8hS49fioWk8yjl2 XBk0uWQCq7/iok0kuMCjwQ== 0001005477-04-004013.txt : 20041112 0001005477-04-004013.hdr.sgml : 20041111 20041112190234 ACCESSION NUMBER: 0001005477-04-004013 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041102 FILED AS OF DATE: 20041112 DATE AS OF CHANGE: 20041112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Skinner Peter Jackson CENTRAL INDEX KEY: 0001307580 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-24081 FILM NUMBER: 041141212 BUSINESS ADDRESS: BUSINESS PHONE: 303-802-2594 MAIL ADDRESS: STREET 1: C/O EVOLVING SYSTEMS INC. STREET 2: 9777 MT. PYRAMID COURT, SUITE 100 CITY: ENGLEWOOD STATE: CO ZIP: 80112 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: EVOLVING SYSTEMS INC CENTRAL INDEX KEY: 0001052054 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING SERVICES [7371] IRS NUMBER: 841010843 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 9777 MT PYRAMID COURT CITY: ENGLEWOOD STATE: CO ZIP: 80112 BUSINESS PHONE: 3038021000 MAIL ADDRESS: STREET 1: 9777 MT PYRAMID COURT CITY: ENGLEWOOD STATE: CO ZIP: 80112 3 1 edgar123.xml FORM 3 X0202 3 2004-11-02 0 0001052054 EVOLVING SYSTEMS INC EVOL 0001307580 Skinner Peter Jackson C/O EVOLVING SYSTEMS, INC. 9777 MT. PYRAMID CT., SUITE 100 ENGLEWOOD CO 80112 1 0 0 0 Series B Convertible Preferred Stock 3.50 2004-11-11 Common Stock 2899998 I (See Footnote) On November 2, 2004, pursuant to a Stock Purchase Agreement dated as of November 2, 2004, by and among the Issuer, Tertio Telecoms Group, Ltd. ("Tertio") and the other parties signatory thereto, Tertio received an aggregate of 966,666 shares (the "Series B Shares") of Series B Convertible Preferred Stock of the Issuer (the "Series B Stock") as a portion of the purchase consideration for its sale of Tertio Telecoms Ltd to the Issuer. As of November 2, 2004, the Series B Shares are convertible into 2,899,998 shares of common stock, par value $0.001 per share ("Common Stock"), of the Issuer. Each share of Series B Stock is convertible at any time at the option of the holder into a number of fully paid and nonassessable shares of Common Stock equal to the quotient of (x) $10.50 divided by (y) the conversion price in effect at the time of conversion. The conversion price per share of Series B Stock is currently $3.50 and is subject to adjustment for anti-dilution protection from time to time. Securities are held directly by Tertio. Apax Europe IV GP Co. Limited ("GP Co.") is the Managing General Partner of Apax Europe IV GP, L.P. ("GP, L.P."), which is the Managing General Partner of the following funds, which hold approximately 48% of the outstanding equity interests in Tertio: Apax Europe IV - A, L.P., Apax Europe IV - B, L.P., Apax Europe IV - C GmbH & Co. KG, Apax Europe IV - D, L.P., Apax Europe IV - E, L.P., Apax Europe IV - F, C.V. and Apax Europe IV - G, C.V. (collectively, the "Apax Europe IV Funds"). Peter Skinner has an interest in the profit participation received by GP, L.P. or one of its affiliates. Mr. Skinner disclaims beneficial ownership of the securities reported herein, except to the extent of his pecuniary interest therein. Not Applicable \s\ Peter Jackson Skinner 2004-11-11 -----END PRIVACY-ENHANCED MESSAGE-----