-----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, Uvia/bljZpgtXbqONqeXw2tRrICql0SEy1EfLScOwOpcBpgiKB4W3lnAeQFfqv0i wY9AS5bPEwuQPIuHgiZGvg== 0000904454-03-000241.txt : 20030703 0000904454-03-000241.hdr.sgml : 20030703 20030703152557 ACCESSION NUMBER: 0000904454-03-000241 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030624 FILED AS OF DATE: 20030703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALLIANCE DATA SYSTEMS CORP CENTRAL INDEX KEY: 0001101215 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 311429215 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17655 WATERVIEW PARKWAY CITY: DALLAS STATE: TX ZIP: 75252 BUSINESS PHONE: 9723485100 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON BRUCE K CENTRAL INDEX KEY: 0001212987 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15749 FILM NUMBER: 03775320 BUSINESS ADDRESS: STREET 1: 320 PARK AVENUE STE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2128939500 MAIL ADDRESS: STREET 1: 320 PARK AVENUE STE 2500 CITY: NEW YORK STATE: NY ZIP: 10022 4 1 edgar.xml PRIMARY DOCUMENT X0101 42003-06-24 0001101215 ALLIANCE DATA SYSTEMS CORP ADS 0001212987 ANDERSON BRUCE K 1010Common Stock2003-06-244A0109124.03A369267DStock Option (Right to Buy)24.032003-06-244A0620824.03A2004-06-232013-06-24Common Stock62086208DSuch 1,091 shares are subject to a restriction on resale until one year after the Reporting Person's service on the Issuer's Board of Director terminates.The Reporting Person also indirectly beneficially owns: (i) 17,790,349 shares held by Welsh, Carson, Anderson & Stowe VIII, L.P., (ii) 17,922,447 shares held by Welsh, Carson, Anderson & Stowe VII, L.P., (iii) 5,555,550 shares held by Welsh, Carson, Anderson & Stowe VI, L.P., (iv) 655,555 shares held by WCAS Capital Partners II, L.P., (v) 268, 398 shares held by WCAS Capital Partners II, L.P., and (vi) 148,766 shares held by WCAS Information Partners L.P. The Reporting Person i s one of several general partners and/or managing members of the respective sole general partners of, or one of the general partners of, such limited partnerships.Pursuant to Instruction 4(b)(iv) of Form 4, the reporting person has elected to report as indirectly beneficially owned the entire number of securities reporting as beneficially owned by each such limited partnership. The reporting person disclaims beneficial ownership of any securities, and any proceeds thereof, that exceed his pecuniary interest therein, and/or that are not actually distributed to him.The stock option vests 50% on 6/23/04 and 50% on the date of the Issuer's Annual Meeting of Stockholders in June 2005.Jonathan M. Rather, Attorney-in-Fact2003-07-03 -----END PRIVACY-ENHANCED MESSAGE-----