-----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, LyneTjjUcI4JyfSYn/WpgiCcpyHcgNkHcwOQ6VD9NNGKRparW2ECesY9we+BmjHr BD/+qK7FmpHfiR5KfmXUdw== 0000904454-04-000110.txt : 20040219 0000904454-04-000110.hdr.sgml : 20040219 20040219163108 ACCESSION NUMBER: 0000904454-04-000110 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040218 FILED AS OF DATE: 20040219 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: MCINERNEY THOMAS E CENTRAL INDEX KEY: 0001212989 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15749 FILM NUMBER: 04616483 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 X0201 4 2004-02-18 0001101215 ALLIANCE DATA SYSTEMS CORP ADS 0001212989 MCINERNEY THOMAS E C/O WELSH, CARSON, ANDERSON AND STOWE 320 PARK AVENUE, SUITE 2500 NEW YORK NY 10022 0 0 1 0 Common Stock 2004-02-18 4 D 0 11131 29.24 D 104075 D The Reporting Person also indirectly beneficially owns (i) 17,790,349 shares held by Welsh, Carson, Anderson & Stowe VIII, L.P.; (ii) 9,204,942 shares held by Welsh, Carson, Anderson & Stowe VII, L.P.; (iii) 2,693,049 shares held by Welsh, Carson, Anderson & Stowe VI, L.P.; (iv) 655,555 shares held by WCAS Capital Partners III, 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.. 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 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 Reporting Person also indirectly beneficially owns 75,526 shares held by McInerney/Gabrielle Family Limited Partnership. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. Jonathan M. Rather, Attorney-in-Fact 2004-02-19 -----END PRIVACY-ENHANCED MESSAGE-----