0001209191-11-059187.txt : 20111202 0001209191-11-059187.hdr.sgml : 20111202 20111202165958 ACCESSION NUMBER: 0001209191-11-059187 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111130 FILED AS OF DATE: 20111202 DATE AS OF CHANGE: 20111202 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TOSE MAURICE B CENTRAL INDEX KEY: 0001237090 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30821 FILM NUMBER: 111241074 MAIL ADDRESS: STREET 1: 275 WEST ST CITY: ANNAPOLIS STATE: MD ZIP: 21401 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TELECOMMUNICATION SYSTEMS INC /FA/ CENTRAL INDEX KEY: 0001111665 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 521526369 STATE OF INCORPORATION: MD FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 275 WEST ST CITY: ANNAPOLIS STATE: MD ZIP: 21401 BUSINESS PHONE: 4102637616 MAIL ADDRESS: STREET 1: 275 WEST ST CITY: ANNAPOLIS STATE: MD ZIP: 21401 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-11-30 0 0001111665 TELECOMMUNICATION SYSTEMS INC /FA/ TSYS 0001237090 TOSE MAURICE B C/O TELECOMMUNICATION SYSTEMS, INC. 275 WEST STREET ANNAPOLIS MD 21401 1 1 1 0 Chairman, President & CEO Class A Common Stock 2011-11-30 4 C 0 50000 0.00 D 261279 D Class A Common Stock 229995 I By Spouse Class B Common Stock 2011-11-30 4 C 0 50000 0.00 D Class A Common Stock 50000 5155286 D Class B Common Stock Class A Common Stock 76730 76730 I By Children Class B Common Stock Class A Common Stock 215753 215753 I By Trust The shares of Class B Common Stock are convertible, at any time, at the option of the holder, into shares of Class A Common Stock on a one-for-one basis. These shares are held by Mr. Tose's spouse. Mr. Tose disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the Mr. Tose is the beneficial owner of such securities for purposes of Section 16 or any other purpose. These shares are held by Mr. Tose's children. Mr. Tose disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Tose is the beneficial owner of such securities for the purposes of Section 16 or any other purpose. These shares are held in an irrevocable trust for the benefit of Mr. Tose's children. Mr. Tose is the settlor and Mr. Tose's spouse is the trustee of the trust. Mr. Tose disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that Mr. Tose is the beneficial owner of such securities for the purposes of Section 16 or any other purpose. /s/ Bruce A. White, by power-of-attorney 2011-12-02