0000950172-01-501020.txt : 20011026 0000950172-01-501020.hdr.sgml : 20011026 ACCESSION NUMBER: 0000950172-01-501020 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20011012 FILED AS OF DATE: 20011022 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: XM SATELLITE RADIO HOLDINGS INC CENTRAL INDEX KEY: 0001091530 STANDARD INDUSTRIAL CLASSIFICATION: COMMUNICATION SERVICES, NEC [4899] IRS NUMBER: 541878819 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-27441 FILM NUMBER: 1763536 BUSINESS ADDRESS: STREET 1: 1500 ECKINGTON PL NE CITY: WASHINGTON STATE: DC ZIP: 20002 BUSINESS PHONE: 2023804000 MAIL ADDRESS: STREET 1: 1500 ECKINGTON PL NE CITY: WASHINGTON STATE: DC ZIP: 20002 COMPANY DATA: COMPANY CONFORMED NAME: RARE MEDIUM GROUP INC CENTRAL INDEX KEY: 0000756502 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] OWNER IRS NUMBER: 232368845 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 565 FIFTH AVE STREET 2: 29TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 2128836940 MAIL ADDRESS: STREET 1: 565 FIFTH AVE STREET 2: 29TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 FORMER COMPANY: FORMER CONFORMED NAME: ICC TECHNOLOGIES INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: INTERNATIONAL COGENERATION CORP DATE OF NAME CHANGE: 19891005 3 1 s343646.txt FORM 3 FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION _____________________ WASHINGTON, D.C. 20549 | OMB APPROVAL | |---------------------| INITIAL STATEMENT OF |OMB NUMBER: 3235-0104| BENEFICIAL OWNERSHIP OF SECURITIES |EXPIRES: | | DECEMBER 31, 2001 | Filed pursuant to Section 16(a) of the |ESTIMATED AVERAGE | Securities Exchange Act of 1934, |BURDEN HOURS | Section 17(a) of the Public Utility |PER RESPONSE..... 0.5| Holding Company Act of 1935 |_____________________| or Section 30(f) of the Investment Company Act of 1940 --------------------------------------------------------------------------- 1. Name and Address of Reporting Person Rare Medium Group, Inc 28 West 23rd Street New York, NY 10010 --------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) October 12, 2001 --------------------------------------------------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) 23-2358845 --------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol XM Satellite Radio Holdings, Inc. (NasdaqNM:XMSR) --------------------------------------------------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ( ) Director (X ) 10% Owner ( ) Officer (give title below) ( ) Other (specify title below) ------------------------------------- --------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) --------------------------------------------------------------------------- 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 BENEFICIALLY OWNED --------------------------------------------------------------------------- |1. Title of Security|2. Amount of |3. Ownership |4. Nature of | | (Instr. 4) | Securities | Form: Direct| Indirect | | | Beneficially| (D) or | Beneficial | | | Owned | Indirect (I)| Ownership | | | (Instr. 4) | (Instr. 5) | (Instr. 5) | |--------------------|---------------|---------------|--------------------| Class A Common Stock 5,000,000 D par value $0.01 =========================================================================== TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) --------------------------------------------------------------------------- 1. Title of Derivative Security (Instr. 4) --------------------------------------------------------------------------- 2. Date Exercisable and Expiration Date (Month/Day/Year) ------------------------ ------------------------- Date Exercisable Expiration Date --------------------------------------------------------------------------- 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) -------------------------------- ------------------------------- Title Amount or Number of Shares --------------------------------------------------------------------------- 4. Conversion or Exercise Price of Derivative Security --------------------------------------------------------------------------- 5. Ownership Form of Derivative Security: Direct(D) or Indirect(I) (Instr. 5) --------------------------------------------------------------------------- 6. Nature of Indirect Beneficial Ownership (Instr. 5) =========================================================================== EXPLANATION OF RESPONSES: /s/ Robert C. Lewis October 22, 2001 ------------------------------------- ---------------- By: Robert C. Lewis DATE Title: Senior Vice President ** SIGNATURE OF REPORTING PERSON -------------------------- ** 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 SIGNED. IF SPACE IS INSUFFICIENT, SEE INSTRUCTION 6 FOR PROCEDURE. POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB NUMBER. ===========================================================================