-----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, CprWsD92Itiw0tLRskM+NPs+vvNBsTqq2ulStBuBauNsxE4tYyoK/8+poZEPbLOu Se7k7g/V+5YW2gbJpV8tJw== 0000895813-99-000044.txt : 19990211 0000895813-99-000044.hdr.sgml : 19990211 ACCESSION NUMBER: 0000895813-99-000044 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19990131 FILED AS OF DATE: 19990210 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MCLEODUSA INC CENTRAL INDEX KEY: 0000919943 STANDARD INDUSTRIAL CLASSIFICATION: RADIO TELEPHONE COMMUNICATIONS [4812] IRS NUMBER: 421407240 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: SEC FILE NUMBER: 000-20763 FILM NUMBER: 99526785 BUSINESS ADDRESS: STREET 1: 6400 C ST SW STREET 2: PO BOX 3177 CITY: CEDAR RAPIDS STATE: IA ZIP: 52406-3177 BUSINESS PHONE: 3193640000 MAIL ADDRESS: STREET 1: TOWNE CENTRE STREET 2: 221 THIRD AVENUE SE SUITE 500 CITY: CEDAR RAPIDS STATE: IA ZIP: 52401-1522 FORMER COMPANY: FORMER CONFORMED NAME: MCLEOD INC DATE OF NAME CHANGE: 19960403 COMPANY DATA: COMPANY CONFORMED NAME: GRISSOM STEVEN L CENTRAL INDEX KEY: 0001073304 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O CONSOLIDATED COMMUNICATIONS INC STREET 2: 121 S 17TH ST CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172354410 MAIL ADDRESS: STREET 1: CONSOLIDATED COMMUNICATIONS INC STREET 2: 121 S 17TH ST CITY: MATTOON STATE: IL ZIP: 61938 5 1 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 FORM 5 ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP ( ) Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instructions 1(b). (X) Form 3 Holdings Reported. ( ) Form 4 Transactions Reported. 1. Name and Address of Reporting Person: Steven L. Grissom 121 South 17th Street Mattoon, Illinois 61938 U.S.A. 2. Issuer Name and Ticker or Trading Symbol: McLeodUSA Incorporated MCLD 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: December, 1998 5. If Amendment, Date of Original (Month/Year): 6. Relationship of Reporting Person(s) to Issuer (Check all applicable): ( ) Director ( ) 10% Owner ( ) Officer (give title below) (x) Other (specify below) Member of 13(d) group owning more than 10% 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 Acquired, Disposed of, or Beneficially Owned 5. Amount of Securities Beneficially 6. Owner- 7. Nature of 2. Trans- Owned at End ship Form: Indirect 1. Title of action 3. Trans- 4. Securities Acquired (A) of Month Direct (D) or Beneficial Security Date (Month/ action Code or Disposed of (D) (Instr. 3 Indirect (I) Ownership (Instr. 3) Day/Year) (Instr. 8) (Instr. 3, 4 and 5) and 4) (Instr. 4) (Instr. 4) ----------- ------------ ----------- -------------------------- ------------- ------------- ------------ Code V Amount (A)or(D) Price
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 9. Number of 10. 5. Deri- Ownership 2. Number of vative Form of Conver- Derivative 6. Securities Deriva- 1. sion or 3. Securities Date 7. 8. Benefi- tive 11. Title Exercise Trans- 4. Acquired (A) Exercis- Title Price cially Security: Nature of Deri- Price of action Trans- or Disposed able and and Amount of of Deri- Owned Direct (D) of Indirect vative Deriva- Date action of (D) Expiration Underlying vative at End of or In- Beneficial Security tive (Month/ Code (Instr. 3, Date (Month/ Securities Security Month direct (I) Ownership (Instr. 3)Security Day/Year) (Instr. 8) 4 and 5) Day/Year) (Instr. 3 and 4) (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4) ------------------ --------- ---------- ------------ ------------ ---------------- ---------- ---------- ---------- ---------- Code V (A) (D) Date Expir- Title Amount or Exer- ation Number of cis- Date Shares able Employee $29.75 12/31/98 4(1) (1) 12/31/08 Class A 5,000 5,000 D Stock Common Option Stock (right to buy) (1)
(1) The employee stock option dated 12/31/98 vests in four equal annual installments which begin on December 31, 1999. SIGNATURE OF REPORTING PERSON: Steven L. Grissom DATE: February 8, 1999
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