U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935
or Section 30(f) of the Investment Company Act of 1940
/ / Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Chavkin Arnold L.
(Last) (First) (Middle)
c/o Chase Capital Partners
380 Madison Avenue - 12th Floor
(Street)
New York New York 10017
(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Triton PCS Holdings, Inc. ("TPCS")
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
4. Statement for Month/Year
October 1999
5. If Amendment, Date of Original (Month/Year)
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
/X/ Director / / 10% Owner
/ / Officer (give title below) / / Other (specify below)
7. Individual or Joint/Group Reporting (Check Applicable Line)
/X/ Form filed by One Reporting Person
/ / Form filed by More than One Reporting Person
* If the form is filed by more than one reporting person, see instruction
4(b)(v).
<TABLE>
<CAPTION>
Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
5. Amount
of Secu-
rities
4. Securities Acquired (A) Bene- 6. Ownership
2. Trans- 3. Trans- or Disposed of (D) ficially Form:
action action (Instr. 3, 4 and 5) Owned Direct 7. Nature of
Date Code ----------------------------- at End (D) or Indirect
(Month/ (Instr. 8) (A) of Month Indirect Beneficial
1. Title of Security Day/ ------------- Amount or Price (Instr. (I) Ownership
(Instr. 3) Year) Code V (D) 3 and 4) (Instr. 4) (Instr. 4)
- ----------------------------- ---------- ------ ----- ------------ --- ---------- ----------- ------------- ---------------
<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Class A Common Stock 10/27/99 J 12,270,744 A N/A 12,270,744 I (FN 1)
</TABLE>
<TABLE>
<CAPTION>
Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
2. Conver- 5. Number of Deriv- 6. Date Exercisable
sion or 3. Trans- ative Securities and Expiration Date
Exercise action 4. Transac- Acquired (A) or (Month/Day/Year)
Price of Date tion Code Disposed of (D) ----------------------
Deriv- (Month/ (Instr. 8) (Instr. 3, 4, and 5) Date
1. Title of Derivative Security ative Day/ ------------- -------------------------- Exercis- Expiration
(Instr. 3) Security Year) Code V (A) (D) able Date
- ---------------------------------------- ----------- ---------- ------ ----- ------------ ------------ ---------- ----------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Series C Preferred Stock 23 for 1 10/27/99 J 533,510.63 10/27/99 N/A
(FN 2)
<CAPTION>
9. Number of 10. Ownership
Derivative Form of
Securities Derivative
7. Title and Amount of Underlying Benefi- Security:
Securities (Instr. 3 and 4) cially Direct 11. Nature of
---------------------------------------- 8. Price of Owned at (D) or Indirect
Amount or Derivative End of Indirect Beneficial
1. Title of Derivative Title Number of Security Month (I) Ownership
Security (Instr. 3) Shares (Instr. 5) (Instr. 4) (Instr. 4) (Instr. 4)
- --------------------------- --------------------------- ----------- ------------- ------------- -------------- ---------------
<S> <C> <C> <C> <C> <C> <C>
Series C Preferred Stock Class A Common Stock 12,270,744 N/A 0 I (FN 1)
(FN 2)
</TABLE>
Explanation of Responses:
(1) The amount shown represents the beneficial ownership of the Issuer's
securities by CB Capital Investors, L.P.("CBCI, L.P."), a portion of which may
be deemed attributable to the reporting person because the reporting person is a
general partner of Chase Capital Partners ("CCP"), which is the sole limited
partner of CBCI, L.P. and the investment manager of CB Capital Investors, Inc.,
the general partner of CBCI, L.P. The actual pro rata portion of such beneficial
ownership that may be deemed attributable to the reporting person is not readily
determinable because it is subject to several variables, including CCP's and
CBCI, L.P.'s internal rate of return and vesting of interests.
(2) Prior to the closing of the initial public offering of Triton PCS Holdings,
Inc., these shares were automatically converted into Class A Common Stock on a
23 for 1 basis.
/s/ Arnold L. Chavkin 11/9/99
- --------------------------------------- --------------------------
**Arnold L. Chavkin Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
