U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
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. Date of Event Requiring Statement (Month/Day/Year)
10/27/99
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
4. Issuer Name and Ticker or Trading Symbol
Triton PCS Holdings, Inc. ("TPCS")
5. Relationship of Reporting Person to Issuer (Check all applicable)
/X/ Director / / 10% Owner
/ / Officer (give title below) / / Other (specify below)
6. If Amendment, Date of Original (Month/Day/Year)
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
5(b)(v).
<TABLE>
<CAPTION>
Table I -- Non-Derivative Securities Beneficially Owned
2. Amount 3. Ownership
of Secu- Form:
rities Direct 4. Nature of
Bene- (D) or Indirect
ficially Indirect Beneficial
Owned (I) Ownership
1. Title of Security (Instr. 4) (Instr. 5) (Instr. 5)
- -------------------------------- ------------- ------------- ----------------
<S> <C> <C> <C>
</TABLE>
<TABLE>
<CAPTION>
Table II--Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
2. Date Exercisable
and Expiration Date 3. Title and Amount of Securities Underlying Derivative
(Month/Day/Year) Security (Instr. 4)
---------------------- -----------------------------------------------------------
Date Amount or
1. Title of Derivative Exercis- Expiration Title Number of
Security (Instr. 4) able Date Shares
- ---------------------------------------------- ---------- ---------- ---------------------------------------------- -----------
<S> <C> <C> <C> <C>
Series C Preferred Stock (FN 1) N/A N/A Class A Common Stock 533,510.63
<CAPTION>
5. Ownership
Form of
Derivative
4. Conver- Security:
sion or Direct 6. Nature of
Exercise (D) or Indirect
Price of Indirect Beneficial
1. Title of Derivative Derivative (I) Ownership
Security (Instr. 4) Security (Instr. 5) (Instr. 5)
- ---------------------------------------------- ------------- ------------- --------------
<S> <C> <C> <C>
Series C Preferred Stock (FN 1) 23 for 1 I (FN 2)
</TABLE>
Explanation of Responses:
(1) Prior to the closing of the initial public offering of Triton PCS Holdings,
Inc., these shares will automatically convert into Class A Common Stock on a 23
for 1 basis.
(2) The amount shown represents the beneficial ownership of the Issuer's
securities by CB Capital Investors, L.P. ("CBCI"), 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's internal rate of return and vesting of interests.
By: /s/ Arnold L. Chavkin 10/27/99
--------------------------------------- --------------------------
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).
