U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 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).
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1. Name and Address of Reporting Person*
Chavkin Arnold L.
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(Last) (First) (Middle)
c/o CB Capital Investors, LLC ("CBCI, LLC") (FN 1)
380 Madison Avenue-12th Floor
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(Street)
New York New York 10017
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Triton PCS Holdings, Inc. ("TPCS")
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3. IRS Identification Number of Reporting Person, if an Entity (Voluntary)
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4. Statement for Month/Year
January 2000
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5. If Amendment, Date of Original (Month/Year)
October 2000
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
|X| Director |_| 10% Owner
|_| Officer (give title below) |_| Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
|X| Form filed by one Reporting Person
|_| Form filed by more than one Reporting Person
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* If the Form is filed by more than one Reporting Person, see Instruction
4(b)(v).
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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<TABLE>
<CAPTION>
6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ---------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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<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 2)
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</TABLE>
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
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FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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<TABLE>
<CAPTION>
9. 10.
Number Owner-
of ship
2. Deriv- Form of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
of Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ -------------- Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
Series C 23 for 1 10/27/99 J 533,510.63 10/27/99 N/A Class A 12,270,744 N/A 0 I (FN 2)
Preferred Common
Stock (FN 3) Stock
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</TABLE>
Explanation of Responses:
(1) Pursuant to an internal reorganization effective as of January 1, 2000,
(i) CB Capital Investors, LLC ("CBCI, LLC") became the successor to CB
Capital Investors, L.P. ("CBCI, LP"), (ii) CB Capital Investors, Inc.
("CBCI, Inc.") became the managing member of CBCI, LLC and (iii) Chase
Capital Partners ("CCP") became the manager, by delegation, of CBCI, LLC
pursuant to a master advisory agreement with CBCI, Inc. The internal
reorganization changed CBCI, LP's name and form of organization but did
not alter the proportionate interests of its ultimate security holders.
(2) The amount shown represents the beneficial ownership of the Issuer's
securities by CB Capital Investors, LLC ("CBCI, LLC"), 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 manager, by delegation, of CBCI, LLC pursuant to an advisory agreement
with CB Capital Investors, Inc., the managing member of CBCI, LLC. 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, LLC's
internal rate of return and vesting of interests.
(3) 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 February , 2000
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** Signature of Reporting Person Date
Arnold L. Chavki
** 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 provided is insufficient, see Instruction 6 for procedure.
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