U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, DC 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
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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. Date of Event Requiring Statement (Month/Day/Year)
1/1/2000
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3. IRS Identification Number of Reporting Person, if an entity (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Triton PCS Holdings, Inc. ("TPCS")
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5. Relationship of Reporting Person to Issuer
(Check all applicable)
|X| Director |_| 10% Owner
|_| Officer (give title below) |_| Other (specify below)
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6. If Amendment, Date of Original (Month/Day/Year)
10/27/1999
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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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Table I -- Non-Derivative Securities Beneficially Owned
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<TABLE>
<CAPTION>
3. Ownership Form:
2. Amount of Securities Direct (D) or
1. Title of Security Beneficially Owned Indirect (I) 4. Nature of Indirect
Beneficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr.
4)
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<S> <C> <C> <C>
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</TABLE>
* If the Form is filed by more than one Reporting Person see instruction
5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
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<PAGE>
FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<TABLE>
<CAPTION>
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5. Owner-
3. Title and Amount of Securities ship
Underlying Derivative Security Form of
2. Date Exercisable (Instr. 4)
Derivative
and Expiration Date --------------------------------- 4. Conver-
Security:
(Month/Day/Year) Amount sion or
Direct 6. Nature of
---------------------- or Exercise (D)
or Indirect
Date Expira- Number Price of
Indirect Beneficial
1. Title of Derivative Exer- tion of Derivative
(I) Ownership
Security (Instr. 4) cisable Date Title Shares Security
(Instr. 5) (Instr. 5)
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<S> <C> <C> <C> <C> <C>
<C> <C>
Series C Preferred Stock N/A N/A Class A Common 533,510.63 23 for 1
I (FN 3)
(FN 2) 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) 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.
(3) The amount shown represents the beneficial ownership of the Issuer's
securities by 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 a 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's internal rate of return and vesting of interests.
/s/ Arnold L. Chavkin February , 2000
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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).
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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