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FORM 4
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[ ] CHECK THIS BOX IF NO LONGER OMB APPROVAL
SUBJECT TO SECTION 16. FORM 4 OR --------------------------------
FORM 5 OBLIGATIONS MAY CONTINUE. OMB NUMBER: 3235-0287
SEE INSTRUCTION 1(b). EXPIRES: SEPTEMBER 30, 1998
(PRINT OR TYPE RESPONSES) ESTIMATED AVERAGE BURDEN
HOURS PER RESPONSE..........0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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
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1.Name and Address of Reporting Person*(1) 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting
Person to Issuer
Anschutz Company Internet Communications Corporation (INCC) (Check all applicable)
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(Last) (First) (Middle) 3. IRS or Social 4. Statement for Month/Year [ ] Director [X] 10% Owner
Security Number [ ] Officer [ ] Other
of Reporting August 1999 (give title (specify title
555 17th Street, Suite 2400 Person below) below)
- --------------------------------------- (Voluntary)
(Street)
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Denver, Colorado 80202 5. If Amendment, 7. Individual or Joint/Group Filing
- --------------------------------------- Date of Original (Check Applicable Line)
(City) (State) (Zip) (Month/Year)
[ ] Form filed by One Reporting Person
[X] Form filed by More than One Reporting Person
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TABLE I - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED
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1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership Form: 7. Nature of
(Instr.3) action action Code or Disposed of (D) Securities Direct (D) or Indirect
Date (Instr. 8) (Instr. 3,4 and 5) Beneficially Indirect (I) Beneficial
Owned at End of (Instr. 4) Ownership
(Month/ Month (Instr. 4)
Day/Year)-------------------------------------------------
Code V Amount (A) or (D) Price (Instr. 3 and 4)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
*If the form is filed by more than one reporting person, SEE Instruction 4(b)(v). SEC 1474 (1/9/97)
Page 1 of 3
POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION
OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED
TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER.
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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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1. Title of 2. Conversion 3. Transaction 4. Transaction 5. Number of
Derivative or Exercise Date Code Derivative
Security Price of (Month/Day/Year) (Instr. 8) Securities
(Instr. 3) Derivative Acquired (A)
Security or Disposed
of (D)
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Code V (A) (D)
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Series B $2.9063 per 8/11/99 P 19,000
Convertible share of shares
Preferred Stock Common Stock
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Warrants to $2.9063 per 8/11/99 P 100,000
purchase share of warrants
Common Stock Common Stock
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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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6. Date 7. Title and Amount 8. Price of 9. Number of 10. Ownership 11. Nature of
Exercisable of Underlying Derivative Derivative Form of Indirect
and Expiration Securities Security Securities Derivative Beneficial
Date (Instr. 3 and 4) Beneficially Security: Ownership
(Month/Day/Year) Owned at Direct (D) or (Instr. 4)
End of Indirect (I)
Month (Instr. 4)
(Instr. 4)
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Amount
Date Expir- or
Exer- ation Number
cisable Date Title of Shares
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Immed. None Common Stock 653,752 $100.00 per 69,000 shares I (1)
shares share (2) (3)
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Immed. 8/11/03 Common Stock 100,000 -(2) 163,158 I (1)
shares warrants
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Explanation of Responses:
(1) This Form 4 is filed jointly by Interwest Group, Inc., Anschutz Company,
and Philip F. Anschutz. Philip F. Anschutz is the owner of 100% of the
capital Stock of Anschutz Company, which is the owner of 100% of the
capital Stock of Interwest Group, Inc., which is the direct owner of the
securities indicated.
(2) The price of the warrants was not separately specified in the agreement
pursuant to which 100,000 warrants and 19,000 shares of Series B
Convertible Preferred Stock were purchased for aggregate consideration of
$1,900,000.
(3) The total number of derivative securities beneficially owned at the end of
the month includes both the Series B Convertible Preferred Stock reported
herein and the 50,000 shares of Series A Convertible Preferred Stock
reported on the Form 4 dated January 8, 1999.
(4) Philip F. Anschutz executed a Power of Attorney that authorizes Thomas A.
Richardson to sign this Form 4 on his behalf as an individual and on his
behalf as Chairman of Anschutz Company.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note: File three copies of this Form, one of which must be manually signed. Anschutz Company
If space provided is insufficient, see instruction 6 for procedure.
By: Philip F. Anschutz
Chairman
**Signature of Reporting Person
By: /s/ THOMAS A. RICHARDSON September 10, 1999
------------------------- ------------------
Thomas A. Richardson Date
Potential persons who are to respond to the collection of information contained
Attorney-in-fact (4)SEC 1475 (3/99) in this form are not required to respond
unless the form displays a currently valid OMB number. Page 2 of 3
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JOINT INFORMATION
Name: Interwest Group, Inc.
Address: 7100 East Belleview Avenue, Suite 201
Greenwood Village, Colorado 80111
Designated Filer: Anschutz Company
Issuer and Trading
Symbol: Internet Communication Corporation (INCC)
Statement for
Month/Year: August 1999
Signature: Interwest Group, Inc.
By: /s/ THOMAS G. KUNDERT September 10, 1999
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Thomas G. Kundert Date
Treasurer
Name: Philip F. Anschutz
Address: 555 17th Street
Suite 2400
Denver, Colorado 80202
Designated Filer: Anschutz Company
Issuer and Trading
Symbol: Internet Communications Corporation (INCC)
Statement for
Month/Year: August 1999
Signature: Philip F. Anschutz
By: /s/ THOMAS A. RICHARDSON September 10, 1999
------------------------ --------------------------
Thomas A. Richardson Date
Attorney-in-fact (4)
Attachment to SEC 1475 (1/9/97)
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