UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
| ||||||||||||||||||||||||||||||
|
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who 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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Senior Secured Convertible Note due 2006 | 11/27/2001 | 11/26/2006 | Common Stock | 6,768 (1) | $ 2,955 (1) | I (2) | See Footnote (2) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
EQUIFAX INC 1550 PEACHTREE STREET, NW ATLANTA, GA 30309 |
X | |||
CD HOLDINGS INC 1550 PEACHTREE STREET, NW ATLANTA, GA 30309 |
X | X | ||
EQUIFAX CONSUMER SERVICES INC 1550 PEACHTREE STREET, NW ATLANTA, GA 30309 |
X | |||
HEROMAN DONALD T 1550 PEACHTREE STREET, NW ATLANTA, GA 30309 |
X | X |
/s/ Donald T. Heroman, Chief Financial Officer - Equifax Inc. | 04/29/2004 | |
**Signature of Reporting Person | Date | |
/s/ Donald T. Heroman, President - CD Holdings Inc. | 04/29/2004 | |
**Signature of Reporting Person | Date | |
/s/ Donald T. Heroman, Vice President - Equifax Consumer Services, Inc. | 04/29/2004 | |
**Signature of Reporting Person | Date | |
/s/ Donald T. Heroman | 04/29/2004 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Does not reflect a 554.9338-for-one stock split of INTX's Common Stock, which is expected to be effected immediately prior to the closing of INTX's initial public offering, as a result of which the reported securities will become convertible into an aggregate of 3,755,792 shares of Common Stock, at a conversion price of approximately $5.3251 per share. |
(2) | The reported securities are owned directly by CD Holdings Inc., which is a wholly owned subsidiary of Equifax Consumer Services, Inc., which is a wholly owned subsidiary of Equifax Inc. Equifax Consumer Services, Inc. and Equifax Inc. are indirect beneficial owners of the reported securities. Mr. Heroman disclaims beneficial ownership of the reported securities. |
Remarks: This report is filed jointly by CD Holdings Inc., Equifax Consumer Services, Inc., Equifax Inc. and Donald T. Heroman, all of whom are or may be deemed to be 10% owners. Mr. Heroman is a director, and CD Holdings Inc. may be deemed to be a director by virtue of its right to nominate a representative to serve on INTX's Board of Directors. Donald T. Heroman is CD Holdings Inc.'s representative on INTX's Board. |