4 1 a2040716z4.txt 4 ------ U.S. SECURITIES AND EXCHANGE COMMISSION --------------------------- FORM 4 WASHINGTON, D.C. 20549 OMB APPROVAL ------ --------------------------- STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB NUMBER 3235-0287 / / CHECK THIS BOX IF NO EXPIRES: DECEMBER 31, 2001 LONGER SUBJECT TO SECTION ESTIMATED AVERAGE BURDEN 16. FORM 4 OR FORM 5 HOURS PER RESPONSE .... 0.5 OBLIGATIONS MAY CONTINUE. --------------------------- SEE INSTRUCTION 1(b). 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* 2. ISSUER NAME AND TICKER OR TRADING 6. RELATIONSHIP OF REPORTING PERSON TO ISSUER SYMBOL (Check all applicable) Ramamurthy Githesh CCC Information Services Group Inc. X Director 10% Owner (CCCG) --- --- X Officer Other --- --- ----------------------------------------------------------------------------------- (give title below) (specify below) (Last) (First) (Middle) 3. IRS OR SOCIAL 4. STATEMENT FOR SECURITY NUMBER MONTH/YEAR President and Chief Executive Officer OF REPORTING ------------------------------------- PERSON, IF AN January 2001 ENTITY ------------------------------------- (VOLUNTARY) ----------------------------------------------- 7. INDIVIDUAL OR JOINT/GROUP FILING (CHECK APPLICABLE LINE) 444 Merchandise Mart ------------------------------------------- ------------------ X Form filed by One Reporting Person (Street) 5. IF AMENDMENT, --- DATE OF Form filed by More Than One Reporting ORIGINAL --- Person (MONTH/YEAR) December 1999 Chicago Illinois 60654 ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) TABLE 1 - NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED ------------------------------------------------------------------------------------------------------------------------------------ 1. TITLE OF SECURITY 2. TRANSACTION 3. TRANSACTION 4. SECURITIES 5. AMOUNT OF 6. OWNERSHIP 7. NATURE OF (Instr. 3) DATE CODE ACQUIRED SECURITIES FORM: INDIRECT (Month/ (Instr. 8) (A) OR BENEFICIALLY DIRECT (D) BENEFICIAL Day/Year) DISPOSED OF OWNED AT OR INDIRECT OWNERSHIP (D) (Instr. END OF (I) (Instr. 4) 3, 4, and 5) MONTH (Instr. 4) (Instr. 3 and 4) -------------------------------------- (A) Code V Amount or Price (D) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/27/00 A 60,000 A $4.38 489,700 D ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ * If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) SEC 1474 (3-99) (Print or Type Response) FORM 4 (CONTINUED) TABLE II - DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) ---------------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Conversion 3. Transaction 4. Transaction 5. Number of 6. Date Exercisable Security (Instr. 3) or Exercise Date Code Derivative and Expiration Date Price of (Month/Day (Instr. 8) Securities (Month/Day/Year) Derivative /Year) Acquired Security (A) or Disposed of (D) ------------------------- (Instr. 3, 4, Date and 5) Exercis- Expiration able Date -------------------------------------- Code V (A) (D) ---------------------------------------------------------------------------------------------------------------------------------- Employee Stock Option (Right to buy) $ 7.50 1/15/01 A 150,000 (1) 1/15/11 ---------------------------------------------------------------------------------------------------------------------------------- Employee Stock Option (Right to buy) $ 4.38 10/27/00 A 60,000 (1) 12/12/00 ---------------------------------------------------------------------------------------------------------------------------------- Employee Stock Option (Right to buy) $10.625 6/28/00 A 200,000 (2) 6/28/10 ---------------------------------------------------------------------------------------------------------------------------------- Employee Stock Option (Right to buy) $ 9.50 9/1/99 A 40,000 (1) 9/01/09 ---------------------------------------------------------------------------------------------------------------------------------- Employee Stock Option (Right to buy) $12.125 9/23/98 A 45,000 (1) 9/23/08 ---------------------------------------------------------------------------------------------------------------------------------- Employee Stock Option (Right to buy) $11.20 7/22/96 A 120,000 (1) 7/22/01 ---------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------ 7. Title and Amount of 8. Price of 9. Number of 10. Ownership 11. Nature of Underlying Securities Derivative Derivative of Derivative Indirect (Instr. 3 and 4) Security Securities Security: Beneficial (Instr.5) Beneficially Direct (D) Ownership Owned at or (Instr. 4) End of Indirect (I) ---------------------------- Month (Instr. 4) Amount or (Instr. 4) Title Number of Shares ------------------------------------------------------------------------------------------------------------------ Common 150,000 150,000 D Stock, $.10 ------------------------------------------------------------------------------------------------------------------ Common 60,000 -0- Stock, $.10 ------------------------------------------------------------------------------------------------------------------ Common 200,000 200,000 D Stock, $.10 ------------------------------------------------------------------------------------------------------------------ Common 40,000 40,000 D Stock, $.10 ------------------------------------------------------------------------------------------------------------------ Common 45,000 45,000 D Stock, $.10 ------------------------------------------------------------------------------------------------------------------ Common 120,000 120,000 D Stock, $.10 ------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------ Explanation of Responses: *On January 7, 2000, the reporting person filed a Form 4 reporting certain information regarding the derivative securities beneficially owned by him. Table II correctly sets forth the derivative securities beneficially owned by the reporting person as of March 23, 2001. (1) The option becomes exercisable in four equal installments beginning on the first anniversary of the grant date specified in column 3. (2) The option became exercisable in four equal installments beginning on December 12, 1996. The option was fully vested on December 12, 1999. ** Intentional misstatements or omissions of facts constitute /s/ Githesh Ramamurthy 03/23/01 Federal Criminal Violations. -------------------------------------- -------------- SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, SEE Instruction 6 for procedure. Page 2 SEC 1474 (3-99)