OMB APPROVAL OMB Number 3235-0104 Expires: September 30, 1998 Estimated average burden hours per response.......0.5 +--------+ | FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION +--------+ WASHINGTON, D.C. 20549 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 (Print or Type Responses) - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Madison Dearborn Partners V ---------------------------------------------------------------------------- (Last) (First) (Middle) Three First National Plaza, Suite 1330 ---------------------------------------------------------------------------- (Street) ---------------------------------------------------------------------------- Chicago IL 60602 ---------------------------------------------------------------------------- (City) (State) (Zip) 2. Date of Event Requiring Statement (Month/Day/Year) 10/31/96 -------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) 36-3621537 -------------- 4. Issuer Name and Ticker or Trading Symbol General Communication, Inc. (GNCMA) ----------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [ ] Director [ ] Officer [ ] 10% Owner [x] Other (give title below) (specify below) (Reporting Person may be deemed members of a group.) ---------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) ---------------------------- 7. Individual or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person - - X - - Form filed by More than One Reporting Person TABLE I--NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
- -------------------------------------------------------------------------------- 1. Title 2. Amount of 3. Ownership Form: 4. Nature of of Securities Bene- Direct (D) or Indirect Bene- Security ficially Owned Indirect (I) ficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5) - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- Class A Common 30,916 (a) D Stock - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - --------------------------------------------------------------------------------
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 5(b)(v.) Page 1 of 3 SEC 1473 (7-96) FORM 3 (continued) TABLE II--DERIVATIVE SECURITIES BENEFICIALLY OWNED (e.g., puts, calls, warrants, options, convertible securities)
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conversion 5. Ownership 6. Nature of In- Security (Instr. 4) cisable and Underlying Derivative Security or Form of direct Bene- Expiration (Instr. 4) Exercise Derivative ficial Date Price Security: Ownership (Month/Day/ of Direct (D) (Instr. 5) Year) Derivative or In- ---------------------------------------------------- Security direct (I) Date Expira- Amount or (Instr. 5) Exer- tion Title Number of cisable Date Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - -----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: See page 3. **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 is insufficient, See Instruction 6 for procedure. Madison Dearborn Partners V By: /s/ Gary J. Little 11/12/96 ------------------ -------- **Signature of Reporting Person Date Name: Gary J. Little Title: General Partner 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 number. Page 2 of 3 SEC 1473 (7-96) Name of Reporting Persons: Madison Dearborn Partners IV John A. Canning, Jr. Kent P. Dauten William J. Hunckler, III Paul R. Wood Samuel M. Mencoff Paul J. Finnegan Benjamin D. Chereskin Thomas R. Reusche James N. Perry, Jr. Justin S. Huscher Gary J. Little Address of Reporting Persons: Three First National Plaza, Suite 1330 Chicago, Illinois 60602 Date of Event Requiring Statement: October 31, 1996 Issuer and Ticker Symbol: General Communication, Inc. (GNCMA) --------------------- EXPLANATION OF RESPONSE a) Madison Dearborn Partners V's 30,916 shares of Class A Common Stock are subject to a voting agreement (the "New Voting Agreement") which governs the voting of certain shares of General Communication, Inc.'s Class A Common Stock and Class B Common Stock. The New Voting Agreement is further described in the Schedule 13D filed by Madison Dearborn Partners V on November 12, 1996. Madison Dearborn Partners V and the other parties whose shares are subject to the New Voting Agreement may be deemed to constitute a group for the purposes of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended, because of the terms of the New Voting Agreement. Madison Dearborn Partners V disclaims beneficial ownership of the shares of Class A Common Stock and Class B Common Stock held by the other parties and disclaims that it constitutes a group with the other parties for the purposes of Section 13(d)(3) of the Securities Exchange Act of 1934, as amended. Further, Madison Dearborn Partners V has no pecuniary interest in any shares of Class A Common Stock or Class B Common Stock other than its 30,916 shares and it disclaims beneficial ownership for the purposes of Section 16 of the Securities Exchange Act of 1934, as amended, of any of such other shares. Messrs. Canning, Dauten, Hunckler, Wood, Mencoff, Finnegan, Chereskin, Reusche, Perry, Huscher and Little are the general partners of Madison Dearborn Partners V and may be deemed to have an indirect pecuniary interest in the shares of Class A Common Stock held by Madison Dearborn Partners V. Each such general partner disclaims beneficial ownership of the shares held by Madison Dearborn V except to the extent of such general partner's proportionate interest in Madison Dearborn Partners V. Each such general partner has authorized Madison Dearborn Partners V to make this filing on his behalf. Page 3 of 3 SEC 1473 (7-96)