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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 384 | (8) | (7) | Common Stock | 11,903,285 | (1) | 384 | D (2) | ||||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 9.3 | (8) | (7) | Common Stock | 288,283 | (1) | 9.3 | D (4) | ||||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 3.3 | (8) | (7) | Common Stock | 102,294 | (1) | 3.3 | D (3) | ||||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 3.4 | (8) | (7) | Common Stock | 105,393 | (1) | 3.4 | D (5) | ||||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 390.7 | (8) | (7) | Common Stock | 12,110,972 | (1) | 390.7 | I | See footnote 9 (9) | |||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 9.3 | (8) | (7) | Common Stock | 288,283 | (1) | 9.3 | I | See footnote 10 (10) | |||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 400 | (8) | (7) | Common Stock | 12,399,256 | (1) | 400 | I | See footnote 11 (11) | |||
Series M Participating Convertible Preferred Stock | (6) | 10/26/2004 | J(1) | 400 | (8) | (7) | Common Stock | 12,399,256 | (1) | 400 | I | See footnote 12 (12) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MARGALIT EREL N 41 MADISON AVENUE 25TH FLOOR NEW YORK, NY 10010 |
DIRECTOR & 10% OWNER | |||
JERUSALEM VENTURE PARTNERS IV LP 41 MADISON AVENUE 25TH FLOOR NEW YORK, NY 10010 |
X | |||
JERUSALEM VENTURE PARTNERS IV A LP 41 MADISON AVENUE 25TH FLOOR NEW YORK, NY 10010 |
X | |||
JERUSALEM VENTURE PARTNERS ENTREPRENEURS FUND IV LP 41 MADISON AVENUE 25TH FLOOR NEW YORK, NY 10010 |
X | |||
JERUSALEM VENTURE PARTNERS IV ISRAEL LP JERUSALEM TECHNOLOGY PARK BUILDING 1 MALHA, JERUSALEM, L3 91487 |
X | |||
JERUSALEM PARTNERS IV LP 41 MADISON AVENUE 25TH FLOOR NEW YORK, NY 10010 |
X | |||
JERUSALEM PARTNERS IV - VENTURE CAPITAL LP JERUSALEM TECHNOLOGY PARK BUILDING 1 MALHA, JERUSALEM, L3 91487 |
X | |||
JVP CORP IV C/O ALEXANDRIA BANCORP LTD. P.O. BOX 2428 GT, GRAND CAYMAN, E9 |
X |
Jerusalem Venture Partners IV, L.P., by Jerusalem Partners IV, L.P., its general partner, by JVP Corp. IV, its general partner, by Erel Margalit, its officer | 12/02/2004 | |
**Signature of Reporting Person | Date | |
Jerusalem Venture Partners IV-A, L.P., by Jerusalem Partners IV, L.P., its general partner, by JVP Corp. IV, its general partner, by Erel Margalit, its officer | 12/02/2004 | |
**Signature of Reporting Person | Date | |
Jerusalem Venture Partners Entrepreneurs Fund IV, L.P., by Jerusalem Partners IV, L.P., its general partner, by JVP Corp. IV, its general partner, by Erel Margalit, its officer | 12/02/2004 | |
**Signature of Reporting Person | Date | |
Jerusalem Venture Partners IV (Israel), L.P., by Jerusalem Partners IV-Venture Capital, L.P., its general partner, by JVP Corp. IV, its general partner, by Erel Margalit, its officer | 12/02/2004 | |
**Signature of Reporting Person | Date | |
Jerusalem Partners IV-Venture Capital, L.P., by JVP Corp. IV, its general partner, by Erel Margalit, its officer | 12/02/2004 | |
**Signature of Reporting Person | Date | |
Jerusalem Partners IV, L.P., by JVP Corp. IV, its general partner, by Erel Margalit, its officer | 12/02/2004 | |
**Signature of Reporting Person | Date | |
JVP Corp. IV, by Erel Margalit, its officer | 12/02/2004 | |
**Signature of Reporting Person | Date | |
Erel Margalit | 12/02/2004 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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) | Each share of Common Stock of NVA Acquisition, Inc. held by the Reporting Persons was exchanged for 1 share of Series M Participating Convertible Preferred Stock pursuant to an Agreement and Plan of Merger by and among the Issuer, Cogent Potomac, Inc. and NVA Acquisition, Inc. |
(2) | Shares are owned directly by Jerusalem Venture Partners IV, L.P. |
(3) | Shares are owned directly by Jerusalem Venture Partners IV-A, L.P. |
(4) | Shares are owned directly by Jerusalem Venture Partners IV (Israel), L.P. |
(5) | Shares are owned directly by Jerusalem Venture Partners Entrepreneurs Fund IV, L.P. |
(6) | Each share of Series M Participating Convertible Preferred Stock, par value $.001 per share, is initially convertible into approximately 30,998.14 shares of Common Stock. |
(7) | The conversion feature continues indefinitely. |
(8) | The Series M Participating Convertible Preferred Stock is convertible at the earlier of January 31, 2005 and the date on which the Issuer files an amendment to its Certificate of Incorporation pursuant to the Certificate of Designations of its Series M Participating Convertible Preferred Stock. |
(9) | Jerusalem Partners IV, L.P., which serves as the general partner to Jerusalem Venture Partners IV, L.P., Jerusalem Venture Partners IV-A, L.P. and Jerusalem Venture Partners Entrepreneurs Fund IV, L.P. , may be deemed the indirect beneficial owner of certain of the reported shares of these entities but disclaims beneficial ownership in the shares held by the other joint filers, except to the extent of any indirect pecuniary interest therein. |
(10) | Jerusalem Partners IV-Venture Capital, L.P., which serves as the general partner to Jerusalem Venture Partners IV (Israel), L.P., may be deemed the indirect beneficial owner of certain of the reported shares by these entities but disclaims beneficial ownership in the shares held by the other joint filers, except to the extent of any indirect pecuniary interest therein. |
(11) | JVP Corp. IV, which serves as the general partner to Jerusalem Partners IV, L.P. and Jerusalem Partners IV-Venture Capital, L.P. , may be deemed the indirect beneficial owner of certain of the reported shares of these entities but disclaims beneficial ownership in the shares held by the other joint filers, except to the extent of any indirect pecuniary interest therein. |
(12) | Erel N. Margalit, the Designated Filer, is a director of the Issuer and an officer of JVP Corp. IV, and may be deemed the indirect beneficial owner of the reported shares of such entity but disclaims beneficial ownership in the shares held by the other joint filers, except to the extent of any indirect pecuniary interest therein. |
Remarks: Erel N. Margalit, the Designated Filer, is a director of the issuer and an officer of JVP Corp. IV. JVP Corp IV serves as the general partner to Jerusalem Partners IV, L.P. and Jerusalem Partners IV-Venture Capital, L.P. Jerusalem Partners IV, L.P. serves as the general partner to Jerusalem Venture Partners IV, L.P., Jerusalem Venture Partners IV-A, L.P. and Jerusalem Venture Partners Entrepreneurs Fund IV, L.P. Jerusalem Partners IV-Venture Capital, L.P. serves as the general partner to Jerusalem Venture Partners IV (Israel), L.P. Each Reporting Person disclaims the existence of a "group" and disclaims beneficial ownership of any securities (except to the extent of such Reporting Person's pecuniary interest in such securities) other than any securities reported herein as being directly owned by such Reporting Person, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of any securities for purposes of Section 16 or for any other purpose. |