Form 4 for Michael W. Dunn
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 4
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(h) of the Investment Company Act of 1940
|_| Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
(Print of Type Responses)
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1. Name and Address of Reporting Person*
Dunn Michael W.
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(Last) (First) (Middle)
4000 First Avenue, N.E.
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(Street)
Cedar Rapids Iowa 52402
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
MACC Private Equities Inc. - MACC
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3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
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4. Statement for Month/Day/Year
April 7, 2003
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5. If Amendment, Date of Original (Month/Day/Year)
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6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|X| Director |_| 10% Owner
| | Officer (give title below) |_| Other (specify below)
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7. Individual or Joint/Group Filing (Check Applicable line)
|X| Form Filed by One Reporting Person
|_| 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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5.
Amount of 6.
4. Securities Owner-
Securities Acquired (A) or Beneficially ship
2A. 3. Disposed of (D) Owned Form: 7.
2. Deemed Transaction (Instr. 3, 4 and 5) Following Direct Nature of
Trans- Execution Code ------------------------------- Reported (D) or Indirect
1. action Date, if (Instr. 8) (A) Transaction(s) Indirect Beneficial
Title of Security Date any ------------ or (Instr. 3 & (I) Ownership
(Instr. 3) (mm/dd/yy) (mm/dd/yy) Code V Amount (D) Price Instr.4) (Instr.4) (Instr.4)
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Common Stock 04/07/03 P 253 A $2.40 22,123 I See Explanation
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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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9.
Number 10.
of Owner-
deriv- ship
ative Form
2. Secur- of
Conver- 5. 7. ities Deriv- 11.
sion Number of Title and Amount Bene- ative Nature
or Derivative 6. of Underlying 8. ficially Secur- of
Exer- 3A. 4. Securities Date Securities Price Owned ity: In-
cise Deemed Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of Follow- Direct direct
Price 3. Execut- action or Disposed Expiration Date ---------------- Deriv- ing (D) or Bene-
1. of Trans- ion Code of(D) (Month/Day/Year) Amount ative Reported In- ficial
Title of Deriv- action Date if (Instr. (Instr. 3, ---------------- or Secur- Trans- direct Owner-
Derivative ative Date any 8) 4 and 5) Date Expira- Number ity action(s) (I) ship
Security Secur- (mm/dd/ (mm/dd/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity yy) yy) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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None.
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Explanation of Responses:
The shares of common stock reported on this Form 4 as purchased on April 7, 2003 and indirectly owned by Michael W. Dunn are
beneficially owned through Farmers and Merchants Savings Bank Profit Sharing 401K Plan, FBO Michael W. Dunn.
/s/ Michael W. Dunn 04/09/03
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**Signature of Reporting Person Date
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).
** 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.
Page 2
POWER OF ATTORNEY
The undersigned, an officer and/or director of MACC Private Equities Inc.,
a Delaware corporation (the "Company"), does hereby individually appoint David
R. Schroder, Robert A. Comey and Marilyn Benge, all of Cedar Rapids, Iowa, or
any of them, with full power of substitution, the agent and attorney-in-fact for
the undersigned (the "Agents"), to execute and deliver, for and on behalf of the
undersigned, Reports on Forms 3, 4 and 5 pursuant to Section 16 of the
Securities and Exchange Act of 1934 (the "Act"), to be filed with the Securities
and Exchange Commission, and any and all amendments to such Forms 3, 4 and 5, in
accordance with information regarding trading shares of the Company's common
stock provided by the undersigned.
The undersigned understands and agrees that (i) this Power of Attorney does
not relieve the undersigned of his or her duties and responsibilities under the
Act but rather is executed as a convenience to the undersigned in complying with
the Act, and (ii) the Agents and the Company assume no responsibility or
liability in connection herewith, but undertake only to facilitate the
undersigned's compliance with the Act in accordance with the undersigned's
directions.
This Power of Attorney may be executed in multiple counterparts, each of
which shall be deemed an original, but which taken together shall constitute one
instrument.
Date: October 8, 2002
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Signature: /s/ Michael W. Dunn
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Michael W. Dunn