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, 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. | 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) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Warrant | 11/29/2004 | 07/05/2005 | Common Stock | 174,595 | $ 49.9 | D (1) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
RICHLAND VENTURES III L P 1201 16TH AVENUE SOUTH NASHVILLE, TN 37212 |
 |  X |  |  |
/S/ Jack Tyrell as General Partner of Richland Partners III, the General Partner of Richland Ventures III, L.P. | 12/08/2004 | |
**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) | These securities are held directly by Richard Ventures III, L.P., a Delaware limited partnership "RVIII", the general partner of which is Richland Partners III, a Delaware general partnership "RPIII". RPIII disclaims beneficial ownership of the securities reported herein except to the extent of its partnership interest. Mr. Tyrell, Mr. Ortale and Mr. Hoffman are individual general partners of RPIII and each disclaims beneficial ownership of the securities reported herein except to the extent of his partnership interest. |