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 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 (Right to Buy) | 05/06/2005 | 05/06/2010 | Common Stock | 1,142,857 | $ 1.35 | D (1) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Roaring Fork Capital SBIC, L.P. 8400 E PRENTICE AVENUE GREENWOOD VILLAGE, CO 80111 |
X |
/s/ Eugene C. McColley, Manager of Roaring Fork Capital Management, LLC, General Partner | 05/16/2005 | |
**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) | This report is filed by Roaring Fork Capital SBIC, L.P. ("RFLP"), Roaring Fork Capital Management, LLC, is RFLP's sole general partner ("RFLLC") and may be deemed to indirectly own the securities owned by RFLP. Mr. Eugene McColley is the sole manager of RFLLC and, as a principal of RFLLC, may be deemed to indirectly own the securities which RFLLC may beneficially own. RFLLC and Mr. McColley disclaim beneficial ownership of the reported securities execpt to the extent of their pecuniary interest. |