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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 | ||||||||
12% Mandatorily Convertible Preferred Stock (1) | (2) | 05/11/2006 | A | 160,000 | (2) | (2) | Common Stock | 2,000,000 (2) | (1) | 160,000 | I (3) | See FN (3) | |||
Warrants (1) | $ 8 (4) | 05/11/2006 | A | 640,000 | (4) | 05/11/2009 | Common Stock | 640,000 (4) | (1) | 640,000 | I (3) | See FN (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
FR X Offshore GP LTD C/O FIRST RESERVE CORPORATION ONE LAFAYETTE PLACE, THIRD FL. GREENWICH, CT 06830 |
X | X | See Remark (1) | |
FR X Offshore GP, L.P. C/O FIRST RESERVE CORPORATION ONE LAFAYETTE PLACE, THIRD FL. GREENWICH, CT 06830 |
X | X | See Remark (1) | |
FR X Offshore, L.P. C/O FIRST RESERVE CORPORATION ONE LAFAYETTE PLACE, THIRD FL. GREENWICH, CT 06830 |
X | X | See Remark (1) |
Anne E. Gold | 05/15/2006 | |
**Signature of Reporting Person | Date | |
Anne E. Gold, In the Capacity Described in Remark (2) | 05/15/2006 | |
**Signature of Reporting Person | Date | |
Anne E. Gold, In the Capacity Described in Remark (2) | 05/15/2006 | |
**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) | The reported securities are included within 160,000 Units issued by the Issuer and purchased by FR X Offshore L.P. for $93.75 per Unit. Each Unit consists of one share of 12% Mandatorily Convertible Preferred Stock (the "Preferred Stock") and four Warrants, each Warrant to purchase one share of Common Stock. |
(2) | Upon the approval of the holders of the Issuer's Common Stock, the Preferred Stock will automatically convert into Common Stock at a conversion rate of 12.5 shares of Common Stock per share of Preferred Stock. The Statement of Designations for the Preferred Stock does not provide an expiration date. |
(3) | This Form 4 is filed on behalf of FR X Offshore GP Limited ("Offshore Ltd"), FR X Offshore GP, L.P. ("Offshore GP"), and FR X Offshore, L.P. ("Offshore LP"). Offshore LP is a 10% beneficial owner of the Issuer's Common Stock. Offshore GP is the general partner of Offshore LP and may be deemed to share beneficial ownership of the securities owned by Offshore LP. Offshore Ltd., as the general partner of Offshore GP, may also be deemed to share beneficial ownership of the securities owned by Offshore LP. |
(4) | Upon the approval by the holders of the Issuer's Common Stock of the conversion of the Preferred Stock, each Warrant will entitle its holder to purchase one share of Common Stock at an exercise price of $8.00 per share. |
Remarks: (1) The Reporting Persons have included the designation of "Director" in order to satisfy potential filing obligations in the event any such Reporting Persons are deemed to be a director of the Issuer by deputization. (2) FR X Offshore GP Limited, by Anne E. Gold, Attorney-in-Fact for Thomas R. Denison, Director (See Attached Power of Attorney), is signing for itself as the designated filer, as well as in the capacity of general partner of FR X Offshore GP, L.P. FR X Offshore GP, L.P. by Anne E. Gold, is signing in its capacity as general partner of FR X Offshore, L.P. See Footnote (3). |