0001306652-05-000001.txt : 20120615
0001306652-05-000001.hdr.sgml : 20120615
20050328142010
ACCESSION NUMBER: 0001306652-05-000001
CONFORMED SUBMISSION TYPE: SC 13G
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20050328
DATE AS OF CHANGE: 20050328
SUBJECT COMPANY:
COMPANY DATA:
COMPANY CONFORMED NAME: SMARTSERV ONLINE INC
CENTRAL INDEX KEY: 0001005698
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROCESSING & DATA PREPARATION [7374]
IRS NUMBER: 133750708
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0902
FILING VALUES:
FORM TYPE: SC 13G
SEC ACT: 1934 Act
SEC FILE NUMBER: 005-49961
FILM NUMBER: 05706242
BUSINESS ADDRESS:
STREET 1: METRO CENTER
STREET 2: ONE STATION PLACE
CITY: STAMFORD
STATE: CT
ZIP: 06902
BUSINESS PHONE: 2033535950
MAIL ADDRESS:
STREET 1: ONE STATION PLACE
CITY: STAMFORD
STATE: CT
ZIP: 06902
FILED BY:
COMPANY DATA:
COMPANY CONFORMED NAME: Headwaters Holdings, LLC
CENTRAL INDEX KEY: 0001306652
IRS NUMBER: 943335860
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: SC 13G
BUSINESS ADDRESS:
STREET 1: 30 LIBERTY SHIP WAY
STREET 2: SUITE 3200
CITY: SAUSALITO
STATE: CA
ZIP: 94965
BUSINESS PHONE: 415-965-3555
MAIL ADDRESS:
STREET 1: 30 LIBERTY SHIP WAY
STREET 2: SUITE 3200
CITY: SAUSALITO
STATE: CA
ZIP: 94965
SC 13G
1
smartservdocument2.txt
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No._)*
SmartServ Online Inc
--------------------
(Name of Issuer)
Common Stock, par value $.01 per share
---------------------------------------
(Title of Class of Securities)
83169M302
---------
(CUSIP Number)
December 1, 2004
-------------
(Date of Event which Requires Filing of this statement)
Check the appropriate box to designate the rule pursuant to which
this Schedule is filed:
(x) Rule 13d-1(c)
1. Names of Reporting Person: Headwaters Holdings LLC
2. N/A
3. SEC Use Only
4. Citizenship or Place of Organization: California
Number of shares Beneficially Owned by Each Reporting Person With:
5. Sole Voting Power: 561,794 shares
6. N/A
7. Sole Dispositive Power: 561,794 shares
8. N/A
9. Aggregate Amount Beneficially Owned by Each Reporting Person:
561,794 shares
10. N/A
11. Percent of Class Represented by Amount in Row (11): approx.15.83%
12. Type of Reporting Person: OO
Item 1(a). Name of Issuer
SmartServ Online, Inc.
Item 1(b). Address of Issuer's Principal Executive Offices
2250 Butler Pike, Suite 150, Plymouth Meeting, PA. 19462
Item 2(a). Name of Person Filing:
Headwaters Holdings, LLC.
Item 2(b). Address of Principal Business Office:
30 Liberty Ship Way, Sausalito, California 94965
Item 2(c). Citizenship:
Headwaters Holdings is a California Limited Liability Company
Item 2(d). Title of Class of Securities
Common Stock
Item 2(e). Cusip Number
83169M302
Item 3. N/A
Item 4. Ownership
(a) 561,794 shares
(b) 18.48%
(c) (i) 561,794 shares
(ii) N/A
(iii) 561,794 shares
(iv) N/A
Item 5. N/A
Item 6. N/A
Item 7. N/A
Item 8. N/A
Item 9. N/A
Item 10. Certification
By signing below I certify that, to the best of my knowledge and belief,
the securities referred to above were acquired and are held in the ordinary
course of business and were not acquired and are not held for the purpose
of or with the effect of changing or influencing the control of the issuer
of the securities and were not acquired and are not held in connection with
or as a participant in any transaction having that purpose or effect.
Signature
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this statement is true, complete
and correct.
March 28, 2005
---------------
Date
Headwaters Holdings, LLC
/s/ Jeffrey D. Goshay
------------------
Signature
Jeffrey D. Goshay/Managing Member
--------------
Name/Title