-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UXgZ8t1jZDBXcQQw36kEOfXNW+8GbvPFyr/a7YKWDJJKP6zoLBFdHbHIaznS+ppT ysvE8QdapC8vaY2HF9FCHg== 0001221825-03-000045.txt : 20030729 0001221825-03-000045.hdr.sgml : 20030729 20030729125414 ACCESSION NUMBER: 0001221825-03-000045 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030729 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: COSINE COMMUNICATIONS INC CENTRAL INDEX KEY: 0001060824 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER COMMUNICATIONS EQUIPMENT [3576] IRS NUMBER: 943280301 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-60229 FILM NUMBER: 03807927 BUSINESS ADDRESS: STREET 1: 3200 BRIDGE PKWAY STREET 2: STE 200 CITY: REDWOOD CITY STATE: CA ZIP: 94065 BUSINESS PHONE: 6506374777 MAIL ADDRESS: STREET 1: 3200 BRIDGE PARKWAY CITY: REDWOOD CITY STATE: CA ZIP: 94065 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HAYWOOD GEORGE WEAVER CENTRAL INDEX KEY: 0001000514 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] IRS NUMBER: 952962743 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 642 SECOND STREET CITY: BROOKLYN STATE: NY ZIP: 11215 BUSINESS PHONE: 2127827050 MAIL ADDRESS: STREET 1: 642 SECOND STREET CITY: BROOKLYN STATE: NY ZIP: 11215 SC 13G 1 cosine-13g_haywood.txt 030729 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G (Rule 13d-102) Information to be Included in Statements Filed Pursuant to Rules 13d-1(b),(c) and (d) and Amendments Thereto Filed Pursuant to Rule 13d-2(b) (Amendment No. ) - COSINE COMMUNICATIONS INC. (Name of Issuer) Common Stock, par value $.0001 per share (Title of Class of Securities) 221222102 (CUSIP Number) July 24, 2003 (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed. [] Rule 13d-1(b) [X] Rule 13d-1(c) [] Rule 13d-1(d) * The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). 1 CUSIP NO. 221222102 13G Page 2 OF 6 Pages - -------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification No. Of Above Persons (entities only) George W. Haywood - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group* (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization U.S.A. - -------------------------------------------------------------------------------- Number of Shares Beneficially Owned by Each Reporting Person With - -------------------------------------------------------------------------------- 5. Sole Voting Power 572,700 - -------------------------------------------------------------------------------- 6. Shared Voting Power - -------------------------------------------------------------------------------- 7. Sole Dispositive Power 572,700 - -------------------------------------------------------------------------------- 8. Shared Dispositive Power - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 572,700 - -------------------------------------------------------------------------------- 10.Check box if the Aggregate Amount in Row (9) Excludes Certain Shares* [ ] - -------------------------------------------------------------------------------- 11. Percent of Class Represented By Amount in Row (9) 5.8 - -------------------------------------------------------------------------------- 12. Type of Reporting Person* IN - ------------------ * SEE INSTRUCTIONS BEFORE FILLING OUT. 2 Item 1(a) Name of Issuer: Cosine Communications, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 1200 Bridge Parkway, Redwood City, CA 94065 Item 2(a) Name of Person Filing: George W. Haywood Item 2(b) Address of Principal Business Office or, if none, Residence: c/o Cronin & Vris, LLP, 380 Madison Avenue, 24th Floor, New York, New York 10017 Item 2(c) Citizenship: U.S.A. Item 2(d) Title of Class of Securities: Common Stock, par value $.0001 per share Item 2(e) CUSIP Number 221222102 Item 3. If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c) , check whether the person filing is a: (a) [ ] Broker or dealer registered under Section 15 of the Exchange Act. (b) [ ] Bank as defined in Section 3(a)(6) of the Exchange Act. (c) [ ] Insurance company as defined in Section 3(a)(19) of the Exchange Act. (d) [ ] Investment company registered under Section 8 of the Investment Company Act. (e) [ ] An investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E). (f) [ ] An employee benefit plan or endowment fund in accordance with Rule 13d- 1(b)(1)(ii)(F). (g) [ ] A parent holding company or control person in accordance with Rule 13d- 3 1(b)(1)(ii)(G). (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act. (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act. (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). If this statement is filed pursuant to Rule 13d-1(c), check this box. [X] Item 4. Ownership. (a) Amount Beneficially Owned: 572,700 (b) Percent of Class: 5.8 (c) Number of shares as to which such person has: (i) sole power to vote or to direct the vote: 572,700 (ii) shared power to vote or to direct vote: 0 (iii) sole power to dispose or to direct the disposition of: 572,700 (iv) shares power to dispose or to direct the disposition of: 0 Item 5. Ownership of Five Percent or Less of a Class. Not applicable. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Included as shares for which there exist sole voting and dispositive power are 26,000 shares owned by Mr. Haywood's minor children, which children would have the right to the receipt of dividends from, and the proceeds from the sale of, such shares. Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported On By the Parent Holding Company or Control Person. Not applicable. Item 8. Identification and Classification of Members of the Group. Not applicable. 4 Item 9. Notice of Dissolution of Group. Not applicable. Item 10. Certification. By signing below I certify that, to the best of my knowledge and belief, the securities referred to above 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. 5 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. JULY 29, 2003 ------------- (Date) /S/ GEORGE W. HAYWOOD --------------------- (Signature) GEORGE W. HAYWOOD ----------------- (Name/Title) ATTENTION: INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT CONSTITUTE FEDERAL CRIMINAL VIOLATIONS(SEE 18 U.S.C. 1001). 6 -----END PRIVACY-ENHANCED MESSAGE-----