-----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, AYgohPIDsStjb9ZydKGi4A46eXLlNwtIKQSjIaWDvCwsHm6qVXx92CDjwskIF2Wi ejbclZRf+6ReE2lOX3UQDw== 0001012870-01-000827.txt : 20010223 0001012870-01-000827.hdr.sgml : 20010223 ACCESSION NUMBER: 0001012870-01-000827 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: CENTILLIUM COMMUNICATIONS INC CENTRAL INDEX KEY: 0001107194 STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661] IRS NUMBER: 943263530 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-60607 FILM NUMBER: 1545588 BUSINESS ADDRESS: STREET 1: 47211 LAKEVIEW BLVD CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 5107713700 MAIL ADDRESS: STREET 1: 47211 LAKEVIEW CITY: FREMONT STATE: CA ZIP: 94538 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HEDAYAT SHAHIN CENTRAL INDEX KEY: 0001134881 STANDARD INDUSTRIAL CLASSIFICATION: [] FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: C/O CENTILLIUM STREET 2: 47211 LAKEVIEW BLVD CITY: FREMONT STATE: CA ZIP: 94538 MAIL ADDRESS: STREET 1: C/O CENTILLIUM STREET 2: 47211 LAKEVIEW BLVD CITY: FREMONT STATE: CA ZIP: 94538 SC 13G 1 0001.txt SCHEDULE 13G Schedule 13G Page 1 of 5 ================================================================================ SEC 1745 Potential persons who are to respond to the collection of (6-00) information contained in this form are not required to respond unless the form displays a currently valid OMB control number. ================================================================================ ---------------------------- UNITED STATES OMB APPROVAL SECURITIES AND EXCHANGE COMMISSION ---------------------------- Washington, D.C. 20549 OMB Number: 3235-0145 ---------------------------- Expires: October 31, 2002 ---------------------------- SCHEDULE 13G Estimated average burden hours per response....14.9 ---------------------------- Under the Securities Exchange Act of 1934 CENTILLIUM COMMUNICATIONS, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - -------------------------------------------------------------------------------- (Title of Class of Securities) 001750-15231910 - -------------------------------------------------------------------------------- (CUSIP Number) DECEMBER 31, 2000 - -------------------------------------------------------------------------------- (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) [_] Rule 13d-1(c) [X] Rule 13d-1(d)
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 ("Act") 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). Schedule 13G Page 2 of 5 CUSIP No. 001750-15231910 - ------------------------------------------------------------------------------------------------------ 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Shahin Hedayat - ------------------------------------------------------------------------------------------------------ 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) [_] (b) [_] - ------------------------------------------------------------------------------------------------------ 3. SEC Use Only - ------------------------------------------------------------------------------------------------------ 4. Citizenship or Place of Organization United States of America - ------------------------------------------------------------------------------------------------------ Number of 5. Sole Voting Power -0- Shares ------------------------------------------------------------------------------------ Beneficially 6. Shared Voting Power 2,489,993* Owned by ------------------------------------------------------------------------------------ Each 7. Sole Dispositive Power -0- Reporting ------------------------------------------------------------------------------------ Person With 8. Shared Dispositive Power 2,489,993* - ------------------------------------------------------------------------------------------------------ 9. Aggregate Amount Beneficially Owned by Each Reporting Person 2,910,243** - ------------------------------------------------------------------------------------------------------ 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) - ------------------------------------------------------------------------------------------------------ 11. Percent of Class Represented by Amount in Row (9) 7.6% - ------------------------------------------------------------------------------------------------------ 12. Type of Reporting Person (See Instructions) IN - --------------------------------------------------------------------------------------------------
Schedule 13G Page 3 of 5 Item 1. (a) Centillium Communications, Inc. (b) 47211 Lakeview Boulevard, Fremont CA 94538 Item 2. (a) Shahin Hedayat (b) c/o Centillium Communications, 47211 Lakeview Boulevard, Fremont CA 94538 (c) United States of America (d) Common Stock (e) 001750-15231910 Item 3. If this statement is filed pursuant to (S)(S)240.13d-1(b) or 240.13d- 2(b) or (c), check whether the person filing is a: Not Applicable. Item 4. Ownership (a) Amount beneficially owned: 2,910,243** (b) Percent of class: 7.6% (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: -0- (ii) Shared power to vote or to direct the vote: 2,489,993* (iii) Sole power to dispose or to direct the disposition of: -0- (iv) Shared power to dispose or to direct the disposition of: 2,489,993* 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 Not Applicable.
Schedule 13G Page 4 of 5 Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company Not Applicable. Item 8. Identification and Classification of Members of the Group Not Applicable. Item 9. Notice of Dissolution of Group Not Applicable. Item 10. Certification Not Applicable. - --------------- * Shares held by the Shahin & Shirin Hedayat Family Trust. ** Includes (a) 10,000 shares held by the Shahin Hedayat Irrevocable Trust, as to which the reporting person disclaims beneficial ownership pursuant to Rule 13d-4, (b) 10,000 shares held by the Shirin D. Hedayat Irrevocable Trust, as to which the reporting person disclaims beneficial ownership pursuant to Rule 13d-4, and (c) 250 shares held by the reporting person's spouse. Schedule 13G Page 5 of 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. February 13, 2001 ----------------------------------------- Date /s/ Shahin Hedayat ----------------------------------------- Signature Shahin Hedayat ----------------------------------------- Name -----END PRIVACY-ENHANCED MESSAGE-----