SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL 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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1. Name and Address of Reporting Person*
CVF LLC

(Last) (First) (Middle)
222 NORTH LASALLE STREET, SUITE 2000

(Street)
CHICAGO IL 60601

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/11/2002
3. Issuer Name and Ticker or Trading Symbol
MEDIS TECHNOLOGIES LTD [ MDTL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 1,903,732 D(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Warrants exercisable for Common Stock 06/15/2000 12/31/2004 Common Stock 152,084 $16.42 D(1)
Warrants exercisable for Common Stock 04/24/2001 12/31/2004 Common Stock 62,500 $18 D(1)
Warrants exercisable for Common Stock 10/11/2002 12/31/2004 Common Stock 136,316 $4.92 D(1)
1. Name and Address of Reporting Person*
CVF LLC

(Last) (First) (Middle)
222 NORTH LASALLE STREET, SUITE 2000

(Street)
CHICAGO IL 60601

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
GOODMAN RICHARD C

(Last) (First) (Middle)
222 NORTH LASALLE STREET
SUITE 2000

(Street)
CHICAGO IL 60601

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director 10% Owner
Officer (give title below) X Other (specify below)
See footnote (1)
Explanation of Responses:
1. Richard C. Goodman is Executive Manager of CVF, LLC, which beneficially owns the shares and warrants described on this Form 3. Accordingly, Richard C. Goodman is deemed to indirectly beneficially own the shares and warrants described on this Form 3. Richard C. Goodman disclaims beneficial ownership of all of the shares and warrants described on this Form 3.
/s/ Richard Goodman, individually and as Executive Manager of Longview Management Group, LLC 09/02/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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