-----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, OZw/2fRxEtXD5hxNuCWRNo/YfI/TPy3uhZjkgumwUgx96gv2EGFUN4ZyEBDEdJIo mSqUDAcDPLWQWhrDZFgpPg== 0000950127-04-000178.txt : 20040213 0000950127-04-000178.hdr.sgml : 20040213 20040213142913 ACCESSION NUMBER: 0000950127-04-000178 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20040213 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: IPAYMENT INC CENTRAL INDEX KEY: 0001140184 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389] IRS NUMBER: 621847042 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-79530 FILM NUMBER: 04597607 BUSINESS ADDRESS: STREET 1: 40 BURTON HILLS BLVD STREET 2: SUITE 415 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: 6156651856 MAIL ADDRESS: STREET 1: 30 BURTON HILLS BLVD STREET 2: SUITE 520 CITY: NASHVILLE STATE: TN ZIP: 37215 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: FIRST AVENUE PARTNERS L P /TN/ CENTRAL INDEX KEY: 0001160585 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 138 SECOND AVENUE NORTH STREET 2: SUITE 200 CITY: NASHVILLE STATE: TN ZIP: 37201 BUSINESS PHONE: 6153700056 MAIL ADDRESS: STREET 1: 138 SECOND AVENUE NORTH STREET 2: SUITE 200 CITY: NASHVILLE STATE: TN ZIP: 37201 SC 13G 1 a3748211_sc13g.txt SCHEDULE 13G UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 ------------ SCHEDULE 13G (Amendment No. __) UNDER THE SECURITIES EXCHANGE ACT OF 1934 iPayment, Inc. ---------------- (Name of Issuer) Common Stock, par value $0.01 per share --------------------------------------- (Title of Class of Securities) 46262E105 -------------- (CUSIP Number) December 31, 2003 ------------------------------------------------------- (Date of Event Which Required 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) - ------------------- CUSIP No. 46262E105 13G Page 2 of 6 Pages - ------------------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON First Avenue Partners, L.P. - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (a) [ ] (b) [ ] - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION Tennessee, USA - -------------------------------------------------------------------------------- NUMBER OF SHARES 5 SOLE VOTING POWER BENEFICIALLY OWNED BY EACH 1,192,470 REPORTING ------------------------------------------------------------- PERSON WITH 6 SHARED VOTING POWER 0 ------------------------------------------------------------- 7 SOLE DISPOSITIVE POWER 1,192,470 ------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER 0 - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,192,470 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES NOT APPLICABLE [ ] - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9) 7.3% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON PN - -------------------------------------------------------------------------------- - ------------------- CUSIP No. 46262E105 13G Page 3 of 6 Pages - ------------------- Item 1(a). Name of Issuer: iPayment, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 40 Burton Hills Boulevard, Suite 415, Nashville, Tennessee 37215 Item 2(a). Name of Person Filing: First Avenue Partners, L.P. Item 2(b). Address of Principal Business Office or, if none, Residence: The address of the principal office of First Avenue Partners, L.P. is: 30 Burton Hills Boulevard, Suite 550, Nashville, Tennessee 37215 Item 2(c). Citizenship: The place of organization of First Avenue Partners, L.P. is Tennessee, USA. Item 2(d). Title of Class of Securities: Common stock, par value $0.01 per share Item 2(e). CUSIP Number: 46262E105 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 Act; (b) [ ] Bank as defined in section 3(a)(6) of the Act; - ------------------- CUSIP No. 46262E105 13G Page 4 of 6 Pages - ------------------- (c) [ ] Insurance company as defined in section 3(a)(19) of the Act; (d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940; (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-1(b)(1)(ii)(G) (Note: See Item 7); (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 of 1940; (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(H). If this statement is filed pursuant to Rule 13d-1(c), check this box. |_| Item 4. Ownership. (a) Amount beneficially owned: See Item 9 of cover page. (b) Percent of class: See Item 11 of cover page. (c) Number of shares as to which the person has: (i) Sole power to vote or to direct the vote: See Item 5 of cover page. (ii) Shared power to vote or to direct the vote: See Item 6 of cover page. (iii) Sole power to dispose or to direct the disposition of: See Item 7 of cover page. (iv) Shared power to dispose or to direct the disposition of: See Item 8 of cover page. - ------------------- CUSIP No. 46262E105 13G Page 5 of 6 Pages - ------------------- 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. 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. Item 9. Notice of Dissolution of Group. Not Applicable. Item 10. Certification. Not Applicable. - ------------------- CUSIP No. 46262E105 13G Page 2 of 6 Pages - ------------------- 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. Dated: February 13, 2004 First Avenue Partners, L.P. By:Front Street, LLC its general partner By: /s/ David M. Wilds ----------------------------------- Name: David M. Wilds Title: Chief Manager -----END PRIVACY-ENHANCED MESSAGE-----