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*
Mini Juan F

(Last) (First) (Middle)
2000 POWELL STREET
SUITE 1555

(Street)
EMERYVILLE CA 94608

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/09/2004
3. Issuer Name and Ticker or Trading Symbol
ZIPREALTY INC [ ZIPR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 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)
X Form filed by One Reporting Person
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 666,666 D
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
Series A Preferred Stock (1) (1) Common Stock 55,555 (1) I See footnote (2).(2)
Series B Preferred Stock (3) (3) Common Stock 53,506 (3) I See footnote (2).(2)
Series C Preferred Stock (4) (4) Common Stock 10,947 (4) I See footnote (2).(2)
Series D Preferred Stock (5) (5) Common Stock 254,453 (5) I See footnote (2).(2)
Series E Preferred Stock (6) (6) Common Stock 125,243 (6) I See footnote (2).(2)
Series E-1 Preferred Stock (7) (7) Common Stock 113,370 (7) I See footnote (2).(2)
Series F Preferred Stock (8) (8) Common Stock 105,014 (8) I See footnote (2).(2)
Series E-1 Preferred Stock Purchase Warrant (Right to buy) (9) 02/11/2007 Series E-1 Preferred Stock(7) 56,685 $3.93 I See footnote (2).(2)
Series E-1 Preferred Stock Purchase Warrant (Right to buy) (9) 04/15/2007 Series E-1 Preferred Stock(7) 56,685 $3.93 I See footnote (2).(2)
Series E-1 Preferred Stock Purchase Warrant (Right to buy) (9) 06/27/2008 Series E-1 Preferred Stock(7) 6,843 $3.93 I See footnote (2).(2)
Series F Preferred Stock Purchase Warrant (Right to buy) (9) 12/17/2007 Series F Preferred Stock(8) 50,386 $3.93 I See footnote (2).(2)
Series F Preferred Stock Purchase Warrant (Right to buy) (9) 06/27/2008 Series F Preferred Stock(8) 6,082 $3.93 I See footnote (2).(2)
Explanation of Responses:
1. Each share of Series A Preferred Stock shall automatically convert into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering of common stock.
2. Shares owned directly by Iverson Financial Corporation ("Iverson"). The Reporting Person, a director of Iverson, may be deemed to share voting and dispositive power over the shares held by Iverson.
3. Each share of Series B Preferred Stock shall automatically convert into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering of common stock.
4. Each share of Series C Preferred Stock shall automatically convert into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering of common stock.
5. Each share of Series D Preferred Stock shall automatically convert into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering of common stock.
6. Each share of Series E Preferred Stock shall automatically convert into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering of common stock.
7. Each share of Series E-1 Preferred Stock shall automatically convert into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering of common stock.
8. Each share of Series F Preferred Stock shall automatically convert into one share of Common Stock immediately prior to the closing of the Issuer's initial public offering of common stock.
9. Immediately.
/s/ Juan F. Mini 11/09/2004
** 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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