FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
INTELLON CORP [ ITLN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/19/2007 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 12/19/2007 | C | 1,462,931(7) | A | (4) | 1,465,303 | I | See Footnote(1) | ||
Common Stock | 12/19/2007 | C | 585,875(7) | A | (5) | 2,051,178 | I | See Footnote(1) | ||
Common Stock | 12/19/2007 | C | 186,742(7) | A | (6) | 2,237,920 | I | See Footnote(1) | ||
Common Stock | 12/19/2007 | C | 55,805(8) | A | (4) | 55,896 | I | See Footnote(2) | ||
Common Stock | 12/19/2007 | C | 22,348(8) | A | (5) | 78,244 | I | See Footnote(2) | ||
Common Stock | 12/19/2007 | C | 7,124(8) | A | (6) | 85,368 | I | See Footnote(2) | ||
Common Stock | 9,997 | I | See Footnote(3) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series A Preferred Stock | (4) | 12/19/2007 | C | 1,171,475 | (4) | (4) | Common Stock | 1,462,931(7) | $0 | 0 | I | See Footnote(1) | |||
Series B Preferred Stock | (5) | 12/19/2007 | C | 469,148 | (5) | (5) | Common Stock | 585,875(7) | $0 | 0 | I | See Footnote(1) | |||
Series C Preferred Stock | (6) | 12/19/2007 | C | 171,169 | (6) | (6) | Common Stock | 186,742(7) | $0 | 0 | I | See Footnote(1) | |||
Series A Preferred Stock | (4) | 12/19/2007 | C | 44,688 | (4) | (4) | Common Stock | 55,805(8) | $0 | 0 | I | See Footnote(2) | |||
Series B Preferred Stock | (5) | 12/19/2007 | C | 17,896 | (5) | (5) | Common Stock | 22,348(8) | $0 | 0 | I | See Footnote(2) | |||
Series C Preferred Stock | (6) | 12/19/2007 | C | 6,530 | (6) | (6) | Common Stock | 7,124(8) | $0 | 0 | I | See Footnote(2) |
Explanation of Responses: |
1. Shares are directly held by EnerTech Capital Partners II L.P. ("ECP II LP"). Mr. Ungerer, a director of the Issuer, together with ECP II Management LLC, the general partner of ECP II Management L.P., ECP II Management L.P. the general partner of ECP II L.P., and William G. Kingsley, Robert E. Keith, Jr. and Mark J. DeNino, the other members of the executive board of ECP II Management LLC may be deemed to share voting and dispositive power over the shares held by ECP II LP. Mr. Ungerer disclaims beneficial ownership of shares held by ECP II LP except to the extent of any pecuniary interest therein. |
2. Shares are directly held by ECP II Interfund L.P. ("ECP II Interfund"). Mr. Ungerer, a director of the Issuer, together with ECP II Management LLC, the general partner of ECP II Interfund, and William G. Kingsley, Robert E. Keith, Jr. and Mark J. DeNino, the other members of the executive board of ECP II Management LLC may be deemed to share voting and dispositive power over the shares held by ECP II Interfund. Mr. Ungerer disclaims beneficial ownership of shares held by ECP II Interfund except to the extent of any pecuniary interest therein. |
3. Shares are directly held by EnerTech Capital Partners L.P. ("ECP L.P."). Mr. Ungerer, a director of the issuer, together with EnerTech Management, L.P., the general partner of ECP LP, EnerTech Management Company, L.P., the general partner of EnerTech Management L.P., EnerTech Management Company Manager, LLC, the general partner of EnerTech Management Company, L.P., and William G. Kingsley, Robert E. Keith and Mark J. DeNino, the other members of the executive board of EnerTech Management Company Manager, LLC, may be deemed to share voting and dispositive power over the shares held by ECP LP. Mr. Ungerer disclaims beneficial ownership of shares held by ECP LP except to the extent of any pecuniary interest therein; |
4. The Series A Convertible Preferred Stock is convertible into Intellon Corporation common stock and has no expiration date. The number of underlying shares of common stock reported in Column 7 of Table II reflects the conversion of each share of Series A Convertible Preferred Stock listed in Column 5 of Table II at a conversion rate equal to a fraction, the numerator of which equals $4.0725425 plus all accrued dividends thereon, the denominator of which equals $4.0725425. Dividends accrue daily on each share of Series A Convertible Preferred Stock at a rate of 0.06705 per share per annum. These Shares were automatically converted into common stock upon the closing of the Issuer's initial public offering of common stock on December 19, 2007. |
5. The Series B Convertible Preferred Stock is convertible into Intellon Corporation common stock and has no expiration date. The number of underlying shares of common stock reported in Column 7 of Table II reflects the conversion of each share of Series B Preferred Stock listed in Column 5 of Table II at a conversion rate equal to a fraction, the numerator of which equals $4.4792501 plus all accrued dividends thereon, the denominator of which equals $4.4792501. Dividends accrue daily on each share of Series B Convertible Preferred Stock at a rate of 0.07375 per share per annum. These Shares were automatically converted into common stock upon the closing of the Issuer's initial public offering of common stock on December 19, 2007. |
6. The Series C Convertible Preferred Stock is convertible into Intellon Corporation common stock and has no expiration date. The number of underlying shares of common stock reported in Column 7 of Table II reflects the conversion of each share of Series C Preferred Stock listed in Column 5 of Table II at a conversion rate equal to a fraction, the numerator of which equals $7. 31581695 plus all accrued dividends thereon, the denominator of which equals $7.31581695.Dividends accrued daily on each share of Series C Convertible Preferred Stock at a rate of 0.120447 per share per annum. These Shares were automatically converted into common stock upon the closing of the Issuer's initial public offering of common stock on December 19, 2007. |
7. The number of shares of common stock reported in Column 4 of Table I and column 7 of Table II includes dividends accrued through December 19, 2007 on the Series A Convertible Preferred Stock in the amount of 291,456 shares, the Series B Convertible Preferred Stock in the amount of 116,727 shares and the Series C Convertible Preferred Stock in the amount of 15,573 shares. |
8. The number of shares of common stock reported in Column 4 of Table I and Column 7 of Table II includes dividends accrued through December 19, 2007 on the Series A Convertible Preferred Stock in the amount of 11,117 shares, the Series B Convertible Preferred Stock in the amount of 4,452 shares and the Series C Convertible Preferred Stock in the amount of 594 shares. |
/s/ Phyllis Reid, as Attorney in Fact. | 12/19/2007 | |
** 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 4 (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. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |