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
INCENTRA SOLUTIONS, INC. [ ICNS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/31/2008 | ||||||||||||||||||||||||||
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, par value $0.001 | 12/31/2008 | J(2)(7) | 67,574(2)(7) | D | $0.00(3) | 608,221(4)(5) | I(2)(4)(5)(7) | See Footnotes(2)(4)(5)(7) |
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 | $0.00(1) | 12/31/2008 | J(2)(7) | 100,411(2)(7) | 08/18/2004(1) | (1) | Common Stock | 301,233(6) | $0.00(3) | 903,994(4)(5) | I(2)(4)(5)(7) | See Footnotes(2)(4)(5)(7) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. The Preferred Stock is convertible into Common Stock at any time upon written notice to Incentra Solutions, Inc. Holders may require the issuer to repurchase their shares of Series A Preferred at any time on or after August 18, 2008. |
2. Pursuant to an agreement dated December 31, 2008, by and among Tudor Investment Corporation ("TIC") and others, TIC transacted a split-off of, among other entities, The Raptor Global Portfolio Ltd., a Cayman Islands corporation ("Raptor"), and The Altar Rock Fund L.P., a Delaware limited partnership ("Altar Rock") (such split-off, the "Split-off"). As a result of the Split-off, TIC (i) is no longer the general partner of Altar Rock and (ii) is no longer involved, affiliated or associated with the management or operations of Altar Rock or Raptor, including the provision of investment advisory services. Altar Rock directly owns 473 shares of Common Stock ("Common Shares") and 670 shares of Series A Preferred Stock ("Preferred Shares") (which are convertible to 2,010 Common Shares (see footnote 6)). See Footnote 7 for the remainder of Footnote 2. |
3. Common Shares and Preferred Shares were not attributed a separate price in the Split-off. |
4. Tudor Ventures II L.P. ("TV II") directly owns the 608,221 Common Shares and 903,994 Preferred Shares reported herein. Because TIC is the investment adviser to TV II, TIC may be deemed to be the beneficial owner of shares owned by TV II. Because Jones is the controlling shareholder of TIC, Jones may be deemed to be the beneficial owner of shares deemed to be beneficially owned by such entity. TIC disclaims beneficial ownership of the securities reported herein as indirectly owned except to the extent of its pecuniary interest in such securities. Jones expressly disclaims such beneficial ownership. |
5. TV II directly owns the 608,221 Common Shares and 903,994 Preferred Shares reported herein. Because Tudor Ventures Group L.P. ("TVG LP") is the general partner of TV II, TVG LP may be deemed to be the beneficial owner of shares owned by TV II. Because Tudor Ventures Group LLC ("TVG LLC") is the general partner of TVG LP, TVG LLC may be deemed to be the beneficial owner of shares owned by such entity. Because Jones is the indirect controlling equity holder of TVG LLC, he may be deemed to be the beneficial owner of shares owned by such entity. Each of TIC, Jones, TVG LP and TVG LLC expressly disclaim beneficial ownership of any Common Shares or Preferred Shares that they do not own directly. |
6. Each Preferred Share is convertible into 3 Common Shares. |
7. Raptor directly owns 67,101 Common Shares and 99,741 Preferred Shares (which are convertible to 299,223 Common Shares (see footnote 6)). Because of the Split-off, securities owned by Altar Rock and Raptor may no longer be deemed to be beneficially owned by TIC or Paul Tudor Jones, II ("Jones"). |
TUDOR INVESTMENT CORPORATION, by /s/ Stephen N. Waldman, Managing Director | 01/08/2009 | |
Paul Tudor Jones II | 01/08/2009 | |
** 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. |