-----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, MI9byeBEe/pp12/fZkP0/GuJMbtnp1TJ7k7u5x+h9cg30Vo7J6sAaU89HDLGOcua 0k/cNVBfcEP2wFNNQxW2Lw== 0001170918-03-000648.txt : 20031210 0001170918-03-000648.hdr.sgml : 20031210 20031210174233 ACCESSION NUMBER: 0001170918-03-000648 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031208 FILED AS OF DATE: 20031210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GETZ ROBERT CENTRAL INDEX KEY: 0001201623 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31659 FILM NUMBER: 031048100 BUSINESS ADDRESS: STREET 1: 717 FIFTH AVE. CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROSSI MARK CENTRAL INDEX KEY: 0001201624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31659 FILM NUMBER: 031048101 BUSINESS ADDRESS: STREET 1: 717 FIFTH AVE. CITY: NEW YORK STATE: NY ZIP: 10022 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: NOVATEL WIRELESS INC CENTRAL INDEX KEY: 0001022652 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370] IRS NUMBER: 860824673 STATE OF INCORPORATION: DE BUSINESS ADDRESS: STREET 1: 9255 TOWNE CENTRE DR STREET 2: SUITE 225 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8583208800 MAIL ADDRESS: STREET 1: 9255 TOWNE CENTRE DR STREET 2: SUITE 225 CITY: SAN DIEGO STATE: CA ZIP: 92121 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CORNERSTONE EQUITY INVESTORS IV LP CENTRAL INDEX KEY: 0001027117 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31659 FILM NUMBER: 031048102 BUSINESS ADDRESS: STREET 1: 717 FIFTH AVENUE STREET 2: SUITE 1100 CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 2127350901 MAIL ADDRESS: STREET 1: 171 FIFTH AVENUE CITY: NEW YORK STATE: NY ZIP: 10022 4 1 nwi03-033_ex.xml X0201 4 2003-12-08 0 0001022652 NOVATEL WIRELESS INC NVTL 0001027117 CORNERSTONE EQUITY INVESTORS IV LP 717 FIFTH AVENUE SUITE 1100 NEW YORK NY 10022 1 0 1 0 0001201624 ROSSI MARK 717 FIFTH AVE. NEW YORK NY 10022 1 0 0 0 0001201623 GETZ ROBERT 717 FIFTH AVE. NEW YORK NY 10022 1 0 0 0 Series B Convertible Preferred Stock 0.7 2003-12-08 2003-12-08 4 J 0 450 1000 A 2003-12-08 Common Stock 642857 1129 D Secured Subordinated Convertible Notes 0 2003-12-08 2003-12-08 4 C 0 450923 0 D 2003-05-14 Series B Convertible Preferred Stock 450 0 D Represents conversion into Series B Convertible Preferred Stock of $450,923 principal amount of Secured Subordinated Convertible Notes. The holder of record of these securities is Cornerstone Equity Investors, IV, L.P., the managing general partner of which is Cornerstone Equity Investors, LLC ("CEI"). Two of our directors, Mark Rossi and Robert Getz, are managing directors of CEI and may be deemed beneficially to own these securities. Each disclaims beneficial ownership except to the extent of his respective pecuniary interest. Information created solely to satisfy SEC form input requirements. The securities have no expiration date. Represents number of shares of common stock issuable upon conversion of 450 shares of Series B Preferred Stock if conversion had occurred on 12/08/03. /s/ Patrick T. Waters, Attorney-in-Fact 2003-12-10 -----END PRIVACY-ENHANCED MESSAGE-----