-----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, BXzPDKpxR3WVOAUC8Qd3SDHi66u18oxw+NDspnJDXnNlc7RTr37K2gFhBS3+8Xvs lv4NKH2EqymC6hmrnGG9ug== 0001071955-00-000038.txt : 20000216 0001071955-00-000038.hdr.sgml : 20000216 ACCESSION NUMBER: 0001071955-00-000038 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000207 FILED AS OF DATE: 20000215 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BRITESMILE INC CENTRAL INDEX KEY: 0000866734 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS ELECTRICAL MACHINERY, EQUIPMENT & SUPPLIES [3690] IRS NUMBER: 870410364 STATE OF INCORPORATION: UT FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-11064 FILM NUMBER: 546094 BUSINESS ADDRESS: STREET 1: 490 NORTH WIGET LANE CITY: WALNUT CREEK STATE: CA ZIP: 94598 BUSINESS PHONE: 9259416260 MAIL ADDRESS: STREET 1: 490 NORTH WIGET LANE CITY: WALNUT CREEK STATE: CA ZIP: 94598 FORMER COMPANY: FORMER CONFORMED NAME: ION LASER TECHNOLOGY INC DATE OF NAME CHANGE: 19930328 COMPANY DATA: COMPANY CONFORMED NAME: PEQUOT CAPITAL MANAGEMENT INC/CT/ CENTRAL INDEX KEY: 0001071955 STANDARD INDUSTRIAL CLASSIFICATION: [] OTHER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 500 NYALA FARMS ROAD CITY: WESTPORT STATE: CT ZIP: 06880 BUSINESS PHONE: 2033192246 3 1
- ---------------- U.S. SECURITIES AND EXCHANGE COMMISSION ---------------------------- |F O R M 3| Washington, D.C. 20549 | OMB APPROVAL | - ---------------- |--------------------------| INITIAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0104| |Expires: September 30,1998| Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, |Estimated ave. burden | Section 17(a) of the Public Utility Holding Company Act of 1935 or |hours per response.....0.5| (Print or Type Responses) Section 30(f) of the Investment Company Act 1940 ---------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ |1.Name and Address of Reporting Person* |2.Date of Event |4.Issuer Name and Ticker or Trading Symbol | | | Requiring Statement | BriteSmile Inc. | | Poch, Gerald A. | (Month/Day/Year) | BWT | |----------------------------------------| |-----------------------------------------------------------------| | (Last) (First) (MI)| |5.Relationship of Reporting Person to |6.If Amendment, Date of | | | 02/07/00 | Issuer (Check all Applicable) | Original (Mon/Day/Year)| | | | | | | c/o Pequot Capital Management, Inc. |-----------------------| X Director 10% Owner | / / | | 500 Nyala Farm Road |3.IRS or Soc. Sec. No. |--- --- |-------------------------| |----------------------------------------| of Reporting Person | |7.Individual or Joint/ | | (Street) | (Voluntary) | Officer Other | Group Filing | | | |---(give title below)---(Specify below)| (Check Applicable Line)| | | | | X Form filed by One | | | | |--- Reporting Person | | | | | Form filed by More | | Westport, CT 06880 1 | | |--- than Reporting Person| |----------------------------------------------------------------------------------------------------------------------------------| | (City) (State) (Zip) | TABLE I - Non-Derivative Securities Beneficially Owned | |----------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security (Instr. 4) |2.Amount of Securities |3.Ownership |4.Nature of Indirect Beneficial | | | Beneficially Owned | Form: | Ownership (Instr. 5) | | | (Instr. 4) | Direct (D) | | | | | or Indirect | | | | | (I)(Instr.5)| | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | |------------------------------------------|-----------------------------|--------------|------------------------------------------| | | | | | | None | | | | |----------------------------------------------------------------------------------------------------------------------------------| Reminder: Report on a separate line for each class securities owned directly or indirectly. *If the form is filed by more than one reporting person, see Instruction 5(b)(v). (Over) Potential persons who are to respond to the collection of information contained in this form are not required SEC 1473 (7-97) to respond unless the form displays a currently valid OMB control number.
FORM 3 (continued) TABLE II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible security) - ------------------------------------------------------------------------------------------------------------------------------------ |1.Title of Derivative |2.Date Exercisable |3.Title and Amount of Underlying |4.Conversion |5.Ownership|6.Nature of | | Security (Instr. 4) | and Expiration | Derivative Security (Instr. 4) | or | Form of | Indirect | | | Date | | Exercise | Deriv- | Beneficial | | | (Month/Day/Year) | | Price of | ative | Ownership | | |----------------------|--------------------------------------| Derivative | Security:| (Instr. 5) | | |Date |Expiration| |Amount or| Security | Direct | | | |Exercisable|Date | Title |Number | | (D) or | | | | | | |of Shares| | Indirect | | | | | | | | | (I) | | | | | | | | | (Instr.5)| | |--------------------------|-----------|----------|----------------------------|---------|-------------|-----------|---------------| | | | | | | | | | |--------------------------|-----------|----------|----------------------------|---------|-------------|-----------|---------------| | | / / | / / | | | | | | | None | | | | | | | | |----------------------------------------------------------------------------------------------------------------------------------| Explanation of Responses: (1) The reporting person is a member of the board of directors of the issuer and is an employee of Pequot Capital Management, Inc., a registered investment adviser. **Intentional misstatements or omissions of facts constitute Federal /s/ Gerald A. Poch 02/15/2000 Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). -------------------------------------------- ---------- **Signature of Reporting Person Date Note: File three copies of this form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. PAGE: 2 SEC 1473 (7-97)
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