-----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, PF0LYNn0dEQ2L6jMJZo08pI4MXUPhtM4g7tOXZdtgk0FsKP1exVxqWW/Q8IX7WA6 JyDrtxqZC2OqupWjgui2Dw== 0001145443-02-000308.txt : 20020806 0001145443-02-000308.hdr.sgml : 20020806 20020806165021 ACCESSION NUMBER: 0001145443-02-000308 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020619 FILED AS OF DATE: 20020806 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEVC DRAPER FISHER JURVESTON FUND I INC CENTRAL INDEX KEY: 0001099941 IRS NUMBER: 943333311 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00201 FILM NUMBER: 02720868 BUSINESS ADDRESS: STREET 1: 991 FOLSOM ST STREET 2: STE 301 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 4159776150 MAIL ADDRESS: STREET 1: 991 FOLSOM ST CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: MEVC DRAPER FISHER JURVETSON FUND I INC DATE OF NAME CHANGE: 19991207 COMPANY DATA: COMPANY CONFORMED NAME: MARAKOVIC NINO NIKOLA CENTRAL INDEX KEY: 0001179380 OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 991 FOLSOM STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 6507018571 MAIL ADDRESS: STREET 1: 991 FOLSOM STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 3 1 marakovic.txt - ------ ---------------------------------- FORM 3 OMB APPROVAL - ------ ---------------------------------- OMB Number: 3235-0287 Expires: September 30, 1998 Estimated average burden hours per response.......................0.5 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 and Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Response) ================================================================================ 1. Name and Address of Reporting Person* Marakovic Nino Nikola - -------------------------------------------------------------------------------- (Last) (First) (Middle) 991 Folsom Street - -------------------------------------------------------------------------------- (Street) San Francisco CA 94107 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) 06/19/02 ================================================================================ 3. IRS or Social Security Number of Reporting Person (Voluntary) ================================================================================ 4. Issuer Name and Ticker or Trading Symbol meVC Draper Fisher Jurvetson Fund I, Inc. ================================================================================ 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) [_] Director [_] 10% Owner [X] Officer (give title below) [_] Other (specify below) Secretary (MVC) ================================================================================ 6. If Amendment, Date of Original (Month/Day/Year) ================================================================================ 7. 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 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Form: Direct (Instr. 5) (Instr. 4) (D) or Indirect (I) (Instr. 5) - ---------------------------------------------------------------------------------------------------------------------------------- Common Stock 2,395 Shares Direct 1,825 shares in Joint Brokerage account with Spouse and 570 shares in IRA account in name of Self - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------- Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) * If the form is filed by more than one reporting person, see Instruction 5(b)(v). SEC 1474 (7-96)
================================================================================ Table II - Derivative Securities Beneficially Owned ( e.g. puts, calls, warrants, options, convertible securities) ================================================================================
1. Title of Derivative 2. Date Exercisable 3. Title and Amount of 4. Conversion or 5. Ownership 6. Nature of Security and Expiration Date Securities Underlying Exercise Price Form of Indirect (Instr. 4) (Month/Day/Year) Derivative Security of Derivative Derivative Beneficial Security Security: Ownership Direct (D) (Instr. 5) or Indirect (I) (Instr. 5) -------------------------------------------------- Date Expiration Title Amount or Exercisable Date Number of Shares - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a) - --------------------------------------- -------------------------- ** Signature or Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space 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. SEC 1473(7-96)
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