-----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, IcgaZUNX4sm+zp4rW73Ms1ijJVlcLN4RISOc/X8F6PDqQ4xIo1cW50hZC0IOHnAK lRvoEQ/FwYAR+BWy9cQRtw== 0001145443-02-000878.txt : 20021206 0001145443-02-000878.hdr.sgml : 20021206 20021206150254 ACCESSION NUMBER: 0001145443-02-000878 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021202 FILED AS OF DATE: 20021206 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: STEWART MICHAEL D CENTRAL INDEX KEY: 0001208848 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 3000 SAND HILL RD. CITY: MENLO PARK STATE: CA ZIP: 94025 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: MEVC DRAPER FISHER JURVESTON FUND I INC CENTRAL INDEX KEY: 0001099941 IRS NUMBER: 943346760 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 814-00201 FILM NUMBER: 02850949 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 3 1 d11574.txt ------------------------------- OMB APPROVAL ------------------------------- OMB Number: 3235-0287 Expires: September 30, 1998 Estimated average burden hours per response................0.5 ------------------------------- - --------------- FORM 3 - --------------- 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* Stewart Michael Douglas - -------------------------------------------------------------------------------- (Last) (First) (Middle) 3000 Sand Hill Road, Suite # 155 - -------------------------------------------------------------------------------- (Street) Menlo Park CA 94025 - -------------------------------------------------------------------------------- (City) (State) (Zip) ================================================================================ 2. Date of Event Requiring Statement (Month/Day/Year) 12/02/02 ================================================================================ 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. (NYSE: MVC) ================================================================================ 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) |_| Director |_| 10% Owner |X| Officer (give title below) |_| Other (specify below) Acting Chief Financial Officer - -------------------------------------------------------------------------------- ================================================================================ 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
2. Amount of Securities 3. Ownership Form: 1. Title of Security Beneficially Owned Direct (D) or Indirect 4. Nature of Indirect Beneficial (Instr. 4) (Instr. 4) (I) (Instr. 5) Ownership (Instr. 5) - --------------------------------------------------------------------------------------------------------------- Common Stock 0 shares - --------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------- - ---------------------------------------------------------------------------------------------------------------
- ---------------- 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 5(b)(v). (Over) SEC 1474 (7-96) Table II - Derivative Securities Beneficially Owned (e.g. puts, calls, warrants, options, convertible securities)
- ------------------------------------------------------------------------------------------------------------------------------------ 3. Title and Amount of 4. Conversion 5. Ownership Form 1. Title of 2. Date Exercisable Securities or Exercise of Derivative 6. Nature of Derivative and Expiration Underlying Price of Security Direct (D) Beneficial Security Date Derivative Derivative or Indirect (I) Ownership (Inst. 4) (month/day/year) Security Security (Instr. 5) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Date Expiration Title Amount or Exercisable Date Number of Shares - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
-------------------------------- -------- ** Signature or Reporting Person Date 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) 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) -----END PRIVACY-ENHANCED MESSAGE-----