-----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, Wz66LDQWMyqwkbTSfSmk8zBsIGNBUvGyiSVfsTtxzYI7juIQAENnk4TpctJi5g/m YVaiWDMAHLIfPS0iMLbk1Q== 0001209191-07-061769.txt : 20071105 0001209191-07-061769.hdr.sgml : 20071105 20071105155304 ACCESSION NUMBER: 0001209191-07-061769 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071024 FILED AS OF DATE: 20071105 DATE AS OF CHANGE: 20071105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PALM INC CENTRAL INDEX KEY: 0001100389 STANDARD INDUSTRIAL CLASSIFICATION: COMPUTER TERMINALS [3575] IRS NUMBER: 943150688 STATE OF INCORPORATION: DE FISCAL YEAR END: 0602 BUSINESS ADDRESS: STREET 1: 950 W. MAUDE AVENUE CITY: SUNNYVALE STATE: CA ZIP: 94085 BUSINESS PHONE: 4086177000 MAIL ADDRESS: STREET 1: 950 W. MAUDE AVENUE CITY: SUNNYVALE STATE: CA ZIP: 94085 FORMER COMPANY: FORMER CONFORMED NAME: PALMONE INC DATE OF NAME CHANGE: 20031029 FORMER COMPANY: FORMER CONFORMED NAME: PALM INC DATE OF NAME CHANGE: 19991203 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bodnick Marc CENTRAL INDEX KEY: 0001346413 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 071213905 BUSINESS ADDRESS: BUSINESS PHONE: (650) 687-6700 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 3/A 1 bpa35203_bpa3mb.xml MAIN DOCUMENT DESCRIPTION X0202 3/A 2007-10-24 2007-10-25 0 0001100389 PALM INC PALM 0001346413 Bodnick Marc 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 1 See Remarks Series B Conv Preferred Stock, par value $0.001 per share 8.50 2007-10-24 2014-10-24 Common Stock, par value $0.001 per share 38223176 I See Footnote Series B Conv Preferred Stock, par value $0.001 per share 8.50 2007-10-24 2014-10-24 Common Stock, par value $0.001 per share 12118 I See Footnote The Series B Preferred Stock is mandatorily redeemable on the seventh anniversary of the original issuance date. The Series B Preferred Stock is also subject to earlier redemption, repurchase or mandatory conversion in accordance with the terms thereof. This is the number of shares of common stock, par value $0.001 per share of Palm, Inc., issuable upon conversion of the Series B Preferred Stock as of the date of this filing. Subject to anti-dilution adjustment pursuant to the terms of the Series B Preferred Stock. These securities are directly owned by Elevation Partners, L.P. ("Elevation Partners"). Elevation Associates, L.P. ("Elevation GP") is the sole general partner of Elevation Partners, and Elevation Associates, LLC ("Elevation LLC") is the sole general partner of Elevation GP. Mr. Bodnick is a manager of Elevation LLC. As manager of Elevation LLC, Mr. Bodnick may be deemed to be the indirect beneficial owner of such shares under Rule 16a-1(a)(2) promulgated under the Exchange Act. However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Mr. Bodnick disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein. These securities are directly owned by Elevation Employee Side Fund, LLC ("Side Fund"). Elevation Management, LLC ("Elevation Management") is the sole managing member of Side Fund. Mr. Bodnick is a manager of Elevation Management. As a manager of Elevation Management, Mr. Bodnick may be deemed to be the indirect beneficial owner of such shares under Rule 16a-1(a)(2) promulgated under the Exchange Act. However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Mr. Bodnick disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein. On October 25, 2007, a Form 3 was filed on behalf of the Reporting Person, erroneously reporting that he was a director of Palm, Inc. The Form 3 also erroneously reported that the Reporting Person beneficially owned shares held by the McNamee Trust U/T/A/D/ 3/27/1996. Exhibit List 24.1 Power of Attorney (incorporated by reference to Exhibit 2 of the Schedule 13D filed by the Reporting Person on November 2, 2007) /*/ Tracy Hogan, Attorney-in-Fact 2007-11-02 -----END PRIVACY-ENHANCED MESSAGE-----