-----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, Rtqun7AUya83sc5SvrOunTYwapL1yyK6Gxrpn7yR2IrFKryLuSScObueUS0reS7n nGoKu2ZMEt5krTg+KUBP4A== 0001209191-09-002768.txt : 20090112 0001209191-09-002768.hdr.sgml : 20090112 20090112162246 ACCESSION NUMBER: 0001209191-09-002768 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20090109 FILED AS OF DATE: 20090112 DATE AS OF CHANGE: 20090112 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bodnick Marc CENTRAL INDEX KEY: 0001346413 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521959 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hewson Paul CENTRAL INDEX KEY: 0001346424 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521958 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 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: PEARLMAN BRET D CENTRAL INDEX KEY: 0001077710 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLE PARTS & ACCESSORIES [3714] STATE OF INCORPORATION: CT FISCAL YEAR END: 0831 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521965 BUSINESS ADDRESS: STREET 1: 1241 O. G. SKINNER DRIVE CITY: WEST POINT STATE: GA ZIP: 31833 BUSINESS PHONE: 7066453903 MAIL ADDRESS: STREET 1: C/O KNOLOGY INC STREET 2: 1241 O. G. SKINNER DRIVE CITY: WEST POINT STATE: GA ZIP: 31833 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elevation Partners, L.P. CENTRAL INDEX KEY: 0001344061 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521964 BUSINESS ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 687-6700 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elevation Associates, L.P. CENTRAL INDEX KEY: 0001344811 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521963 BUSINESS ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-687-6700 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elevation Associates, LLC CENTRAL INDEX KEY: 0001344812 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521962 BUSINESS ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-687-6700 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elevation Employee Side Fund, LLC CENTRAL INDEX KEY: 0001344813 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521961 BUSINESS ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-687-6700 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Elevation Management, LLC CENTRAL INDEX KEY: 0001344814 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 09521960 BUSINESS ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-687-6700 MAIL ADDRESS: STREET 1: 2800 SAND HILL ROAD STREET 2: SUITE 160 CITY: MENLO PARK STATE: CA ZIP: 94025 4 1 c79355_4x1.xml MAIN DOCUMENT DESCRIPTION X0303 4 2009-01-09 0001100389 PALM INC PALM 0001344061 Elevation Partners, L.P. 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 1 0 1 0 0001344811 Elevation Associates, L.P. 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 0 0001344812 Elevation Associates, LLC 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 0 0001344813 Elevation Employee Side Fund, LLC 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 0 0001344814 Elevation Management, LLC 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 0 0001346413 Bodnick Marc 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 0 0001346424 Hewson Paul 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 0 0001077710 PEARLMAN BRET D 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 0 0 1 0 Series C Conv. Preferred Stock, par value $0.001 per share 3.25 2009-01-09 4 A 0 99960 A 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 30756923 99960 D Series C Conv. Preferred Stock, par value $0.001 per share 3.25 2009-01-09 4 A 0 40 A 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 12307 40 I See footnote Warrant (right to buy Common Stock) 3.25 2009-01-09 4 A 0 6997200 A 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 6997200 6997200 D Warrant (right to buy Common Stock) 3.25 2009-01-09 4 A 0 2800 A 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 2800 2800 I See footnote This Form 4 is filed on behalf of a group consisting of Elevation Partners, L.P. ("Elevation Partners"), Elevation Associates, L.P. ("Elevation GP"), Elevation Associates, LLC ("Elevation LLC"), Elevation Employee Side Fund, LLC ("Side Fund"), Elevation Management, LLC ("Elevation Management"), Mr. Marc Bodnick, Mr. Paul Hewson and Mr. Bret Pearlman. Elevation GP is the sole general partner of Elevation Partners, and Elevation LLC is the sole general partner of Elevation GP. Elevation Management is the sole managing member of Side Fund. Messrs. Bodnick, Hewson and Pearlman are managers of each of Elevation LLC and Elevation Management, as are Mr. Fred Anderson and Mr. Roger McNamee, who are filing Forms 4 separately. Each of the Reporting Persons may be deemed to be a director by deputization of the Issuer. As the sole general partner of Elevation Partners, Elevation GP may be deemed to be the indirect beneficial owner of such securities under Rule 16a-1(a)(2) promulgated under the Securities Exchange Act of 1934, as amended (the "Exchange Act"). However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Elevation GP disclaims beneficial ownership of such securities, except to the extent of its pecuniary interest. As the sole general partner of Elevation GP, Elevation LLC may be deemed to be the indirect beneficial owner of such securities under Rule 16a-1(a)(2) promulgated under the Exchange Act. However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Elevation LLC disclaims beneficial ownership of such securities, except to the extent of its pecuniary interest. As the sole managing member of Side Fund, Elevation Management may be deemed to be the indirect beneficial owner of such securities under Rule 16a-1(a)(2) promulgated under the Exchange Act. However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Elevation Management disclaims beneficial ownership of such securities, except to the extent of its pecuniary interest. As managers of each of Elevation LLC and Elevation Management, Messrs. Bodnick, Hewson and Pearlman may be deemed to be the indirect beneficial owner of such securities under Rule 16a-1(a)(2) promulgated under the Exchange Act. However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, each of Messrs. Bodnick, Hewson and Pearlman disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest. Subject to anti-dilution adjustment pursuant to the terms of the Series C Convertible Preferred Stock, par value $0.001 per share (the "Series C Preferred Stock"). The Series C Preferred Stock is mandatorily redeemable on October 24, 2014. The Series C 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. ("Common Stock"), issuable upon conversion of the Series C Preferred Stock as of the date of this filing. These securities are directly owned by Elevation Partners. Elevation GP, Elevation LLC and Messrs. Bodnick, Hewson and Pearlman may have indirect beneficial ownership of these shares. See Footnotes 1, 2 and 4. These securities are directly owned by Side Fund. Elevation Management and Messrs. Bodnick, Hewson and Pearlman may have indirect beneficial ownership of these securities. See Footnotes 1, 3 and 4. Subject to anti-dilution adjustment pursuant to the terms of the Warrant for the purchase of shares of Common Stock (the "Warrant"). This is the number of shares of Common Stock issuable upon exercise of the Warrant as of the date of this filing. The reported securities are included within detachable units purchased by Elevation Partners and Side Fund for a purchase price of $1,000 per unit. Each unit consists of one share of the Series C Preferred Stock and a Warrant exercisable for the purchase of 70 shares of Common Stock. /s/ Tracy Hogan, Attorney-in-Fact for Reporting Persons pursuant to Power of Attorney (see signatures of other Reporting Persons on the attached Exhibit 99.1) 2009-01-12 EX-99 2 c79355_99x1.htm ADDITIONAL EXHIBITS Exhibit 99.1
Exhibit 99.1
Joint Filer Information
Form 4
     
Designated Filer:
  Elevation Partners, L.P.
 
    
Other Joint Filers:
  Elevation Associates, L.P., Elevation Associates, LLC,
 
  Elevation Employee Side Fund, LLC, Elevation Management, LLC, Marc Bodnick, Paul Hewson, and Bret Pearlman
 
    
Addresses:
  The principal business address of each of the joint filers listed above is 2800 Sand Hill Road, Suite 160, Menlo Park, CA 94025.
 
    
Date of Event Requiring Statement:
  January 9, 2009
 
    
Issuer Name and Ticker or Trading Symbol:
  Palm, Inc. [PALM]
Signatures:
         
  ELEVATION ASSOCIATES, L.P.
 		  
  By:   Elevation Associates, LLC,    
    as General Partner   
     
  By:   *    
    Name:  
Title:  		 Fred Anderson 
Manager 		  
 
  ELEVATION ASSOCIATES, LLC
 		  
  By:   *    
    Name:   Fred Anderson   
    Title:   Manager   
 
  ELEVATION EMPLOYEE SIDE FUND, LLC
 		  
  By:   Elevation Management, LLC,    
    as Managing Member   
       
 
  By:   *    
    Name:   Fred Anderson   
    Title:   Manager   
 
  ELEVATION MANAGEMENT, LLC
 		  
  By:   *    
    Name:   Fred Anderson   
    Title:   Manager   
 
     
  *    
  Marc Bodnick   
     
 
     
  *    
  Paul Hewson   
     
 
     
  *    
  Bret Pearlman   
     
 
     
  * /s/ Tracy Hogan    
  Attorney-in-Fact for Reporting Persons   
  pursuant to Power of Attorney   
 
Date: January 12, 2009

 

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