-----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, O91Q+jWmxi4sKdb62f00PCQMR16gAZJjziHZoeYBJDhpPxq6X/BaRmyrN1sr2dI6 425bG6W79JSAHtp3zlUz1A== 0001209191-10-036954.txt : 20100702 0001209191-10-036954.hdr.sgml : 20100702 20100702150508 ACCESSION NUMBER: 0001209191-10-036954 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100701 FILED AS OF DATE: 20100702 DATE AS OF CHANGE: 20100702 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ANDERSON FRED D CENTRAL INDEX KEY: 0001211665 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-29597 FILM NUMBER: 10935789 MAIL ADDRESS: STREET 1: C/O APPLE COMPUTER INC STREET 2: 1 INFINITE LOOP CITY: CUPERTINO STATE: CA ZIP: 95014 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 4 1 c03105_4x0.xml MAIN DOCUMENT DESCRIPTION X0303 4 2010-07-01 1 0001100389 PALM INC PALM 0001211665 ANDERSON FRED D 2800 SAND HILL ROAD SUITE 160 MENLO PARK CA 94025 1 0 1 0 Common Stock 2010-07-01 4 D 0 10316700 5.70 D 0 I See footnote Common Stock 2010-07-01 4 D 0 3812 5.70 D 0 I See footnote Series B Conv. Preferred Stock, par value $0.001 per share 8.50 2010-07-01 4 D 0 324897 1010.00 D 2007-10-24 2014-10-24 Common Stock, par value $0.001 per share 38223176 0 I See footnote Series B Conv. Preferred Stock, par value $0.001 per share 8.50 2010-07-01 4 D 0 103 1010.00 D 2007-10-24 2014-10-24 Common Stock, par value $0.001 per share 12118 0 I See footnote Series C Conv. Preferred Stock, par value $0.001 per share 3.25 2010-07-01 4 D 0 50979 1753.85 D 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 15685846 0 I See footnote Series C Conv. Preferred Stock, par value $0.001 per share 3.25 2010-07-01 4 D 0 21 1753.85 D 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 6461 0 I See footnote Warrant (right to buy Common Stock) 3.25 2010-07-01 4 D 0 3568530 2.45 D 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 3568530 0 I See footnote Warrant (right to buy Common Stock) 3.25 2010-07-01 4 D 0 1470 2.45 D 2009-01-25 2014-10-24 Common Stock, par value $0.001 per share 1470 0 I See footnote 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. Anderson is a manager of Elevation LLC. As manager of Elevation LLC, Mr. Anderson 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, Mr. Anderson disclaims that he is the beneficial owner of such securities, 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. Anderson is a manager of Elevation Management. As a manager of Elevation Management, Mr. Anderson 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, Mr. Anderson disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein. /*/ Tracy Hogan, Attorney-in-Fact 2010-07-01 -----END PRIVACY-ENHANCED MESSAGE-----