3 1 d3.txt STATEMENT OF OWNERSHIP /------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-0104 / / Expires: October 31, 2001 / / Estimated average burden / / hours per response...... 0.5 / /------------------------------/ +--------+ | FORM 3 | U.S. SECURITIES AND EXCHANGE COMMISSION +--------+ Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities 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 Responses) -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Stanford Venture Capital Holdings, Inc. ---------------------------------------------------------------------------- (Last) (First) (Middle) ---------------------------------------------------------------------------- (Street) 5050 Westheimer Road Houston, Texas 77056 ---------------------------------------------------------------------------- (City) (State) (Zip) 2. Date of Event Requiring Statement (Month/Day/Year) February 28, 2002 ------------------ 3. I.R.S Identification Number of Reporting Person, if an entity (Voluntary) -------------- 4. Issuer Name and Ticker or Trading Symbol Intercallnet, Inc. ("ICLN") ----------------------------------- 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) ___ Director ___ Officer X 10% Owner ___ Other --- (give title below) (specify below) ---------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) ---------------------------- 7. Individual or Joint/Group Filing (Check Applicable Line) ____ Form Filed by One Reporting Person X Form filed by More than One Reporting Person ---- Table I--Non-Derivative Securities Beneficially Owned
-------------------------------------------------------------------------------- 1. Title 2. Amount of 3. Ownership Form: 4. Nature of of Securities Bene- Direct (D) or Indirect Bene- Security ficially Owned Indirect (I) ficial Ownership (Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5) -------------------------------------------------------------------------------- Series A Convertible Preferred Stock, par value $0.0001 per share 1,500,000 D (1) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- --------------------------------------------------------------------------------
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 reported person, see Instruction 5(b)(v). FORM 3 (continued) Table II--Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
---------------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conversion 5. Ownership 6. Nature of In- Security (Instr. 4) cisable and Underlying Derivative Security or Form of direct Bene- Expiration (Instr. 4) Exercise Derivative ficial Date Price Security: Ownership (Month/Day/ of Direct (D) (Instr. 5) Year) Derivative or In- ------------------------------------------------------- Security direct (I) Date Expira- Amount or (Instr. 5) Exer- tion Title Number of cisable Date Shares ----------------------------------------------------------------------------------------------------------------------------------- Warrant 2/28/02 2/27/07 Common Stock, par value $0.0001 per share 83,334 $1.50 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 2/28/02 2/27/07 Common Stock, par value $0.0001 per share 83,334 $1.00 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 2/28/02 2/27/07 Common Stock, par value $0.0001 per share 250,000 $ .85 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 2/28/02 2/27/07 Common Stock, par value $0.0001 per share 250,000 $ .65 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 2/28/02 2/27/07 Common Stock, par value $0.0001 per share 250,000 $ .45 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 2/28/02 2/27/07 Common Stock, par value $0.0001 per share 166,666 $ .25 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/12/02 3/12/07 Common Stock, par value $0.0001 per share 83,334 $1.50 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/12/02 3/12/07 Common Stock, par value $0.0001 per share 83,334 $1.00 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/12/02 3/12/07 Common Stock, par value $0.0001 per share 250,000 $ .85 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/12/02 3/12/07 Common Stock, par value $0.0001 per share 250,000 $ .65 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/12/02 3/12/07 Common Stock, par value $0.0001 per share 250,000 $ .45 D (1) -----------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/12/02 3/12/07 Common Stock, par value $0.0001 per share 166,666 $ .25 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/27/02 3/27/07 Common Stock, par value $0.0001 per share 83,334 $1.50 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/27/02 3/27/07 Common Stock, par value $0.0001 per share 83,334 $1.00 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/27/02 3/27/07 Common Stock, par value $0.0001 per share 250,000 $ .85 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/27/02 3/27/07 Common Stock, par value $0.0001 per share 250,000 $ .65 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/27/02 3/27/07 Common Stock, par value $0.0001 per share 250,000 $ .45 D (1) ----------------------------------------------------------------------------------------------------------------------------------- Warrant 3/27/02 3/27/07 Common Stock, par value $0.0001 per share 166,666 $ .25 D (1)
(1) These securities are directly beneficially owned by Stanford Venture Capital Holdings, Inc. and may be deemed to be indirectly beneficially owned by R. Allen Stanford. Mr. Stanford disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose. /s/ Yolanda M. Suarez March 11, 2002 ---------------------------------------- ------------------ Stanford Venture Capital Holdings, Inc. Date Secretary ** 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 provided 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. Page 2 SEC 1473 (7-96) JOINT FILER INFORMATION Name: Stanford Venture Capital Holdings, Inc. Address: 5050 Westheimer Road Houston, Texas 77056 Designated Filer: Stanford Venture Capital Holdings, Inc. Issuer and Ticker Symbol: Intercallnet, Inc. ("ICLN") Date of Event Requiring Statement: February 28, 2002 Signature: Stanford Venture Capital Holdings, Inc. By: /s/ Yolanda M. Suarez ----------------------------------- Yolanda M. Suarez Secretary JOINT FILER INFORMATION Name: R. Allen Stanford Address: c/o Stanford Venture Capital Holdings, Inc. 5050 Westheimer Road Houston, Texas 77056 Designated Filer: Stanford Venture Capital Holdings, Inc. Issuer and Ticker Symbol: Intercallnet, Inc. ("ICLN") Date of Event Requiring Statement: February 28, 2002 Signature: /s/ R. Allen Stanford --------------------------------- R. Allen Stanford