-----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, FPok/VMVVciPlp8Y9knlUb2tlXwWP/A1RzPyBBY55ovNaWN7mAyjTJTLj7ZV8w48 BjNtXOeUSl+jWgBA1+Yj+A== 0001181431-07-075074.txt : 20071212 0001181431-07-075074.hdr.sgml : 20071212 20071212165042 ACCESSION NUMBER: 0001181431-07-075074 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20071212 FILED AS OF DATE: 20071212 DATE AS OF CHANGE: 20071212 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ungerer Scott B CENTRAL INDEX KEY: 0001292167 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-33879 FILM NUMBER: 071302260 BUSINESS ADDRESS: BUSINESS PHONE: 610-977-7601 MAIL ADDRESS: STREET 1: 435 DEVON PARK DR, BUILDING 700 CITY: WAYNE STATE: PA ZIP: 19087 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTELLON CORP CENTRAL INDEX KEY: 0001120105 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 592744155 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5100 W SILVER SPRINGS BLVD CITY: OCALA STATE: FL ZIP: 34482 BUSINESS PHONE: (352) 237-7416 MAIL ADDRESS: STREET 1: 5100 W SILVER SPRINGS BLVD CITY: OCALA STATE: FL ZIP: 34482 3 1 rrd182281.xml FORM 3 X0202 3 2007-12-12 0 0001120105 INTELLON CORP ITLN 0001292167 Ungerer Scott B 700 BUILDING 435 DEVON PARK DRIVE WAYNE PA 19087 1 0 1 0 Common Stock 2372 I See Footnote Common Stock 91 I See Footnote Common Stock 9997 I See Footnote Series A Convertible Preferred Stock Common Stock 1460909 I See Footnote Series B Convertible Preferred Stock Common Stock 585065 I See Footnote Series C Convertible Preferred Stock Common Stock 186447 I See Footnote Series A Convertible Preferred Stock Common Stock 55728 I See Footnote Series B Convertible Preferred Stock Common Stock 22317 I See Footnote Series C Convertible Preferred Stock Common Stock 7112 I See Footnote Shares are directly held by EnerTech Capital Partners II L.P. ("ECP II LP"). Mr. Ungerer, a director of the Issuer, together with ECP II Management LLC, the general partner of ECP II Management L.P., ECP II Management L.P. the general partner of ECP II L.P., and Williab G. Kingsley, Robert E. Keith, Jr. and Mark J. DeNino, the other members of the executive board of ECP II Management LLC may be deemed to share voting and dispositive power over the shares held by ECP II LP. Mr. Ungerer disclaims beneficial ownership of shares held by ECP II LP except to the extent of any pecuniary interest therein. Shares are directly held by ECP II Interfund L.P. ("ECP II Interfund"). Mr. Ungerer, a director of the Issuer, together with ECP II Management LLC, the general partner of ECP II Interfund, and William G. Kingsley, Robert E. Keith, Jr. and Mark J. DeNino, the other members of the executive board of ECP II Management LLC may be deemed to share voting and dispositive power over the shares held by ECP II Interfund. Mr. Ungerer disclaims beneficial ownership of shares held by ECP II Interfund except to the extent of any pecuniary interest therein. Shares are directly held by EnerTech Capital Partners L.P. ("ECP L.P."). Mr. Ungerer, a director of the issuer, together with EnerTech Management, L.P., the general partner of ECP LP, EnerTech Management Company, L.P., the general partner of EnerTech Management L.P., EnerTech Management Company Manager, LLC, the general partner of EnerTech Management Company, L.P., and William G. Kingsley, Robert E. Keith and Mark J. DeNino, the other members of the executive board of EnerTech Management Company Manager, LLC, may be deemed to share voting and dispositive power over the shares held by ECP LP. Mr. Ungerer disclaims beneficial ownership of shares held by ECP LP except to the extent of any pecuniary interest therein; The Series A Convertible Preferred Stock is convertible into Intellon Corporation common stock and has no expiration date. The number of underlying shares of common stock reported in Column 3 reflects the conversion of each share of Series A Convertible Preferred Stock listed in Column 1 at a conversion rate equal to a fraction, the numerator of which equals $4.0725425 plus all accrued dividends thereon, the denominator of which equals $4.0725425. Dividends accrue daily on each share of Series A Convertible Preferred Stock at a rate of 0.06705 per share per annum. All shares of Series A convertible Preferred Stock will automatically convert into common stock upon the closing of the Issuer's initial public offering of common stock. The Series B Convertible Preferred Stock is convertible into Intellon Corporation common stock and has no expiration date. The number of underlying shares of common stock reported in Column 3 reflects the conversion of each share of the Series B Convertible Preferred Stock listed in Column 1 at a conversion rate equal to a fraction, the numerator of which equals $4.4792501 plus all accrued dividends thereon, the denominator of which equals $4.4792501. Dividends accrue daily on each share of Series B Convertible Preferred Stock at a rate of 0.07375 per share per annum. All shares of Series B convertible Preferred Stock will automatically convert into common stock upon the closing of the Issuer's initial public offering of common stock. The Series C Convertible Preferred Stock is convertible into Intellon Corporation common stock and has no expiration date. The number of underlying shares of common stock reported in Column 3 reflects the conversion of each share of the Series C Convertible Preferred Stock listed in Column 1 at a conversion rate equal to a fraction, the numerator of which equals $7.31581695 plus all accrued dividends thereon, the denominator of which equals $7.31581695. Dividends accrue daily on each share of Series C Convertible Preferred Stock at a rate of 0.120447 per share per annum. All shares of Series C Convertible Preferred Stock will automatically convert into common stock upon the closing of the Issuer's initial public offering of common stock. /s/ Phyllis Reid as Attorney-in-Fact 2007-12-12 -----END PRIVACY-ENHANCED MESSAGE-----