-----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, MLNPFV6HfZcsjiOymSXnUSxJO8hcuqzWB0jdiKQRQDE0UdxHxXn+IXfc1Ns02RdQ 3we54JxiNfvNFqtMYXX05g== 0000950116-96-000963.txt : 19960913 0000950116-96-000963.hdr.sgml : 19960913 ACCESSION NUMBER: 0000950116-96-000963 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960912 SROS: NASD SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INTELLICORP INC CENTRAL INDEX KEY: 0000730169 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 942756073 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13022 FILM NUMBER: 96629094 BUSINESS ADDRESS: STREET 1: 1975 EL CAMINO REAL WEST STREET 2: SUITE 101 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94040-2216 BUSINESS PHONE: 4159655500 MAIL ADDRESS: STREET 1: 1975 EL CAMINO REAL WEST STREET 2: SUITE 101 CITY: MOUNTAIN VIEW STATE: CA ZIP: 94040-2216 FORMER COMPANY: FORMER CONFORMED NAME: INTELLIGENETICS INC DATE OF NAME CHANGE: 19840802 COMPANY DATA: COMPANY CONFORMED NAME: WECHSLER NORMAN J CENTRAL INDEX KEY: 0000918375 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] DIRECTOR STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 105 SOUTH BEDFORD ROAD STREET 2: STE 310 CITY: MOUNT KISCO STATE: NY ZIP: 10549 BUSINESS PHONE: 914-242-60 MAIL ADDRESS: STREET 1: 105 SOUTH BEDFORD ROAD STREET 2: STE 310 CITY: MOUNT KISCO STATE: NY ZIP: 10549 4 1
- ------------------------------- ---------------------------------- FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL - ------------------------------- Washington, D.C. 20549 ---------------------------------- OMB Number 3235-0287 Expires: April 30, 1997 [ ] Check this box if no longer STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Estimated average burden subject to Section 16. Form 4 hours per response.........0.5 or Form 5 obligations may ---------------------------------- continue. See Instruction 1(b). 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 - ----------------------------------------------------------------------------------------------------------------------------------- 1. Name and Address of Reporting 2. Issuer and Name and Ticker or 6. Relationship of Reporting Person to Issuer Person Trading Symbol (Check all applicable) WECHSLER NORMAN J. INTELLICORP, INC. (INAI) __X__ Director __X__ 10% Owner _____ Officer (give _____ Other (specify title below) below) ------------------------------- - --------------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for Number of Reporting Month/Year 105 South Bedford Road Person (Voluntary) August, 1996 - ----------------------------------- --------------------- (Street) 5. If Amendment, Date of Original Mt. Kisco New York 10549 (Month/Year) - ----------------------------------------------------------------------------------------------------------------------------------- (City) (State) (Zip) Table I -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned - ----------------------------------------------------------------------------------------------------------------------------------- 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature (Instr. 3) action action or Disposed of (D) Securities ship of In- Date Code (Instr. 3, 4 and 5) Beneficially Form: direct (Instr. 8) Owned at Direct Bene- (Month/ ---------------------------------------- End of (D) or ficial Day/ Code V Amount (A) or Price Month Indirect Owner- Year) (D) (I) ship (Instr. 3 and 4) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ See footnote (1) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses) SEC 1474 (8-92) FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- 6. Date Exercisable Security (Instr. 3) sion or action tion Code ative Securities and Expiration Exercise Date (Instr. 8) Acquired (A) or Date Price of (Month/ Disposed of (D) Deriv- Day/ (Month/Day/ ative Year) (Instr. 3, 4 and 5) Year) Security ----------------------- Date Expira- Exer- tion cisable Date ---------------------------------------- Code V (A) (D) - ------------------------------------------------------------------------------------------------------------------ Warrant (Right to Buy) $3.50 08-07-96 J(2) 470,000 08-07-96 06-27-06 - ------------------------------------------------------------------------------------------------------------------ Series A Convertible $1.55 08-07-96 J(3) 379,032 Immed. Preferred Stock - ------------------------------------------------------------------------------------------------------------------ Senior Convertible Note $1.55 08-07-96 J(3) $1,175,000 Immed. 04-30-03 - ------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------ FORM 4 (continued) Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ------------------------------------------------------------------------------------- 7. Title and Amount of Under- 8. Price 9. Number of 10. Owner- 11. Na- lying Securities of Derivative ship ture Deriv- Securities Form of In- (Instr. 3 and 4) ative Beneficially of De- direct Secur- Owned at rivative Bene- ity End of Secu- ficial (Instr. Month rity: Own- 5) Direct ership (Instr. 4) (D) or Indi- (Instr. 4) rect (I) (Instr. 4) - --------------------------------- Amount or Title Number of Shares - ------------------------------------------------------------------------------------- Common 470,000 (2) 470,000 D Stock - ------------------------------------------------------------------------------------- Common 758,064 (3) 379,032 D Stock - ------------------------------------------------------------------------------------- Common 758,064 (3) $975,000 D Stock - ------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------- Explanation of Responses: (1) This report does not restate information with respect to Non-Derivative Securities beneficially owned at the end of the month, if previously reported by the undersigned. (2) Grant to the undersigned of a warrant to purchase 470,000 shares of Common Stock, $.001 par value, of the Issuer. (3) Exchange by the undersigned of $1,175,000 of the Issuer's Senior Convertible Note for 379,032 shares of Series A Preferred Stock, $.001 par value, of the Issuer.
/s/ NORMAN J. WECHSLER September 12, 1996 -------------------------------------- --------------------- ** Signature of Reporting Person Date Norman J. Wechsler ** 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. Page 2 SEC 1474 (8-92) -----END PRIVACY-ENHANCED MESSAGE-----