-----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, Hqup7lsx7Ycarpq1PwJP5RkTXeI18if397TLZSpEzMtEEzLGcDPv/FTNiipFc1DV o3mml+RsqvEdT1qkxn4uoA== 0000893750-05-000074.txt : 20050131 0000893750-05-000074.hdr.sgml : 20050131 20050131185646 ACCESSION NUMBER: 0000893750-05-000074 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050127 FILED AS OF DATE: 20050131 DATE AS OF CHANGE: 20050131 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FREMONT ACQUISITION CO IIA LLC CENTRAL INDEX KEY: 0001280401 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09913 FILM NUMBER: 05563394 MAIL ADDRESS: STREET 1: 199 FREMONT ST STREET 2: STE 2300 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FREMONT ACQUISITION CO 11 LLC CENTRAL INDEX KEY: 0001280400 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09913 FILM NUMBER: 05563395 MAIL ADDRESS: STREET 1: 199 FREMONT ST STREET 2: STE 2300 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FREMONTKCI CO INVESTMENT CO LLC CENTRAL INDEX KEY: 0001280402 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09913 FILM NUMBER: 05563393 MAIL ADDRESS: STREET 1: 199 FREMONT ST STREET 2: STE 2300 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FREMONT KCI CO INVESTMENTS II LLC CENTRAL INDEX KEY: 0001280404 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09913 FILM NUMBER: 05563397 MAIL ADDRESS: STREET 1: 199 FREMONT ST STREET 2: STE 2300 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: KINETIC CONCEPTS INC /TX/ CENTRAL INDEX KEY: 0000831967 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS FURNITURE & FIXTURES [2590] IRS NUMBER: 741891727 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8023 VANTAGE DR CITY: SAN ANTONIO STATE: TX ZIP: 78230 BUSINESS PHONE: 210.524.9000 MAIL ADDRESS: STREET 1: P0 B0X 659508 CITY: SAN ANTONIO STATE: TX ZIP: 78265-9508 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FREMONT PARTNERS LP CENTRAL INDEX KEY: 0001010106 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09913 FILM NUMBER: 05563396 BUSINESS ADDRESS: STREET 1: 50 FREMONT STREET STREET 2: SUITE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 4152848500 MAIL ADDRESS: STREET 1: 50 FREMONT ST STREET 2: STE 3700 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 4 1 form_4ex.xml X0202 4 2005-01-27 1 0000831967 KINETIC CONCEPTS INC /TX/ KCI 0001010106 FREMONT PARTNERS LP 199 FREMONT STREET SUITE 2300 SAN FRANCISCO CA 94105 0 0 1 0 0001280400 FREMONT ACQUISITION CO 11 LLC 199 FREMONT ST STE 2300 SAN FRANCISCO CA 94105 0 0 1 0 0001280401 FREMONT ACQUISITION CO IIA LLC 199 FREMONT ST STE 2300 SAN FRANCISCO CA 94105 0 0 1 0 0001280402 FREMONTKCI CO INVESTMENT CO LLC 199 FREMONT ST STE 2300 SAN FRANCISCO CA 94105 0 0 1 0 0001280404 FREMONT KCI CO INVESTMENTS II LLC 199 FREMONT ST STE 2300 SAN FRANCISCO CA 94105 0 0 1 0 Common Stock 2005-01-27 4 J 0 1868272 D 1554265 D Common Stock 2005-01-27 4 J 0 503607 D 328757 D Common Stock 2005-01-27 4 J 0 1111960 D 512 D Common Stock 2005-01-27 4 J 0 711961 D 519 D On January 27, 2005, (a) Fremont Acquisition Company II, L.L.C. distributed 1,868,272 shares to Fremont Partners, L.P., its sole member, in accordance with its limited liability company agreement and (b) Fremont Partners, L.P. distributed such shares to its partners on a pro rata basis in accordance with its limited partnership agreement. After such distribution, Fremont Acquisition Company II, L.L.C. directly owns 1,554,265 shares. The shares owned directly by Fremont Acquisition Company II, L.L.C. may be deemed to be beneficially owned by Fremont Partners, L.P., its sole member. On January 27, 2005, Fremont Acquisition Company IIA, L.L.C. distributed 503,607 shares to its members on a pro rata basis in accordance with its limited liability company agreement. After such distribution, Fremont Acquisition Company IIA, L.L.C. directly owns 328,757 shares. On January 27, 2005, Fremont-KCI Co-Investment Company, L.L.C. distributed 1,111,960 shares to its members on a pro rata basis in accordance with its limited liability company agreement. After such distribution, Fremont-KCI Co-Investment Company, L.L.C. directly owns 512 shares. On January 27, 2005, Fremont-KCI Co-Investment Company II, L.L.C. distributed 711,961 shares to its members on a pro rata basis in accordance with its limited liability company agreement. After such distribution, Fremont-KCI Co-Investment Company II, L.L.C. directly owns 519 shares. FREMONT PARTNERS, L.P. By: FP Advisors, L.L.C., General Partner; By: Fremont Group, L.L.C., Managing Member; By: Fremont Investors, Inc., Managing Member; By: James Farrell, Managing Director 2005-01-31 FREMONT ACQUISITION COMPANY II, L.L.C. By: Fremont Partners, L.P., Member; By: FP Advisors, L.L.C., General Partner; By: Freemont Group, L.L.C., Managing Member; By: Fremont Investors, Inc., Managing Member; By: James Farrell, Managing Director 2005-01-31 FREMONT-KCI CO-INVESTMENT COMPANY, L.L.C. By: FP Advisors, L.L.C., Managing Member; By: Fremont Group, L.L.C., Managing Member; By: Fremont Investors, Inc., Managing Member; By: James Farrell, Managing Director 2005-01-31 FREMONT-KCI CO-INVESTMENT COMPANY, II, L.L.C. By: FP Advisors, L.L.C., Managing Member; By: Freemont Group, L.L.C., Managing Member; By: Fremont Investors, Inc., Managing Member; By: James Farrell, Managing Director 2005-01-31 FREMONT ACQUISITION COMPANY IIA, L.L.C. By: FP Advisors, L.L.C., non-Member Manager; By: Freemont Group, L.L.C., Managing Member; By: Fremont Investors, Inc., Managing Member; By: James Farrell, Managing Director 2005-01-31 -----END PRIVACY-ENHANCED MESSAGE-----