FORM 3 |
UNITED STATES 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 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 02/23/2004 |
3. Issuer Name and Ticker or Trading Symbol
KINETIC CONCEPTS INC /TX/ [ KCI ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 3,529 | D(1) | |
Common Stock | 486,907 | D(2) | |
Common Stock | 10,040 | D(3) | |
Common Stock | 9,641,891 | D(4)(6) | |
Common Stock | 598,115 | D(5)(6) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Stock Option (right to buy) | (7) | 08/11/2010 | Common Stock | 2,941 | $17 | D(1) | |
Series A Convertible Preferred Stock | (8) | (9) | Common Stock | 140,267 | $17 | D(2) | |
Series A Convertible Preferred Stock | (8) | (9) | Common Stock | 2,900 | $17 | D(3) | |
Series A Convertible Preferred Stock | (8) | (9) | Common Stock | 2,777,589 | $17 | D(4)(6) | |
Series A Convertible Preferred Stock | (8) | (9) | Common Stock | 172,295 | $17 | D(5)(6) |
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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Explanation of Responses: |
1. These securities are owned directly by Blum Capital Partners, L.P. ("Blum L.P.") |
2. These shares are owned directly by Blum Strategic Partners II, L.P ("Strategic II"). The shares also may be deemed to be owned indirectly by (i) Blum Strategic GP II, L.L.C. ("Blum GP II"), the general partner of Strategic II, and (ii) Richard C. Blum, a managing member of Blum GP II. Both Blum GP II and Mr. Blum disclaim beneficial ownership of thse shares, except to the extent of any pecuniary interest therein. |
3. These shares are owned directly by Blum Strategic Partners II GmbH & Co. KG ("Strategic II KG"). The shares may also be deemed to be owned indirectly by (i) Blum GP II, the managing limited partner of Strategic II KG, and (ii) Richard C. Blum, a managing member of Blum GP II. Both Blum GP II and Mr. Blum disclaim beneficial ownership of these shares, except to the extent of any pecuniary interest therein. |
4. These shares are owned directly by RCBA-KCI Capital Partners, L.P. |
5. These shares are owned directly by Stinson Capital Partners II, L.P. |
6. These shares may be deemed to be owned indirectly by the following parties: (i) Blum L.P., the general partner of the limited partnerships described in Notes (4) and (5); (ii) Richard C. Blum & Associates, Inc. ("RCBA Inc."), the general partner of Blum L.P.; and (iii) Richard C. Blum, a significant stockholder and chairman of RCBA Inc. Blum L.P., RCBA Inc. and Mr. Blum disclaim beneficial ownership in these shares, except to the extent of any pecuniary interest therein. |
7. The option vests in one-twelfth installments every three months over a period of three years beginning on November 11, 2003. |
8. Immediately. |
9. No expiration date. |
BLUM CAPITAL PARTNERS, L.P. By Richard C. Blum & Associates, Inc., its general partner By Marc T. Scholvinck, Partner, Chief Financial Officer and Assistant Secretary | 02/23/2004 | |
RICHARD C. BLUM & ASSOCIATES, INC. By Marc T. Scholvinck, Partner, Chief Financial Officer and Assistant Secretary | 02/23/2004 | |
RICHARD C. BLUM By Marc T. Scholvinck, Attorney-in-Fact | 02/23/2004 | |
BLUM STRATEGIC GP II, L.L.C. By Marc T. Scholvinck, Managing Member | 02/23/2004 | |
** Signature of Reporting Person | Date | |
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 reporting person, see Instruction 5 (b)(v). | ||
** 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 is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |