-----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, Mp/dHeQcS1aOnIdOf9HKbGCsLRd5K9VihxEP6+KOnGh+Wh4t7EFPvNwYl8hKYgeP O5tq7jHsmEYkZyKck2Lkqw== 0001181431-05-063561.txt : 20051129 0001181431-05-063561.hdr.sgml : 20051129 20051129165940 ACCESSION NUMBER: 0001181431-05-063561 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051128 FILED AS OF DATE: 20051129 DATE AS OF CHANGE: 20051129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ClearStory Systems, Inc. CENTRAL INDEX KEY: 0000878612 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 061302773 STATE OF INCORPORATION: DE FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: ONE RESEARCH DRIVE STREET 2: SUITE 200B CITY: WESTBOROUGH STATE: MA ZIP: 01581 BUSINESS PHONE: 5088704000 MAIL ADDRESS: STREET 1: ONE RESEARCH DRIVE STREET 2: SUITE 200B CITY: WESTBOROUGH STATE: MA ZIP: 01581 FORMER COMPANY: FORMER CONFORMED NAME: INSCI CORP DATE OF NAME CHANGE: 20011228 FORMER COMPANY: FORMER CONFORMED NAME: INSCI STATEMENTS COM CORP DATE OF NAME CHANGE: 19991222 FORMER COMPANY: FORMER CONFORMED NAME: INSCI CORP DATE OF NAME CHANGE: 19940411 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCP PRIVATE EQUITY PARTNERS II LP CENTRAL INDEX KEY: 0001118995 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12966 FILM NUMBER: 051232580 BUSINESS ADDRESS: STREET 1: 1200 LIBERTY RIDGE DR CITY: WAYNE STATE: PA ZIP: 19087 BUSINESS PHONE: 6109952900 MAIL ADDRESS: STREET 1: BUILDING 300 435 DEVON PARK DRIVE CITY: WAYNE STATE: PA ZIP: 19087 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCP PRIVATE EQUITY II LLC CENTRAL INDEX KEY: 0001124216 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12966 FILM NUMBER: 051232581 BUSINESS ADDRESS: STREET 1: BUILDING 300 435 DEVON PARK DRIVE CITY: WAYNE STATE: PA ZIP: 19087 BUSINESS PHONE: 6109952900 MAIL ADDRESS: STREET 1: BUILDING 300 435 DEVON PARK DRIVE CITY: WAYNE STATE: PA ZIP: 19087 4 1 rrd98369.xml FORM 4 X0202 4 2005-11-28 0 0000878612 ClearStory Systems, Inc. CSYS 0001118995 SCP PRIVATE EQUITY PARTNERS II LP 1200 LIBERTY RIDGE DRIVE SUITE 300 WAYNE PA 19087 0 0 1 0 0001124216 SCP PRIVATE EQUITY II LLC 1200 LIBERTY RIDGE DRIVE SUITE 300 WAYNE PA 19087 0 0 1 0 Series C Convertible Preferred Stock Warrant (Right to Buy) 1.9396 2005-11-28 4 A 0 77336 0 A 2005-11-28 2015-11-28 Series C Convertible Preferred Stock 77336 77336 D For purposes of Section 16 reporting, SCP Private Equity Partners II, LP ("SCP"), is deemed to be a direct beneficial owner of the derivative securities of the Issuer disclosed herein. SCP Private Equity II, LLC (the "Manager") is deemed to be an indirect beneficial owner of the derivative securities of the Issuer disclosed herein because of a contractual agreement with SCP which grants the Manager the power to make voting and investment decisions regarding the securities held by SCP. /s/ Thomas G. Rebar, Title: A Manager of SCP Private Equity II, LLC, the manager of SCP Private Equity II General Partner, L.P., the General Partner of the Reporting Person. 2005-11-28 -----END PRIVACY-ENHANCED MESSAGE-----