1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
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Other (specify below) |
|
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|
|
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
|
|
|
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
|
Director |
X |
10% Owner |
|
Officer (give title below) |
|
Other (specify below) |
|
|
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Audax Chart, LLC
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
Audax Private Equity Fund, L.P.
By: Audax Private Equity Business, L.L.C., its general partner
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
Audax Private Equity Business, L.L.C.
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
Audax Private Equity Business, L.P.
By: Audax Holdings I, L.L.C., its general partner
By: Audax Group, L.P., its managing member
By: 101 Huntington Holdings, L.L.C., its general partner
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
Audax Holdings I, L.L.C.
By: Audax Group, L.P., its managing member
By: 101 Huntington Holdings, L.L.C., its general partner
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
Audax Group, L.P.
By: 101 Huntington Holdings, L.L.C., its general partner
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
101 Huntington Holdings, L.L.C.
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
Audax Management Company, LLC
By: Audax Group, L.P., its managing member
By: 101 Huntington Holdings, L.L.C., its general partner
/s/ Richard T. Joseph, Authorized Signatory |
09/25/2003 |
|
/s/ Marc B. Wolpow |
09/25/2003 |
|
/s/ Geoffrey S. Rehnert |
09/25/2003 |
|
** 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. |