4 1 d4.txt FORM 4--SCP /------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-0287 / / Expires: December 31, 2001 / / Estimated average burden / / hours per response...... 0.5 / /------------------------------/ +--------+ | FORM 4 | U.S. SECURITIES AND EXCHANGE COMMISSION +--------+ Washington, D.C. 20549 [_] Check box if no longer subject STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP to Section 16. Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities obligations may Exchange Act of 1934, Section 17(a) of the continue. See Public Utility Holding Company Act of 1935 or Instruction 1(b). Section 30(f) of the Investment Company Act of 1940 -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol SCP Private Equity Partners II, L.P. USDATA Corporation (USDC) -------------------------------------------------------------------------------- (Last) (First) (Middle) 3. IRS or Social 4. Statement for Security Month/Year Number of Reporting 435 Devon Park Drive, Building 300 Person (Voluntary) 07/2001 --------------------------------------------------------------- ---------------- (Street) 5. If Amendment, Date of Original (Month/Year) Wayne, PA 19087 -------------------------------------------------------------- ----------------- (City) (State) (Zip) -------------------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) _____ Director X 10% Owner --- _____ Officer (give ____Other (specify title below) below) ________________________ -------------------------------------------------------------------------------- 7. Individual or Joint/Group Reporting (Check applicable line) ____Form Filed by One Reporting Person X Form Filed by More than One Reporting Person --- --------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------ Table I -- Non-Derivative Securities Acquired,Disposed of, or Beneficially Owned ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature Security action action or Disposed of (D) Securities ship of In- (Instr. 3) Date Code (Instr. 3, 4 and 5) Beneficially Form: direct (Month/ (Instr. 8) Owned at Direct Bene- Day/ ------------------------------- End of (D) or ficial Year) Month Indirect Owner- Amount (A) or Price (Instr. 3 and 4) (I) ship (D) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
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 4(b) (v). (over) SEC 2270 (7-96) 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- Security (Instr. 3) sion or action tion Code ative Securities Exercise Date (Instr. 8) Acquired (A) or Price of (Month/ Disposed of (D) Deriv- Day/ (Instr. 3, 4, and 5) ative Year) Security ----------------------- (A) (D) ------------------------------------------------------------------------------------------------------------------------------------ Series C-1 Preferred Stock, par value $0.01 per share (FN1) 07/20/01 P 16,250 (FN1) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ 6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na- cisable and Underlying Securities of of Deriv- ship of ture Expiration (Instr. 3 and 4) Deriv- ative Deriv- of In- Date ative Secur- ative direct (Month/Day/ Secur- ities Secur- Bene- Year) ity Bene- ity: ficial ---------------------------------------------- (Instr. ficially Direct (D) Owner- 5) Owned or In-direct ship Date Expira- Amount or at End (I) (Instr. 4) Exer- tion Title Number of of (Instr. 4) cisable Date Shares Month (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Presently None Common 1,625,000 $40.00 per 53,750 (FN 1) (FN 1) Stock (FN 1) share (FN 1) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (FN1) On July 20, 2001, the Issuer exercised its right under the Series C Preferred Stock Purchase Agreement dated as of March 30, 2001, to sell 16,250 shares of Series C-1 Preferred Stock, par value $0.01 per share ("Series C-1 Preferred Stock") to SCP Private Equity Partners II, L.P. ("SCP") at a purchase price of $40.00 per share. SCP paid the Issuer $635,596, net of transaction costs, for the shares. As of the end of July 2001, each share of Series C-1 Preferred Stock was convertible into 100 shares of common stock of the Issuer, subject to increase for dividends and dilutive issuances. As a result of a one-for-five reverse stock split on the Issuer's common stock effective as of August 21, 2001, as of the end of April 2002, SCP had the right to convert each share of Series C-1 Preferred Stock into 20 shares of the Issuer's common stock, subject to increase for dividends and dilutive issuances. For purposes of Section 16 reporting, 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. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Wayne B. Weisman May 10, 2002 --------------------------------------- -------------------- ** Signature of Reporting Person Date Name: Wayne B. Weisman 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 Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number. Page 2 SEC 2270(7-96) Joint Filer Information Name: SCP Private Equity II, LLC Address: 435 Devon Park Drive, Building 300 Wayne, Pennsylvania 19087 Designated Filer: SCP Private Equity Partners II, L.P. Issuer & Ticker Symbol: USDATA Corporation (USDC) Date of Event Requiring Statement: July 20, 2001 Signature: By: /s/ Wayne B. Weisman ------------------------------- Name: Wayne B. Weisman ------------------------------- Title: Manager ------------------------------- Page 3 of 3 Pages