SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
ROYSTON IVOR

(Last) (First) (Middle)
10421 PACIFIC CENTER COURT

(Street)
SAN DIEGO CA 92121

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
FAVRILLE INC [ FVRL ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
11/02/2007
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/02/2007 P 527,241 A (1) 4,943,589 I by Managed Account(2)
Common Stock 11/02/2007 P 105,448 A (3) 105,448 I by Partnership(4)
Common Stock 11/02/2007 P 35,149 A (5) 123,155 I by Spouse
Common Stock 11/02/2007 P 105,449 A (6) 127,003 I by Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant (right to buy) $2.77 11/02/2007 P 316,345 11/07/2007 11/07/2012 Common Stock 316,345 (1) 316,345 I by Managed Account(2)
Warrant (right to buy) $2.77 11/02/2007 P 63,269 11/07/2007 11/07/2012 Common Stock 63,269 (3) 63,269 I by Partnership(4)
Warrant (right to buy) $2.77 11/02/2007 P 21,089 11/07/2007 11/07/2012 Common Stock 21,089 (5) 21,089 I by Spouse
Warrant (right to buy) $2.77 11/02/2007 P 63,270 11/07/2007 11/07/2012 Common Stock 63,270 (6) 63,270 I by Trust
Explanation of Responses:
1. The reported securities are included within 527,241 Favrille Units purchased by Forward Ventures IV L.P. and Forward Ventures IV B, L.P. for $2.845 per Unit. Each Unit consists of one share of common stock and one warrant to purchase 0.6 shares of common stock.
2. The Reporting Person is the general partner of Forward Ventures IV, L.P. and Forward Ventures IV B, L.P. The Reporting Person disclaims beneficial ownership of the shares owned by such entities except to the extent of his pecuniary interest in such entities, if any.
3. The reported securities are included within 105,448 Favrille Units purchased by ICNA, Ltd. for $2.845 per Unit. Each Unit consists of one share of common stock and one warrant to purchase 0.6 shares of common stock.
4. The reporting person is a general partner of the ICNA, Ltd. The Reporting Person disclaims beneficial ownership of the shares except to the extent of his pecuniary interest therein.
5. The reported securities are included within 35,149 Favrille Units purchased by the reporting person's spouse for $2.845 per Unit. Each Unit consists of one share of common stock and one warrant to purchase 0.6 shares of common stock.
6. The reported securities are included within 105,449 Favrille Units purchased by the Trust for $2.845 per Unit. Each Unit consists of one share of common stock and one warrant to purchase 0.6 shares of common stock.
By: Kevin de la Torre For: Ivor Royston 11/06/2007
** 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 4 (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.