-----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, WZGYRrfRMp69Zgg7Z+bE8WyXFTYf7y7n0PDwx0E0Qjgceqno6sRbgDjSLPIxVE38 ZXRggRJF3pzLCVhN8JAkEw== 0000912057-01-005905.txt : 20010223 0000912057-01-005905.hdr.sgml : 20010223 ACCESSION NUMBER: 0000912057-01-005905 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20010214 GROUP MEMBERS: SIERRA VENTURES V LP GROUP MEMBERS: SV ASSOCIATES V, L.P. SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: NOVAMED EYECARE INC CENTRAL INDEX KEY: 0001086939 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT SERVICES [8741] IRS NUMBER: 364116193 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: SEC FILE NUMBER: 005-58295 FILM NUMBER: 1546189 BUSINESS ADDRESS: STREET 1: 980 N MICHIGAN AVENUE STREET 2: SUITE 1620 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 3126644100 MAIL ADDRESS: STREET 1: 980 N MICHIGAN AVENUE STREET 2: SUITE 1620 CITY: CHICAGO STATE: IL ZIP: 60611 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: SIERRA VENTURES V LP CENTRAL INDEX KEY: 0001032617 STANDARD INDUSTRIAL CLASSIFICATION: [] IRS NUMBER: 94322153 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 3000 SAND HILL RD BUILDING FOUR STREET 2: STE 210 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 4158541000 MAIL ADDRESS: STREET 1: 3000 SAND HILL RD BLDG FOUR STE 210 CITY: MENLO PARK STATE: CA ZIP: 94025 SC 13G/A 1 a2037855zsc13ga.txt SC 13G/A Page 1 of 9 Pages SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------------------------------------------------- SCHEDULE 13G (RULE 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b) AND (c) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2(b) (AMENDMENT NO. 1)(1) NOVAMED EYECARE, INC. - -------------------------------------------------------------------------------- (Name of Issuer) COMMON STOCK - -------------------------------------------------------------------------------- (Title of Class of Securities) 669865107 - -------------------------------------------------------------------------------- (CUSIP Number) - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) Check the appropriate box to designate the rule pursuant to which this Schedule is filed: / / Rule 13d-1(b) / / Rule 13d-1(c) /X/ Rule 13d-1(d) - --------------------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). CUSIP NO. 669865107 13G Page 2 of 9 Pages - ------------ --------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS SIERRA VENTURES V, L.P., A CALIFORNIA LIMITED PARTNERSHIP ("SIERRA V") 94-3222153 - ------------ --------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - ------------ --------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------ --------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION CALIFORNIA LIMITED PARTNERSHIP - --------------------------- ---------- ------------------------------------------------------------------------------- 5 SOLE VOTING POWER -0- NUMBER OF SHARES ---------- ------------------------------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED BY -0- EACH ---------- ------------------------------------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH -0- ----------- ------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER -0- - ----------- ---------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON -0- - ------------ --------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) / / EXCLUDES CERTAIN SHARES* - ------------ --------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0% - ------------ --------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* PN - ---------------------------------------------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! CUSIP NO. 669865107 13G Page 3 of 9 Pages - ------------ --------------------------------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSONS S.S. OR I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS SV ASSOCIATES V, L.P., A CALIFORNIA LIMITED PARTNERSHIP ("SV ASSOCIATES") 94-3222154 - ------------ --------------------------------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ - ------------ --------------------------------------------------------------------------------------------------------- 3 SEC USE ONLY - ------------ --------------------------------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION CALIFORNIA LIMITED PARTNERSHIP - --------------------------- ---------- ------------------------------------------------------------------------------- 5 SOLE VOTING POWER -0- NUMBER OF SHARES ---------- ------------------------------------------------------------------------------- BENEFICIALLY 6 SHARED VOTING POWER OWNED BY -0- EACH ---------- ------------------------------------------------------------------------------- REPORTING 7 SOLE DISPOSITIVE POWER PERSON WITH -0- ----------- ------------------------------------------------------------------------------- 8 SHARED DISPOSITIVE POWER -0- - ----------- ---------------------------------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON -0- - ------------ --------------------------------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) / / EXCLUDES CERTAIN SHARES* - ------------ --------------------------------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 0% - ------------ --------------------------------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON* PN - ----------------------------------------------------------------------------------------------------------------------
Page 4 of 9 Pages ITEM 1(a) NAME OF ISSUER: Novamed Eyecare, Inc. ITEM 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: 980 North Michigan Ave., Suite 1620 Chicago, IL 60611 ITEM 2(a) NAME OF PERSON FILING: This amended statement is being filed by SV Associates V, L.P., a California Limited Partnership ("SV Associates") whose principal business is 3000 Sand Hill Road, Building Four, Suite 210, Menlo Park, California 94025. SV Associates is general partner to Sierra Ventures V, L.P., a California Limited Partnership ("Sierra V"). With respect to SV Associates, this amended statement relates only to SV Associates' indirect, beneficial ownership of shares of Common Stock of Novamed Eyecare, Inc. (the "Shares"). The Shares were held directly by Sierra V. Management of the Business affairs of SV Associates, including decisions respecting disposition and/or voting of the Shares, is by majority decision of the general partners of SV Associates listed on Exhibit B hereto. Each individual general partner disclaims beneficial ownership of the Shares previously held by Sierra V. ITEM 2(b) ADDRESS OF PRINCIPAL BUSINESS OFFICES OR, IF NONE, RESIDENCE: See Above. ITEM 2(c) CITIZENSHIP See Above ITEM 2(d) TITLE OF CLASS OF SECURITIES: Common Stock ITEM 2(e) CUSIP NUMBER: 669865107 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b) OR 13d-2(b), CHECK WHETHER THE PERSON FILING IS A: Not applicable. ITEM 4. OWNERSHIP. Please see Rows 5-11 of cover pages. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. This statement is being filed to report the fact that as of the date hereof each reporting person has ceased to be the beneficial owner of more than five percent (5%) of the Common Stock of Novamed Eyecare, Inc. ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not applicable. Page 5 of 9 Pages ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not applicable. ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not applicable. ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not applicable. ITEM 10. CERTIFICATION. Not applicable. Page 6 of 9 Pages SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, I certify that that information set forth in this statement is true, complete and correct. February 14, 2001 SV ASSOCIATES V, L.P. By: /s/ Martha A. Clarke Adamson ---------------------------------------- Martha A. Clarke Adamson Chief Financial Officer SIERRA VENTURES V, L.P., A CALIFORNIA LIMITED PARTNERSHIP By SV Associates V, L.P., its General Partner By: /s/ Martha A. Clarke Adamson ----------------------------------------- Martha A. Clarke Adamson Chief Financial Officer Page 7 of 9 Pages EXHIBIT INDEX
Found on Sequentially Exhibit Numbered Page ------- ------------- Exhibit A: Agreement of Joint Filing 8 Exhibit B: List of General Partners of SV Associates V, L.P. 9
Page 8 of 9 Pages EXHIBIT A AGREEMENT OF JOINT FILING The undersigned hereby agree that they are filing jointly pursuant to Rule 13d-1 of the Act the statement dated February 14, 2001, containing the information required by Schedule 13G, for the Shares of the Common Stock of Novamed Eyecare, Inc. previously held by Sierra Ventures V, L.P., a California Limited Partnership. February 14, 2001 SV ASSOCIATES V, L.P. By: /s/ Martha A. Clarke Adamson ----------------------------------------- Martha A. Clarke Adamson Chief Financial Officer SIERRA VENTURES V, L.P., A CALIFORNIA LIMITED PARTNERSHIP By SV Associates V, L.P., its General Partner By: /s/ Martha A. Clarke Adamson ----------------------------------------- Martha A. Clarke Adamson Chief Financial Officer Page 9 of 9 Pages EXHIBIT B GENERAL PARTNERS OF SV ASSOCIATES V, L.P. Set forth below, with respect to each general partners of SV Associates V, L.P. is the following: (a) name; (b) business address and (c) citizenship. 1. (a) Peter C. Wendell (b) c/o Sierra Ventures 3000 Sand Hill Road Building Four, Suite 210 Menlo Park, CA 94025 (c) United States Citizen 2. (a) Jeffrey M. Drazan (b) c/o Sierra Ventures 3000 Sand Hill Road Building Four, Suite 210 Menlo Park, CA 94025 (c) United States Citizen
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