-----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, CyvJlSjOefv6GUh+z2ZcBK4aXFKEqVR+Q6DZY0Q1MrvfvnaoQ6su7wvSNZYk0eWp ip79988eO6Rkm1Qnzuaeww== 0000922996-03-000026.txt : 20030213 0000922996-03-000026.hdr.sgml : 20030213 20030213162529 ACCESSION NUMBER: 0000922996-03-000026 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20030213 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: RYSAVY JIRKA CENTRAL INDEX KEY: 0001105889 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 360 INTERLOCKEN BLVD SUITE 300 CITY: BROOMFIELD STATE: CO ZIP: 80021 MAIL ADDRESS: STREET 1: 360 INTERLOCKEN BLVD SUITE 300 CITY: BROOMFIELD STATE: CO ZIP: 80021 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: GAIAM INC CENTRAL INDEX KEY: 0001089872 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MOTION PICTURE & VIDEO TAPE PRODUCTION [7812] IRS NUMBER: 841113527 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-58429 FILM NUMBER: 03559990 BUSINESS ADDRESS: STREET 1: 360 INTERLOCKEN BLVD #300 CITY: BROOMFIELD STATE: CO ZIP: 80021 BUSINESS PHONE: 3032223600 MAIL ADDRESS: STREET 1: 360 INTERLOCKEN BLVD #300 CITY: BROOMFIELD STATE: CO ZIP: 80021 SC 13G/A 1 rysavy13g12-02.txt RYSAVY 13G 12/31/02 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ------------ Schedule 13G Under the Securities Exchange Act of 1934 (Amendment No. 3 )1 Gaiam, Inc. (Name of Issuer) Class A Common Stock, par value $.0001 per share (Title of Class of Securities) 36268Q103 (CUSIP Number) December 31, 2002 (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 13-d1(c) [ X ] Rule 13-d1(d) - --------------------- 1The 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. 36268Q103 - -------------------------------------------------------------------------------- 1. Names of Reporting Persons. I.R.S. Identification Nos. of above persons (entities only). Jirka Rysavy - -------------------------------------------------------------------------------- 2. Check the Appropriate Box if a Member of a Group (See Instructions) (a) ___ (b) ___ - -------------------------------------------------------------------------------- 3. SEC Use Only - -------------------------------------------------------------------------------- 4. Citizenship or Place of Organization United States - -------------------------------------------------------------------------------- Number of 5. Sole Voting Power: 7,716,200 Shares Beneficially 6. Shared Voting Power: Owned by Each Reporting 7. Sole Dispositive Power: 7,716,200 Person With 8. Shared Dispositive Power: - -------------------------------------------------------------------------------- 9. Aggregate Amount Beneficially Owned by Each Reporting Person 7,716,200 - -------------------------------------------------------------------------------- 10. Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions) - -------------------------------------------------------------------------------- 11. Percent of Class Represented by Amount in Row (9) 53.35% - -------------------------------------------------------------------------------- 12. Type of Reporting Person (See Instructions) IN - -------------------------------------------------------------------------------- Item 1(a). Name of Issuer: Gaiam, Inc. Item 1(b). Address of Issuer's Principal Executive Offices: 360 Interlocken Boulevard, Broomfield, CO 80021 Item 2(a). Name(s) of Person(s) Filing: Jirka Rysavy Item 2(b). Address of Principal Business Office or, if None, Residence 360 Interlocken Boulevard, Broomfield, CO 80021 Item 2(c). Citizenship: United States Item 2(d). Title of Class of Securities: Class A Common Stock, par value $.0001 per share Item 2(e). CUSIP Number: 36268Q103 Item 3. If this statement is filed pursuant to ss.ss.240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: (a) Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o); (b) Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c); (c) Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c); (d) Investment company registered under section 8 of the Investment Company Act, (15 U.S.C. 80a-8); (e) An investment adviser in accordance with ss.240.13d-1(b)(1)(ii)(E); (f) An employee benefit plan or endowment fund in accordance with ss.240.13d-1(b)(1)(ii)(F); (g) A parent holding company or control person in accordance with ss.240.13d-1(b)(1)(ii)(G); (h) A savings association as defined in section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); (i) A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3); (j) Group, in accordance with ss.240.13d-1(b)(1)(ii)(J). Not applicable Item 4. Ownership. (a) Amount beneficially owned: 7,716,200 (includes options to acquire 180,000 shares, which options are vested or will vest within 60 days) (b) Percent of class: 53.35% (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote: 7,716,200 (ii) Shared power to vote or to direct the vote: 0 (iii) Sole power to dispose or to direct the disposition of: 7,716,200 (iv) Shared power to dispose or to direct the disposition of: 0 Item 5. Ownership of Five Percent or Less of a Class. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following. Item 6. Ownership of More than Five Percent on Behalf of Another Person. Not applicable 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 SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 13, 2003 (Date) /s/ Jirka Rysavy (Signature) -----END PRIVACY-ENHANCED MESSAGE-----