| 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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
LEADIS TECHNOLOGY INC [ LDIS ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 06/21/2004 | ||||||||||||||||||||||||||
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4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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| 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 | 06/21/2004 | C | 5,001,876 | A | $0.00 | 5,001,876 | I | Shares held directly by U.S. Venture Partners VIII, L.P.(1) | ||
| Common Stock | 06/21/2004 | C | 46,860 | A | $0.00 | 46,860 | I | Shares held directly by USVP Entrepreneur Partners VIII-A, L.P.(1) | ||
| Common Stock | 06/21/2004 | C | 25,141 | A | $0.00 | 25,141 | I | Shares held directly by USVP Entrepreneur Partners VIII-B, L.P.(1) | ||
| Common Stock | 06/21/2004 | C | 36,856 | A | $0.00 | 36,856 | I | Shares held directly by USVP VIII Affiliates Fund, L.P.(1) | ||
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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| 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 | ||||||||
| Series B Preferred Stock | (2) | 06/21/2004 | C | 5,001,876 | (2) | (2) | Common Stock | 5,001,876 | $0.00 | 0 | I | Shares held directly by U.S. Venture Partners VIII, L.P. | |||
| Series B Preferred Stock | (2) | 06/21/2004 | C | 46,860 | (2) | (2) | Common Stock | 46,860 | $0.00 | 0 | I | Shares held directly by USVP Entrepreneur Partners VIII-A, L.P. | |||
| Series B Preferred Stock | (2) | 06/21/2004 | C | 25,141 | (2) | (2) | Common Stock | 25,141 | $0.00 | 0 | I | Shares held directly by USVP Entrepreneur Partners VIII-B, L.P. | |||
| Series B Preferred Stock | (2) | 06/21/2004 | C | 36,856 | (2) | (2) | Common Stock | 36,856 | $0.00 | 0 | I | Shares held directly by USVP VIII Affiliates Fund, L.P. | |||
1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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1. Name and Address of Reporting Person*
(Street)
Relationship of Reporting Person(s) to Issuer
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| Explanation of Responses: |
| 1. See additional Form 4 filed by Presidio Management Group VIII LLC ("PMG VIII") for additional members of this joint filing. PMG VIII is the general partner of U.S. Venture Partners VIII, L.P. ("USVP VIII"), USVP Enterpreneur Partners VIII-A, L.P. ("EP VIII-A"), USVP Entrepreneur Partners VIII-B, L.P. ("EP VIII-B") and USVP VIII Affiliates Fund, L.P. ("Affiliates Fund") and Irwin Federman, Winston Fu, Steven M. Krausz, David Liddle, Stuart G. Phillips, Jonathan D. Root, Magdalena Yesil and Phillip M. Young, the managing members of PMG VIII, each of which may be deemed a beneficial owner of the reported shares but disclaims beneficial ownership in the shares held by USVP VIII, EP VIII-A, EP VIII-B and Affiliates Fund, except to the extent of any indirect pecuniary interest therein. |
| 2. Automatic conversion on a 1-for-1 basis into Common Stock upon the closing of the Issuer's initial public offering. |
| By Michael Maher as Attorney-in-Fact for Presidio Management Group VIII LLC | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for US Venture Partners VIII L.P. | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for USVP Entrepreneur Partners VIII-A L.P. | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for USVP Entrepreneur Partners VIII-B L.P. | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for USVP VIII Affiliates Fund L.P. | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for Irwin Federman | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for Winston S. Fu | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for Steven M. Krausz | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for David E. Liddle | 06/21/2004 | |
| By Michael Maher as Attorney-in-Fact for Stuart G. Phillips | 06/21/2004 | |
| ** 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. | ||