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
AIRSPAN NETWORKS INC [ AIRN ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 12/20/2004 | ||||||||||||||||||||||||||
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 | 12/20/2004 | J(1) | 2,892,394 | D | $0(1) | 0 | I | By InterWest Partners VI, LP(2) | ||
Common Stock | 12/20/2004 | J(3) | 90,685 | D | $0(3) | 0 | I | By InterWest Investors VI, LP(4) | ||
Common Stock | 12/20/2004 | J(3) | 1,570 | A | $0(3) | 1,570 | I | By InterWest Venture Management Company Profit Sharing Retirement Plan(5) | ||
Common Stock | 12/20/2004 | J(3) | 54 | A | $0(3) | 54 | D |
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 |
Explanation of Responses: |
1. Represents pro rata in-kind distribution by InterWest Partners VI, LP ("IW6") without consideration to its limited partners in accordance with the terms of the InterWest Partners VI, LP Limited Partnership Agreement. |
2. The shares are owned by IW6. The general partner of IW6 is InterWest Management Partners VI, LLC ("IMP6"). The Reporting Person is a Managing Director of IMP6. He disclaims beneficial ownership of the shares held by IW6 except to the extent of his pecuniary interest therein. |
3. Represents pro rata in-kind distribution by InterWest Investors VI, LP ("II6") without consideration to its limited and general partners in accordance with the terms of the InterWest Investors VI, LP Limited Partnership Agreement. Includes 54 shares distributed to Mr. Cash and 1,570 shares distributed to the InterWest Venture Management Company Profit Sharing Retirement Plan fbo Harvey B. Cash. |
4. The shares are owned by II6. The general partner of II6 is IMP6. The Reporting Person is a Managing Director of IMP6. He disclaims beneficial ownership of the shares held by II6 except to the extent of his pecuniary interest therein. |
5. The shares are held in the name of InterWest Venture Management Company Profit Sharing Retirement Plan fbo Harvey B. Cash, a self-directed retirement plan of which Harvey B. Cash is the beneficiary. |
/s/ Harvey B. Cash | 12/22/2004 | |
** 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. |