FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 03/15/2004 |
3. Issuer Name and Ticker or Trading Symbol
BAKBONE SOFTWARE INC [ BKBOF ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 42 | I | By VantagePoint Venture Partners IV(Q), L.P.(1) |
Common Stock | 37 | I | By VantagePoint Venture Partners IV, L.P.(2) |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | (4) | (4) | Common Stock | 16,294,200 | (4) | I | By VantagePoint Venture Partners IV(Q), L.P.(1) |
Series A Preferred Stock | (4) | (4) | Common Stock | 1,633,200 | (4) | I | By VantagePoint Venture Partners IV, L.P.(2) |
Series A Preferred Stock | (4) | (4) | Common Stock | 72,600 | (4) | I | By VantagePoint Venture Partners IV Principals Fund, L.P.(3) |
Options to Purchase Common Stock | 04/24/2003 | 04/24/2013 | Common Stock | 150,000 | $1.35(5) | D |
Explanation of Responses: |
1. The Reported Securities are directly held by VantagePoint Venture Partners IV(Q), L.P. and indirectly held by VantagePoint Venture Associates IV, LLC, its General Partner. Reporting Person is a Managing Director of VantagePoint Venture Partners and disclaims beneficial ownership of the Reported Securities except to the extent of his indirect pecuniary interest therein. |
2. The Reported Securities are directly held by VantagePoint Venture Partners IV, L.P. and indirectly held by VantagePoint Venture Associates IV, LLC, its General Partner. Reporting Person is a Managing Director of VantagePoint Venture Partners and disclaims beneficial ownership of the Reported Securities except to the extent of his indirect pecuniary interest therein. |
3. The Reported Securities are directly held by VantagePoint Venture Partners IV Principals Fund, L.P. and indirectly held by VantagePoint Venture Associates IV, LLC, its General Partner. Reporting Person is a Managing Director of VantagePoint Venture Partners and disclaims beneficial ownership of the Reported Securities except to the extent of his indirect pecuniary interest therein. |
4. Each outstanding Series A Preferred Share may be converted one-for-one into a common share for no additional consideration at any time upon the election of a holder of the Series A Preferred Shares, and such conversion will occur immediately following certain events described in the Issuer's Share Provisions. |
5. Exercise price is expressed in Canadian dollars. |
Andrew T. Sheehan | 07/19/2004 | |
** 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 5 (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. |