-----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, QSbR9Glje4Vs4fvfZ8B6auGtBjzLVwSApxE/aGN5iHVZwZ5fsPbLOK1AX0eJXMrK vsMbCZIsODd3rlJzqGl//Q== 0000912057-02-014649.txt : 20020416 0000912057-02-014649.hdr.sgml : 20020416 ACCESSION NUMBER: 0000912057-02-014649 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020411 GROUP MEMBERS: DOUBLE BLACK DIAMOND II LLC GROUP MEMBERS: PAR SF LLC GROUP MEMBERS: PAX V LLC GROUP MEMBERS: THOMAS G. MCKINLEY GROUP MEMBERS: VINCENT WORMS SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: OCCUPATIONAL HEALTH & REHABILITATION INC CENTRAL INDEX KEY: 0000887757 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 133464527 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-43061 FILM NUMBER: 02608127 BUSINESS ADDRESS: STREET 1: 175 DERBY STREET STREET 2: SUITE 36 CITY: HINGHAM STATE: MA ZIP: 02043-5048 BUSINESS PHONE: 7817415175 MAIL ADDRESS: STREET 1: 175 DERBY STREET STREET 2: SUITE 36 CITY: HINGHAM STATE: MA ZIP: 02043-5048 FORMER COMPANY: FORMER CONFORMED NAME: TELOR OPHTHALMIC PHARMACEUTICALS INC DATE OF NAME CHANGE: 19940218 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: AXA U S GROWTH FUND LLC CENTRAL INDEX KEY: 0001041108 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: UGLAND HOUSE SC 13G 1 a2076287zsc13g.htm SCHEDULE 13G

    SCHEDULE 13G

Amendment Number          *
   

Occupational Health + Rehabilitation, Inc.

Name of Issuer

Common

Title of Class of Securities

 

 

674617105

 

 
   
CUSIP Number
   

December 31, 2001

Date of Event which Requires Filing of this Statement

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

        o      Rule 13d-1(b)

        o      Rule 13d-1(c)

        o      Rule 13d-1(d)

1


             

1.   Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).

 

 

See Item #2 (a) below for each Reporting Person

2.   Check the Appropriate Box if a Member   (a)   o
    of a Group (See Instructions)   (b)   ý

 

 

 

 

 

 

 

3.   SEC Use Only

 

 

 

 

 

 

 

4.   Citizenship or Place of Organization

 

 

See Item #2(c) below for each reporting person

Number of Shares Beneficially Owned by Each Reporting Person With   5.   Sole Voting Power

 

 

 

 

 

 

See Item #4(c) (i) below for each reporting person
       
        6.   Shared Voting Power

 

 

 

 

 

 

See Item #4(c) (ii) below for each reporting person
       
        7.   Sole Dispositive Power

 

 

 

 

 

 

See Item #4(c) (iii) below for each reporting person
       
        8.   Shared Dispositive Power

 

 

See Item #4(c) (iv) below for each reporting person

9.   Aggregate Amount Beneficially Owned by Each Reporting Person

 

 

See item 4(a) below for each reporting person

 

 

 

 

10.   Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)    o

 

 

 

 

 

 

 

11.   Percent of Class Represented by Amount in Row (9)

 

 

See item 4 (b) below for each reporting person

12.   Type of Reporting Person (See Instructions)

 

 

Axa U.S. Growth Fund LLC—OO
Pax V LLC—OO
Par SF LLC—OO
Double Black Diamond II LLC—OO
Thomas G. McKinley—IN
Vincent Worms-IN

 

 

 

 

2


Item 1.

(a)   Name of Issuer

 

 

Occupational Health + Rehabilitation, Inc.
   
(b)   Address of Issuer's Principal Executive Offices

 

 

175 Derby Street, Suite 36
Hingham, MA 02043-4058
   

Item 2.

(a)   Name of Person Filing

 

 

Axa U.S. Growth Fund LLC
   
(b)   Address of Principal Business Office or, if none, Residence

 

 

Ugland House
South Church Street
Georgetown, Grand Cayman
Cayman Islands, British West Indies
   
(c)   Citizenship

 

 

Cayman Islands
   
(d)   Title of Class of Securities

 

 

Common
   
(e)   CUSIP Number

 

 

674617105
   
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
o       Not applicable

o

 

(a)

 

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

o

 

(b)

 

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

o

 

(c)

 

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

o

 

(d)

 

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

o

 

(e)

 

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

o

 

(f)

 

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

o

 

(g)

 

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

o

 

(h)

 

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

o

 

(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);

o

 

(j)

 

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

3


Item 4. Ownership.

        Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)   Amount beneficially owned:

 

 

 

 

86,667
       
(b)   Percent of class:

 

 

 

 

 
        6.1%
       
(c)   Number of shares as to which the person has:
         
    (i)   Sole power to vote or to direct the vote

 

 

 

 

 
       
    (ii)   Shared power to vote or to direct the vote

 

 

 

 

 
        86,667
       
    (iii)   Sole power to dispose or to direct the disposition of

 

 

 

 

 
       
    (iv)   Shared power to dispose or to direct the disposition of

 

 

 

 

86,667
       

Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d3(d)(1).

4


Item 1.

(a)   Name of Issuer

 

 

Occupational Health + Rehabilitation, Inc.
   
(b)   Address of Issuer's Principal Executive Offices

 

 

175 Derby Street, Suite 36
Hingham, MA 02043-4058
   

Item 2.

(a)   Name of Person Filing

 

 

Pax V LLC
   
(b)   Address of Principal Business Office or, if none, Residence

 

 

Ugland House
South Church Street
Georgetown, Grand Cayman
Cayman Islands, British West Indies
   
(c)   Citizenship

 

 

Cayman Islands
   
(d)   Title of Class of Securities

 

 

Common
   
(e)   CUSIP Number

 

 

674617105
   
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
o       Not applicable

o

 

(a)

 

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

o

 

(b)

 

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

o

 

(c)

 

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

o

 

(d)

 

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

o

 

(e)

 

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

o

 

(f)

 

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

o

 

(g)

 

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

o

 

(h)

 

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

o

 

(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);

o

 

(j)

 

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

5


Item 4. Ownership.

        Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)   Amount beneficially owned:

 

 

 

 

86,667
       
(b)   Percent of class:

 

 

 

 

 
        6.1%
       
(c)   Number of shares as to which the person has:
         
    (i)   Sole power to vote or to direct the vote

 

 

 

 

 
       
    (ii)   Shared power to vote or to direct the vote

 

 

 

 

 
        86,667
       
    (iii)   Sole power to dispose or to direct the disposition of

 

 

 

 

 
       
    (iv)   Shared power to dispose or to direct the disposition of

 

 

 

 

86,667
       

Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d3(d)(1).

6


Item 1.

(a)   Name of Issuer

 

 

Occupational Health + Rehabilitation, Inc.
   
(b)   Address of Issuer's Principal Executive Offices

 

 

175 Derby Street, Suite 36
Hingham, MA 02043-4058
   

Item 2.

(a)   Name of Person Filing

 

 

Double Black Diamond II LLC
   
(b)   Address of Principal Business Office or, if none, Residence

 

 

Ugland House
South Church Street
Georgetown, Grand Cayman
Cayman Islands, British West Indies
   
(c)   Citizenship

 

 

Cayman Islands
   
(d)   Title of Class of Securities

 

 

Common
   
(e)   CUSIP Number

 

 

674617105
   
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
o       Not applicable

o

 

(a)

 

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

o

 

(b)

 

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

o

 

(c)

 

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

o

 

(d)

 

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

o

 

(e)

 

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

o

 

(f)

 

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

o

 

(g)

 

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

o

 

(h)

 

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

o

 

(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);

o

 

(j)

 

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

7


Item 4. Ownership.

        Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)   Amount beneficially owned:

 

 

 

 

16,667
       
(b)   Percent of class:

 

 

 

 

 
        1.2%
       
(c)   Number of shares as to which the person has:
         
    (i)   Sole power to vote or to direct the vote

 

 

 

 

 
       
    (ii)   Shared power to vote or to direct the vote

 

 

 

 

 
        16,667
       
    (iii)   Sole power to dispose or to direct the disposition of

 

 

 

 

 
       
    (iv)   Shared power to dispose or to direct the disposition of

 

 

 

 

16,667
       

Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d3(d)(1).

8


Item 1.

(a)   Name of Issuer

 

 

Occupational Health + Rehabilitation, Inc.
   
(b)   Address of Issuer's Principal Executive Offices

 

 

175 Derby Street, Suite 36
Hingham, MA 02043-4058
   

Item 2.

(a)   Name of Person Filing

 

 

Par SF LLC
   
(b)   Address of Principal Business Office or, if none, Residence

 

 

1209 Orange Street
Wilmington, DE 19801
   
(c)   Citizenship

 

 

United States
   
(d)   Title of Class of Securities

 

 

Common
   
(e)   CUSIP Number

 

 

674617105
   
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
o       Not applicable

o

 

(a)

 

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

o

 

(b)

 

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

o

 

(c)

 

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

o

 

(d)

 

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

o

 

(e)

 

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

o

 

(f)

 

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

o

 

(g)

 

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

o

 

(h)

 

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

o

 

(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);

o

 

(j)

 

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

9


Item 4. Ownership.

        Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)   Amount beneficially owned:

 

 

 

 

86,667
       
(b)   Percent of class:

 

 

 

 

 
        6.1%
       
(c)   Number of shares as to which the person has:
         
    (i)   Sole power to vote or to direct the vote

 

 

 

 

 
       
    (ii)   Shared power to vote or to direct the vote

 

 

 

 

 
        86,667
       
    (iii)   Sole power to dispose or to direct the disposition of

 

 

 

 

 
       
    (iv)   Shared power to dispose or to direct the disposition of

 

 

 

 

86,667
       

Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d3(d)(1).

10


Item 1.

(a)   Name of Issuer

 

 

Occupational Health + Rehabilitation, Inc.
   
(b)   Address of Issuer's Principal Executive Offices

 

 

175 Derby Street, Suite 36
Hingham, MA 02043-4058
   

Item 2.

(a)   Name of Person Filing

 

 

Vincent Worms
   
(b)   Address of Principal Business Office or, if none, Residence

 

 

50 California Street, Suite 3200
San Francisco, CA 94111
   
(c)   Citizenship

 

 

French
   
(d)   Title of Class of Securities

 

 

Common
   
(e)   CUSIP Number

 

 

674617105
   
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
o       Not applicable

o

 

(a)

 

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

o

 

(b)

 

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

o

 

(c)

 

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

o

 

(d)

 

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

o

 

(e)

 

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

o

 

(f)

 

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

o

 

(g)

 

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

o

 

(h)

 

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

o

 

(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);

o

 

(j)

 

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

11


Item 4. Ownership.

        Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)   Amount beneficially owned:

 

 

 

 

109,999
       
(b)   Percent of class:

 

 

 

 

 
        7.8%
       
(c)   Number of shares as to which the person has:
         
    (i)   Sole power to vote or to direct the vote

 

 

 

 

6,665
       
    (ii)   Shared power to vote or to direct the vote

 

 

 

 

 
        103,334
       
    (iii)   Sole power to dispose or to direct the disposition of

 

 

 

 

6,665
       
    (iv)   Shared power to dispose or to direct the disposition of

 

 

 

 

103,334
       

Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d3(d)(1).

12


Item 1.

(a)   Name of Issuer

 

 

Occupational Health + Rehabilitation, Inc.
   
(b)   Address of Issuer's Principal Executive Offices

 

 

175 Derby Street, Suite 36
Hingham, MA 02043-4058
   

Item 2.

(a)   Name of Person Filing

 

 

Thomas G. McKinley
   
(b)   Address of Principal Business Office or, if none, Residence

 

 

50 California Street, Suite 3200
San Francisco, CA 94111
   
(c)   Citizenship

 

 

United States
   
(d)   Title of Class of Securities

 

 

Common
   
(e)   CUSIP Number

 

 

674617105
   
Item 3. If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a:
o       Not applicable

o

 

(a)

 

Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).

o

 

(b)

 

Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).

o

 

(c)

 

Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).

o

 

(d)

 

Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).

o

 

(e)

 

An investment adviser in accordance with §240.13d-1(b)(1)(ii)(E);

o

 

(f)

 

An employee benefit plan or endowment fund in accordance with §240.13d-1(b)(1)(ii)(F);

o

 

(g)

 

A parent holding company or control person in accordance with §240.13d-1(b)(1)(ii)(G);

o

 

(h)

 

A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

o

 

(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);

o

 

(j)

 

Group, in accordance with §240.13d-1(b)(1)(ii)(J).

13


Item 4. Ownership.

        Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

(a)   Amount beneficially owned:

 

 

 

 

103,334
       
(b)   Percent of class:

 

 

 

 

 
        7.3%
       
(c)   Number of shares as to which the person has:
         
    (i)   Sole power to vote or to direct the vote

 

 

 

 

 
       
    (ii)   Shared power to vote or to direct the vote

 

 

 

 

 
        103,334
       
    (iii)   Sole power to dispose or to direct the disposition of

 

 

 

 

 
       
    (iv)   Shared power to dispose or to direct the disposition of

 

 

 

 

103,334
       

Instruction. For computations regarding securities which represent a right to acquire an underlying security see §240.13d3(d)(1).

14


        This statement is being filed by (i) Axa U.S. Growth Fund LLC, (ii) Pax V LLC, the investment managing member of Axa U.S. Growth Fund LLC, (iii) Par SF LLC, the sole managing member of Pax V LLC, (iv) Double Black Diamond II LLC, (v) Vincent Worms, a managing member of Par SF LLC and Double Black Diamond II LLC, and a shareholder, and (vi) Thomas G. McKinley, a managing member of Par SF LLC and Double Black Diamond II LLC.

        Pax V LLC, Par SF LLC, Thomas G. McKinley, and Vincent Worms disclaim beneficial ownership of the securities held by Axa U.S. Growth Fund LLC and Double Black Diamond II LLC except to the extent of their respective proportionate pecuniary interests therein.

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             .
Instruction: Dissolution of a group requires a response to this item.

Item 6. Ownership of More than Five Percent on Behalf of Another Person.

        If any other person is known to have the right to receive or the power to direct the receipt of dividends from, or the proceeds from the sale of, such securities, a statement to that effect should be included in response to this item and, if such interest relates to more than five percent of the class, such person should be identified. A listing of the shareholders of an investment company registered under the Investment Company Act of 1940 or the beneficiaries of employee benefit plan, pension fund or endowment fund is not required.

Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company

        If a parent holding company has filed this schedule, pursuant to Rule 13d-1(b)(ii)(G), so indicate under Item 3(g) and attach an exhibit stating the identity and the Item 3 classification of the relevant subsidiary. If a parent holding company has filed this schedule pursuant to Rule 13d-1(c) or Rule 13d-1(d), attach an exhibit stating the identification of the relevant subsidiary.

Item 8. Identification and Classification of Members of the Group

        If a group has filed this schedule pursuant to §240.13d-1(b)(1)(ii)(J), so indicate under Item 3(j) and attach an exhibit stating the identity and Item 3 classification of each member of the group. If a group has filed this schedule pursuant to §240.13d-1(c) or §240.13d-1(d), attach an exhibit stating the identity of each member of the group.

Item 9. Notice of Dissolution of Group

        Notice of dissolution of a group may be furnished as an exhibit stating the date of the dissolution and that all further filings with respect to transactions in the security reported on will be filed, if required, by members of the group, in their individual capacity. See Item 5.

Item 10. Certification

    (a)   The following certification shall be included if the statement is filed pursuant to §240.13d-1(b):

o

 

 

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were acquired and are held in the ordinary course of business and were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

 

 

(b)

 

The following certification shall be included if the statement is filed pursuant to §240.13d-1(c):

o

 

 

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect.

ý

 

 

 

Not applicable

15


Date:

Signature: Thomas G. McKinley on behalf of Axa U.S. Growth Fund LLC, Pax V LLC,, Double Black Diamond II LLC, and Par SF LLC, in his capacity as Managing Member

Name/Title:

Date:

Signature: Vincent Worms on behalf of Axa U.S. Growth Fund LLC, Pax V LLC, Double Black Diamond II LLC, and Par SF LLC, in his capacity as Managing Member, and as an individual shareholder

Name/Title:

16




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