-----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, B3kZiPKxxF7LvS7IWamFxLqKJp1ppmi/GIIyTA007bIAx62zIbdWd5G6oB1iBmn7 tHC5BnYiL32yKc/M7ScUow== 0000950005-03-000522.txt : 20030501 0000950005-03-000522.hdr.sgml : 20030501 20030501135604 ACCESSION NUMBER: 0000950005-03-000522 CONFORMED SUBMISSION TYPE: 13F-HR PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030331 FILED AS OF DATE: 20030501 EFFECTIVENESS DATE: 20030501 FILER: COMPANY DATA: COMPANY CONFORMED NAME: INTEGRAL CAPITAL MANAGEMENT IV LLC CENTRAL INDEX KEY: 0001076319 IRS NUMBER: 943295522 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 13F-HR SEC ACT: 1934 Act SEC FILE NUMBER: 028-04005 FILM NUMBER: 03676234 BUSINESS ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 4152330360 MAIL ADDRESS: STREET 1: 2750 SAND HILL ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 13F-HR 1 p17022-13f.txt UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 13F FORM 13F COVER PAGE Report for the Calendar Year or Quarter Ended 3/31/03 Check here if Amendment [ ]; Amendment Number: This Amendment (Check only one.): [ ] is a restatement. [ ] adds new holdings entries. Institutional Investment Manager Filing this Report: Name: INTEGRAL CAPITAL MANAGEMENT IV, LLC Address: 2750 Sand Hill Road Menlo Park California 94025 13F File Number: 028-04005 The institutional investment manager filing this report and the person by whom it is signed hereby represent that the person signing the report is authorized to submit it, that all information contained herein is true, correct and complete, and that it is understood that all required items, statements, schedules, lists, and tables are considered integral parts of this form. Person Signing this Report on Behalf of Reporting Manager: Name: Pamela K. Hagenah Title: Manager Phone: 650-233-0360 Signature, Place and Date of signing: Pamela K. Hagenah Menlo Park, California May 1, 2003 [Signature] [City, State] [Date] Report type (Check only one.): [X] 13F HOLDINGS REPORT. [ ] 13F NOTICE. [ ] 13F COMBINATION REPORT. FORM 13F SPECIAL ELECTRONIC FILING INSTRUCTIONS Continued FORM 13F SUMMARY PAGE List of Other Managers Reporting for this Manager: I AM SIGNING THIS REPORT AS REQUIRED BY THE SECURITIES EXCHANGE ACT OF 1934. Report Summary: Number of Other Included Managers: -0- Form 13F Information Table Total: 2 Form 13F Information Table Value Total: $8,434 (thousands) List of Other Included Managers: No. 13 F File Number Name NONE FORM 13F NAME OF REPORTING MANAGER: INTEGRAL CAPITAL MANAGEMENT IV, LLC as of 3/31/03
ITEM 1 ITEM 2 ITEM 3 ITEM 4 ITEM 5 ITEM 6-INV. DISC. ITEM 7 ITEM 8 ------------------- --------- VALUE SHARES/ SH/ PUT/ INVSTMT OTHER VOTING AUTHORITY NAME OF ISSUER TITLE OF CLASS CUSIP (X$1000) PRN AMT PRN CALL DSCRETN MANAGERS SOLE SHARED NONE - ---------------------- -------------- --------- ----------- -------- --- ---- ------- -------- -------- ------ ---- - ------------------------------------------------------------------------------------------------------------------------------------ DRUGSTORE COM INC COMM STK 262241102 8,238 2,151,028 SH SOLE 2,151,028 0 0 HOMESTORE COM INC COMM STK 437852106 196 349,532 SH SOLE 349,532 0 0 GRAND TOTAL $8,434
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