-----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, VaEI0tKNs+lJ5lLcgseHO62bQYmr2vZ4iAx7R5bZaoqGPtOse/liAtU5bM7f1HY/ PD1EAKDOL/nomgIgvf9TkA== 0001129787-04-000001.txt : 20040105 0001129787-04-000001.hdr.sgml : 20040105 20040105160600 ACCESSION NUMBER: 0001129787-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LIFELINE SYSTEMS INC CENTRAL INDEX KEY: 0000720195 STANDARD INDUSTRIAL CLASSIFICATION: RADIO & TV BROADCASTING & COMMUNICATIONS EQUIPMENT [3663] IRS NUMBER: 042537528 STATE OF INCORPORATION: MA FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 111 LAWRENCE ST CITY: FRAMINGHAM STATE: MA ZIP: 02139 BUSINESS PHONE: 6176791000 MAIL ADDRESS: STREET 1: 111 LAWRENCE ST CITY: FRAMINGHAM STATE: MA ZIP: 02139 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VA PARTNERS LLC CENTRAL INDEX KEY: 0001129787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13617 FILM NUMBER: 04505005 BUSINESS ADDRESS: STREET 1: ONE MARITIME PLAZA STREET 2: STE 1400 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: 4153623700 MAIL ADDRESS: STREET 1: ONE MARITIME PLAZA STREET 2: STE 1400 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 4 1 primary_doc.xml PRIMARY DOCUMENT X0201 4 2003-12-31 0 0000720195 LIFELINE SYSTEMS INC LIFE 0001129787 VA PARTNERS LLC ONE MARITIME PLAZA STE 1400 SAN FRANCISCO CA 94111 0 0 1 0 Common Stock 2003-12-31 4 P 0 2000 18.92 A 2520200 I See footnote As General Partner and Investment Manager of ValueAct Capital Partners, L.P., ValueAct Capital Partners II, L.P., and ValueAct Capital International, Ltd. These securities are also beneficially owned by Jeffrey W. Ubben, George F. Hamel, Jr., and Peter H. Kamin as Managing Members, Principal Owners and Controlling Persons of VA Partners, LLC. Adjusted for 2-for-1 stock split effective December 18, 2003. Joint Filer Information Name: ValueAct Capital Partners, L.P. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: VA Partners, L.L.C. Issuer and Ticker Symbol: Lifeline Systems, Inc. (LIFE) Statement for Month/Day/Year: December 31, 2003 Name: ValueAct Capital Partners II, L.P. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: VA Partners, L.L.C. Issuer and Ticker Symbol: Lifeline Systems, Inc. (LIFE) Statement for Month/Day/Year: December 31, 2003 Name: ValueAct Capital International, Ltd. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: VA Partners, L.L.C. Issuer and Ticker Symbol: Lifeline Systems, Inc. (LIFE) Statement for Month/Day/Year: December 31, 2003 Name: Jeffrey W. Ubben Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: VA Partners, L.L.C. Issuer and Ticker Symbol: Lifeline Systems, Inc. (LIFE) Statement for Month/Day/Year: December 31, 2003 Name: George F. Hamel, Jr. Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: VA Partners, L.L.C. Issuer and Ticker Symbol: Lifeline Systems, Inc. (LIFE) Statement for Month/Day/Year: December 31, 2003 Name: Peter H. Kamin Address: One Maritime Plaza, Suite 1400, San Francisco, CA 94111 Designated Filer: VA Partners, L.L.C. Issuer and Ticker Symbol: Lifeline Systems, Inc. (LIFE) Statement for Month/Day/Year: December 31, 2003 VA PARTNERS, L.L.C. By: /s/ George F. Hamel, Jr. Managing Member 2004-01-05 VALUEACT CAPITAL PARTNERS, L.P., BY VA PARTNERS, L.L.C., ITS GENERAL PARTNER By: /s/ George F. Hamel, Jr. Managing Member 2004-01-05 VALUEACT CAPITAL PARTNERS II, L.P., BY VA PARTNERS, L.L.C., ITS GENERAL PARTNER By: /s/ George F. Hamel, Jr. Managing Member 2004-01-05 VALUEACT CAPITAL INTERNATIONAL, LTD., BY VA PARTNERS, L.L.C., ITS INVESTMENT MANAGER By: /s/ George F. Hamel, Jr. Managing Member 2004-01-05 By: /s/ Jeffrey W. Ubben 2004-01-05 By: /s/ George F. Hamel, Jr. 2004-01-05 By: /s/ Peter H. Kamin 2004-01-05 -----END PRIVACY-ENHANCED MESSAGE-----