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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrant (Right to buy Common Stock) | $ 4.07 | 03/31/2005 | X | 63,267 | 05/01/2001 | (2) | Common Stock | 63,267 | $ 0 | 0 | I | See Footnote (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
King Robert W C/O PLANETOUT INC. 1355 SANSOME STREET SAN FRANCISCO, CA 94111 |
X |
/s/ Todd Huge, attorney-in-fact for Robert W. King | 12/09/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | 827,195 shares are held by Petunia Resources, Ltd. and the remainder by Peter A. Allard. Mr. King is an advisor to both Petunia Resources, Ltd. and Mr. Allard and is Mr. Allard's nephew. Mr. King disclaims beneficial ownership of the shares held by Petunia Resources, Ltd. and its affiliates, except to the extent of his pecuniary interests. |
(2) | The warrant was scheduled to expire on the 179th day following the closing of the Issuer's initial public offering. |
(3) | The warrant and the shares underlying the warrant were held by Petunia Resources, Ltd. Mr. King is an advisor to Petunia Resources, Ltd. and the nephew of Peter Allard, a principal of Petunia Resources, Ltd. Mr. King disclaims beneficial ownership of the securities held by Petunia Resources, Ltd. and its affiliates, except to the extent of his pecuniary interests. |