UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Series A Preferred Stock | Â (1) | Â (1) | Common Stock | 4,213 (1) (2) | $ (1) | I | Endeavour Capital Fund IV, L.P. |
Series A Preferred Stock | Â (1) | Â (1) | Common Stock | 258 (1) (2) | $ (1) | I | Endeavor Associates Fund IV, L.P. |
Series A Preferred Stock | Â (1) | Â (1) | Common Stock | 477 (1) (2) | $ (1) | I | Endeavor Capital Parallel Fund IV, L.P. |
Series C Preferred Stock | Â (3) | Â (3) | Common Stock | 1,426.09 (2) (3) | $ (3) | I | Endeavour Capital Fund IV, L.P. |
Series C Preferred Stock | Â (3) | Â (3) | Common Stock | 87.44 (2) (3) | $ (3) | I | Endeavor Associates Fund IV, L.P. |
Series C Preferred Stock | Â (3) | Â (3) | Common Stock | 161.48 (2) (3) | $ (3) | I | Endeavor Capital Parallel Fund IV, L.P. |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Dorman D. Mark 920 SW SIXTH AVENUE, SUITE 1400 PORTLAND, OR 97204 |
 X |  X |  |  |
/s/ Lyn Bickle, Attorney-in-Fact | 11/19/2008 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Upon the closing of the initial public offering of the Issuer's Common Stock, each share of Series A Preferred Stock will automatically convert into 1,826 shares of the Issuer's Common Stock, for no additional consideration. |
(2) | Mr. Dorman is a managing director of Endeavour Capital IV, LLC the general partner of Endeavour Capital Fund IV, L.P., Endeavour Associates Fund IV, L.P. and Endeavour Capital Parallel Fund IV, L.P. Mr. Dorman disclaims beneficial ownership of these shares except to the extent of his pecuniary interest therein. |
(3) | Upon the closing of the initial public offering of the Issuer's Common Stock, each share of Series C Preferred Stock will automatically convert into shares of the Issuer's Common Stock based on a conversion price equal to the initial public offering price per share, for no additional consideration. |
 Remarks: Exhibit 24 - Power of Attorney |