FORM 4 |
UNITED STATES SECURITIES
AND EXCHANGE COMMISSION |
OMB APPROVAL |
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP 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 |
OMB
Number: 3235-0287 Filed By Romeo & Dye's Instant Form 4 Filer |
1. Name and Address of Reporting Person* TL Ventures Inc. |
2. Issuer Name and
Ticker or Trading Symbol |
6. Relationship of
Reporting Person(s)
|
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(Last) (First) (Middle) c/o TL Ventures |
3. I.R.S. Identification
Number
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4. Statement for Month/Day/Year January 7, 2003 |
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(Street) Wayne,, PA 19087 |
5. If Amendment, Date of Original (Month/Day/Year) |
7. Individual
or Joint/Group Filing (Check Applicable Line) Form filed by One Reporting Person X(1) Form filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security |
2. Trans- |
2A. Deemed |
3. Trans- |
4. Securities Acquired
(A) or Disposed of (D) |
5. Amount of |
6. Owner- |
7. Nature of Indirect
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Code |
V |
Amount |
(A) |
Price |
||||||
Common Stock |
01/07/03 |
|
S |
|
490 |
D |
$0.7252 |
145,077 |
D |
Held by: Technology Leaders L.P. |
Common Stock |
01/07/03 |
|
S |
|
560 |
D |
$0.7252 |
165,645 |
D |
Held by: Technology Leaders Offshore C.V. |
Common Stock |
01/07/03 |
|
S |
|
585 |
D |
$0.7252 |
173,165 |
D |
Held by: Technology Leaders II L.P. |
Common Stock |
01/07/03 |
|
S |
|
465 |
D |
$0.7252 |
137,556 |
D |
Held by: Technology Leaders II Offshore C.V. |
Reminder:
Report on a separate line for each class of securities beneficially owned
directly or indirectly. * If the form is filed by more than one reporting person, see Instruction 4(b)(v). 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 |
FORM 4 (continued) |
Table II -
Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Derivative
Security |
2. Conver- |
3. Trans- |
3A. Deemed Execution Date, if any (Month/ Day/ Year) |
4. Trans- |
5. Number of Derivative
Securities Acquired (A) or Disposed of (D) |
6. Date Exercisable |
7. Title and Amount
of Underlying Securities |
8. Price of Derivative
Security |
9. Number of |
10. Owner- |
11. Nature of Indirect
Beneficial Ownership |
||||
Code |
V |
(A) |
(D) |
Date Exer-cisable |
Expira- |
Title |
Amount or Number
of |
Explanation of Responses: (1) Technology Leaders L.P., Technology Leaders Offshore C.V., Technology Leaders II L.P. and Technology Leaders II Offshore C.V. are members of a group for purposes of Section 13(d) and 13(g) of the Securities Exchange Act of 1934.
TL Ventures Inc. is the general partner of Technology Leaders Management L.P., which is the general partner of Technology Leaders L.P. ("TL") and Technology Leaders Offshore C.V. ("TLO"). TL Ventures Inc. is the general partner of Technology Leaders II Management L.P., which is the general partner of Technology Leaders II L.P. ("TL II") and Technology Leaders II Offshore C.V. ("TLO II"). TL and TLO are venture capital funds which are required by their governing documents to make all investment, voting and disposition actions in tandem. TL II and TLO II are venture capital funds which are required by their governing documents to make all investment, voting and disposition actions in tandem. TL Ventures Inc. is the designated filer of this group.
Joint Filer Information
(i)
Name: Technology Leaders L.P.
Address: c/o TL Ventures
Designated Filer: TL Ventures Inc.
Issuer & Ticker Symbol: USDATA Corporation (USDC)
Date of Event Requiring Statement: 01/07/03
Signature:
On behalf of Technology Leaders L.P., by its general partner
Technology Leaders Management L.P., by its general partner
TL Ventures Inc.
/s/ Janet L. Stott 01/08/03
Janet L. Stott, Controller
(ii)
Name: Technology Leaders Offshore C.V.
Address: c/o TL Ventures
Designated Filer: TL Ventures Inc.
Issuer & Ticker Symbol: USDATA Corporation (USDC)
Date of Event Requiring Statement: 01/07/03
Signature:
On behalf of Technology Leaders Offshore C.V., by its general partner
Technology Leaders Management L.P., by its general partner
TL Ventures Inc.
/s/ Janet L. Stott 01/08/03
Janet L. Stott, Controller
(iii)
Name: Technology Leaders II L.P.
Address: c/o TL Ventures
Designated Filer: TL Ventures Inc.
Issuer & Ticker Symbol: USDATA Corporation (USDC)
Date of Event Requiring Statement: 01/07/03
Signature:
On behalf of Technology Leaders II L.P., by its general partner
Technology Leaders II Management L.P., by its general partner
TL Ventures Inc.
/s/ Janet L. Stott 01/08/03
Janet L. Stott, Controller
(iv)
Name: Technology Leaders II Offshore C.V.
Address: c/o TL Ventures
Designated Filer: TL Ventures Inc.
Issuer & Ticker Symbol: USDATA Corporation (USDC)
Date of Event Requiring Statement: 01/07/03
Signature:
On behalf of Technology Leaders II Offshore C.V., by its general partner
Technology Leaders II Management L.P., by its general partner
TL Ventures Inc.
/s/ Janet L. Stott 01/08/03
Janet L. Stott, Controller
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By: /s/ Janet L. Stott Janet L. Stott, Controller of TL Ventures Inc. **Signature of Reporting Person |
01/08/03 Date |
**Intentional misstatements
or omissions of facts constitute Federal Criminal Violations. Note: File three
copies of this Form, one of which must be manually signed. 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 Number.
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