FORM 3 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL 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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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year)
11/30/2007 |
3. Issuer Name and Ticker or Trading Symbol
National Investment Managers Inc. [ NIVM ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities) |
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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: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Common Stock Warrant (right to buy) | 11/30/2007 | 11/30/2017 | Common Stock | 1,566,346 | 0.5 | I | By Woodside Capital Partners IV QP, LLC ( 1 ) |
Common Stock Warrant (right to buy) | 11/30/2007 | 11/30/2017 | Common Stock | 1,044,230 | 1 | I | By Woodside Capital Partners IV QP, LLC ( 1 ) |
Common Stock Warrant (right to buy) | 11/30/2007 | 11/30/2017 | Common Stock | 522,115 | 1.5 | I | By Woodside Capital Partners IV QP, LLC ( 1 ) |
Common Stock Warrant (right to buy) | 11/30/2007 | 11/30/2017 | Common Stock | 870,033 | 1 | I | By Woodside Capital Partners IV, LLC ( 2 ) |
Common Stock Warrant (right to buy) | 11/30/2007 | 11/30/2017 | Common Stock | 1,305,049 | 0.5 | I | By Woodside Capital Partners IV, LLC ( 2 ) |
Common Stock Warrant (right to buy) | 11/30/2007 | 11/30/2017 | Common Stock | 435,016 | 1.5 | I | By Woodside Capital Partners IV, LLC ( 2 ) |
Phantom Stock | 11/30/2007 | 11/30/2017 | Common Stock | ( 3 ) | ( 3 ) | I | By Woodside Capital Partners IV QP, LLC and By Woodside Capital Partners IV, LLC |
Phantom Stock | 11/30/2007 | 11/30/2017 | Common Stock | ( 4 ) | ( 4 ) | I | By Woodside Capital Partners IV QP, LLC and By Woodside Capital Partners IV, LLC |
1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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1. Name and Address of Reporting Person*
(Street)
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Explanation of Responses: |
1. The warrant is owned by Woodside Capital Partners IV QP, LLC ("WCPQP"), which is under common control with Woodside Capital Partners IV, LLC ("WCP"). Woodside Opportunity Partners, LLC ("WOP") and Woodside Capital Management, LLC ("WCM") are the managing partners of WCP and WCPQP. WCP, WOP and WCM disclaim beneficial ownership of this warrant, except to the extent of its pecuniary interest therein. |
2. The warrant is owned by WCP, which is under common control with WCPQP. WOP and WCM are the managing partners of WCP and WCPQP. WCPQP, WOP and WCM disclaim beneficial ownership of this warrant, except to the extent of its pecuniary interest therein. |
3. The reporting person is entitled to a fee (the "Fee") pursuant that certain Fee Agreement by and between the Issuer, WCP, WCPQP and Lehman Brothers Commercial Bank dated November 30, 2007. The Fee is based upon the WCP's and WCPQV's ownership in the Issuer and the per share price of the Issuer's common stock. WOP and WCM disclaim beneficial ownership of the phantom stock, except to the extent of its pecuniary interest therein. |
4. The reporting person is entitled to a contingent interest payment (the "CIP Payment") pursuant to that certain Contingent Interest Payment Agreement by and between the Issuer, WCP, WCPQP and Lehman Brothers Commercial Bank dated November 30, 2007. The CIP Payment is equal to 5% of the Issuer's equity value which is payable on the 90th day following receipt of a notice from WCP and WCPQV and an additional payment equal to 1.5% of the Issuer's equity value is payable on the end of each calendar quarter thereafter. The aggregate CIP Payment may not exceed 15% of the Issuer's equity value. WOP and WCM disclaim beneficial ownership of the phantom stock, except to the extent of its pecuniary interest therein. |
/s/ Woodside Capital partners IV, LLC, by Woodside Opportunity Partners, LLC, its Manager, by Woodside Capital Management, LLC, its Manager, by Michael J. Niland, CFO | 12/10/2007 | |
/s/ Woodside Capital Partners IV QP, LLC, by Woodside Opportunity Partners, LLC, its Manager, by Woodside Capital Management, LLC, its Manager, by Michael J. Niland, CFO | 12/10/2007 | |
/s/ Woodside Opportunity Partners, LLC, by Michael J. Niland, CFO | 12/10/2007 | |
/s/ Woodside Capital Management, LLC, by Michael J. Niland, CFO | 12/10/2007 | |
** Signature of Reporting Person | Date | |
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 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
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. |