FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 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 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
ZTI MERGER SUBSIDIARY III INC [ ZTI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year)
11/13/2003 |
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4. 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 Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 11/13/2003 | C | 537,500 | A | $4 | 537,500 | I | See Note 1 ( 1 ) | ||
Common Stock | 11/13/2003 | C | 1,278,732 | A | $2.0238 | 1,278,732 | I | See Note 1 ( 1 ) | ||
Common Stock | 11/13/2003 | U | 1,816,232 | D ( 2 ) | $0 | 0 | I | See Note 1 ( 1 ) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities) |
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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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Series AA Preferred | $4 | 11/13/2003 | C | 537,500 | 08/08/1988 ( 3 ) | 08/08/1988 ( 3 ) | Common Stock | 537,500 | $4 | 0 | I | See Note 1 ( 1 ) | |||
Series B Preferred | $2.0238 | 11/13/2003 | C | 1,278,732 | 08/08/1988 ( 3 ) | 08/08/1988 ( 3 ) | Common Stock | 1,278,732 | $2.0238 | 0 | I | See Note 1 ( 1 ) |
Explanation of Responses: |
1. The Reporting Person is the general partner of New Enterprise Associates 8A, Limited Partnership ("NEA 8A"). The Reporting Person disclaims beneficial ownership, within the meaning of the Securities Exchange Act of 1934, as amended, or otherwise, of such portion of the NEA 8A shares in which the reporting person has no actual pecuniary interest. |
2. The Reporting Person previously indirectly held through New Enterprise Associates 8A, Limited Partnership 537,500 shares of Zhone Series AA preferred stock and 1,278,732 shares of Zhone Series B preferred stock. Such Series AA preferred stock and such Series B preferred stock were converted into 537,500 shares and 1,278,732 shares, respectively, of Zhone common stock prior to the consummation of the merger effected pursuant to a merger agreement (the "Merger Agreement") between Zhone Technologies, Inc. ("Zhone") and Tellium, Inc., which subsequently changed its named to Zhone Technologies, Inc. ("Tellium"). Pursuant to the Merger Agreement, such shares of Zhone common stock were disposed of in exchange for 853,683 shares of Tellium common stock. On the effective date of the merger, there was no market for Zhone's common stock, and the closing price of Tellium's common stock was $1.69 per share (as reported on the Nasdaq SmallCap Market). |
3. Not applicable. |
Louis S. Citron, attorney-in-fact | 11/18/2003 | |
** 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 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). | ||
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. |