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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 | ||||||||
6% Subordinated Convertible Debentures due 2013 | $ 10.18 | 08/18/2005 | P | $ 50,000 (1) | 11/26/2003 | 11/30/2013 | Common Stock | 4,912 | $ 100,000 | $ 750,000 | D | ||||
6% Subordinated Convertible Debentures due 2013 | $ 10.18 | 11/26/2003(4) | 11/30/2013 | Common Stock | 78,585 | 800,000 | I | See footnote (2) (3) |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LOEWENBAUM G WALTER II C/O 3D SYSTEMS CORPORATION 26081 AVENUE HALL VALENCIA, CA 91355 |
X |
/s/ Robert M. Grace, Jr., Attorney-in-fact | 08/19/2005 | |
**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) | These securities were purchased by the reporting person in the reported transaction from STI Healthcare Inc., for which the reporting person serves as pesident and is a majority stockholder. The reported securities were included as indirectly held securities in the reporting person's Forms 4 filed with the Securities and Exchange Commission on December 1, 2003 and December 2, 2003. |
(2) | Of these securities, (a) $75,000 are held by Anna Willis Loewenbaum 1993 Trust, for which the reporting person serves as trustee, (b) $75,000 are held by Elizabeth Scott Loewenbaum 1993 Trust, for which the reporting person serves as trustee, (c) $200,000 are held by Lillian Shaw Loewenbaum, the reporting person's wife, (d) $50,000 are held by The Lillian Shaw Loewenbaum Trust, for which the reporting person's wife serves as trustee, (e) $200,000 are held by The Loewenbaum 1992 Trust, for which the reporting person and Mrs. Loewenbaum serve as trustees, (f) $100,000 are held by The Waterproof Partnership, L.P., for which the reporting person and Mrs. Loewenbaum serve as the general partners and as certain of the limited partners, and (g) $100,000 are held by Wally's Trust u/w/o Joel Simon Loewenbaum, for which the reporting person serves as trustee. |
(3) | The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and this report shall not be deemed an admission that the reporting person is the beneficial owner of the securities for purposes of Section 16 or for any other purpose |
(4) | The securities reported herein as held by Wally's Trust u/w/o Joel Simon Loewenbaum were exercisable as of December 1, 2003. All other securities reported in this Form 4 were exercisable as of November 26, 2003. |