- Initial Statement of Beneficial Ownership (3)
2010年5月27日 - 6:55AM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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February 28, 2011
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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
*
Viking Holdings LLC
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2. Date of Event Requiring Statement (MM/DD/YYYY)
5/16/2010
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3. Issuer Name
and
Ticker or Trading Symbol
Virtual Radiologic CORP [VRAD]
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(Last)
(First)
(Middle)
C/O PROVIDENCE EQUITY PARTNERS L.L.C., 50 KENNEDY PLAZA, 18TH FLOOR
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
_____ Officer (give title below)
___
X
___ Other (specify below)
/ See Remarks below
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(Street)
PROVIDENCE, RI 02903
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
___ Form filed by One Reporting Person
_
X
_ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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N/A (See Remarks below)
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0
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Explanation of Responses:
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Remarks:
The Reporting Persons beneficially own no securities of the Issuer. On May 16, 2010, Viking Holdings LLC entered into a
Voting and Proxy Agreement with each of: (i) Generation Capital Partners VRC LP, Generation Members' Fund II LP and
Generation Capital Partners II LP (collectively, the "Generation Entities"), and (ii) Eduard Michel, M.D., Ph.D. (together
with the Generation Entities, the "Stockholders"). Pursuant to these Voting and Proxy Agreements, the Stockholders agreed
to vote the shares of the Issuer's Common Stock owned or controlled by them, collectively 5,112,392 shares of Common Stock
(equal to 31.3% of the issued and outstanding shares of Common Stock), in favor of that certain Agreement and Plan of
Merger, dated May 16, 2010 (the "Merger Agreement"), by and among the Issuer, Viking Holdings LLC and Viking Acquisition
Corporation, and the transactions contemplated by the Merger Agreement. The Stockholders also agreed that, without the
prior written consent of Viking Holdings LLC, they will not dispose or transfer their shares (subject to certain exceptions,
including, with respect to the Generation Entities, the ability to transfer shares to affiliates that agree to be bound by
the terms of the Voting and Proxy Agreement) until such Voting and Proxy Agreement is terminated pursuant to its terms.
None of the Reporting Persons has any pecuniary interest in any of the shares of Common Stock subject to the Voting and
Proxy Agreement, and each expressly disclaims beneficial ownership of such shares for all purposes.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Viking Holdings LLC
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FLOOR
PROVIDENCE, RI 02903
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See Remarks below
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Providence Equity Partners VI L P
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FLOOR
PROVIDENCE, RI 02903
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See Remarks below
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Providence Equity Partners VI- A L P
C/O PROVIDENCE EQUITY PARTNERS, L.L.C.
50 KENNEDY PLAZA, 18TH FLOOR
PROVIDENCE, RI 02903
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See Remarks below
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Providence Equity GP VI L.P.
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FLOOR
PROVIDENCE, RI 02903
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See Remarks below
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Providence Equity Partners VI L.L.C.
C/O PROVIDENCE EQUITY PARTNERS L.L.C.
50 KENNEDY PLAZA, 18TH FLOOR
PROVIDENCE, RI 02903
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See Remarks below
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Signatures
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See Exhibit 99.1 - Signatures
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5/26/2010
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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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.
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