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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 |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
MDC MANAGEMENT CO IV LLC 950 TOWER LANE SUITE 800 FOSTER CITY, CA 94404 |
X | |||
De Leeuw David 950 TOWER LANE SUITE 800` FOSTER CITY, CA 94404 |
X | |||
Delta Fund, LLC 950 TOWER LANE SUITE 800 FOSTER CITY, CA 94404 |
X | |||
McCown De Leeuw & Co. IV Associates, L.P. 950 TOWER LANE SUITE 800 FOSTER CITY, CA 94404 |
X | |||
McCown De Leeuw & Co. IV, L.P. 950 TOWER LANE SUITE 800 FOSTER CITY, CA 94404 |
X | |||
CORNERSTONE FAMILY SERVICES LLC 155 RITTENHOUSE CIRCLE BRISTOL, PA 19007 |
X | |||
Cornerstone Family Services, Inc. 155 RITTENHOUSE CIRCLE BRISTOL, PA 19007 |
X |
/s/ Robert B. Hellman, Jr., Managing Member | 11/06/2008 | |
**Signature of Reporting Person | Date | |
David E. De Leeuw, by Pamela Swain, Attorney-In-Fact | 11/06/2008 | |
**Signature of Reporting Person | Date | |
Delta Fund LLC, by Robert B. Hellman, Jr., Member | 11/06/2008 | |
**Signature of Reporting Person | Date | |
McCown De Leeuw & Co. IV Associates, L.P., by MDC Management Co. IV, LLC, by Robert B. Hellman, Jr., Managing Member | 11/06/2008 | |
**Signature of Reporting Person | Date | |
McCown De Leeuw & Co. IV, L.P., by MDC Management Co. IV, LLC, by Robert B. Hellman, Jr., Managing Member | 11/06/2008 | |
**Signature of Reporting Person | Date | |
Cornerstone Family Services LLC, by Robert B. Hellman, Jr., Manager | 11/06/2008 | |
**Signature of Reporting Person | Date | |
Cornerstone Family Services, Inc., by Robert B. Hellman, Jr., Manager | 11/06/2008 | |
**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) | Pro rata distribution by CFSI LLC, a Delaware limited liability company ("CFSI") to its members of common units representing limited partner interests in StoneMor Partners L.P. ("StoneMor"). |
(2) | McCown De Leeuw & Co. IV, L.P., a California limited partnership ("MDCIV"), McCown De Leeuw & Co. IV Associates, L.P., a California limited partnership ("MDCIVA"), and Delta Fund LLC, a California limited liability company ("Delta", and, collectively with MDCIV and MDCIVA, "MDC Funds"), collectively control CFSI. MDC Funds also collectively control Cornerstone Family Services LLC, a Delaware limited liability company ("Cornerstone"), that has an equity interest in CFSI. MDC Management Company IV, LLC, a California limited liability company ("MDC Management"), is the general partner of MDCIV and MDCIVA and, as such, controls MDCIV and MDCIVA. George E. McCown, Robert B. Hellman, Jr. and David E. De Leeuw are managing members of MDC Management and, as such, collectively control MDC Management. Messrs. Hellman, McCown and De Leeuw, collectively, have investment and voting control over the securities held by Delta. |
(3) | Messrs. Hellman and McCown file Section 16 reports separately from the Reporting Persons. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein except to the extent of his or its pecuniary interest therein. |
(4) | Pro rata distribution by CFSI, of which Cornerstone is a member. |
(5) | Pro rata distribution by Cornerstone to its members. |
(6) | The securities are held directly by MDCIV. Consists of 103,493 common units acquired by MDCIV in the pro rata distribution from CFSI, of which MDCIV is a member, and 788,609 common units acquired by MDCIV in the pro rata distribution from Cornerstone, of which MDCIV is a member. |
(7) | The securities are held directly by MDCIVA. Consists of 1,594 common units acquired by MDCIVA in the pro rata distribution from CFSI, of which MDCIVA is a member, and 16,762 common units acquired by MDCIVA in the pro rata distribution from Cornerstone, of which MDCIVA is a member. |
(8) | The securities are held directly by Delta. Consists of 1,539 common units acquired by Delta in the pro rata distribution from CFSI, of which Delta is a member, and 12,687 common units acquired by Delta in the pro rata distribution from Cornerstone, of which Delta is a member. |