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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT 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 2270 (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 at End of Issuer's Fiscal Year (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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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
CLARK JAMES H 1080 MARSH ROAD, SUITE 100 MENLO PARK, CA 94025 |
 |  X |  |  |
Clark Ventures, Inc. 777 EAST WILLIAM STREET #201 CARSON CITY, NV 89701 |
 |  X |  |  |
Monaco Partners, L.P. 777 EAST WILLIAM STREET #201 CARSON CITY, NV 89701 |
 |  X |  |  |
JHC Investments, LLC 777 EAST WILLIAM STREET #201 CARSON CITY, NV 89701 |
 |  X |  |  |
/s/ Harvey Armstrong, Authorized Signer | 01/27/2009 | |
**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) | On September 18, 2007, JHC Investments, LLC made distributions to its members of shares of common stock of Shutterfly, Inc. then held by JHC Investments, LLC as follows: 15,000 shares to Hazelle McClure; 15,000 shares to Donald E. Clark, Sr.; and 15,000 shares to Charla Sue Ritesman. |
(2) | Consists of shares held by the following entities at December 31, 2007, each of which is controlled, directly or indirectly, by James H. Clark: (i) 4,760,120 shares held by Monaco Partners, L.P; (ii) 17,000 shares held by JHC Investments 2000, LLC ("JHC 2000 LLC"); (iii) 125,000 shares held by Woodside Ventures Limited Partnership; and (iv) 452,082 shares held by JHC Investments, LLC. James H. Clark is the owner of Clark Ventures, Inc., which is the general partner of Monaco Partners, L.P. and is the managing member of JHC 2000 LLC. Monaco Partners, L.P. is the general partner of Woodside Ventures Limited Partnership and is the managing member of JHC Investments, LLC. |
(3) | On November 6, 2007, JHC Investments, LLC made distributions to its members of shares of common stock of Shutterfly, Inc. then held by JHC Investments, LLC as follows: 450,000 shares to Kathy Clark Hurley; 500,000 shares to Michael Clark; and 500,000 shares to the JHC 2003 Grandchildren's Trust. |
(4) | The original Form 5 omitted Clark Ventures, Inc., Monaco Partners, L.P. and JHC Investments, LLC as reporting persons. |