- Statement of Changes in Beneficial Ownership (4)
February 27 2009 - 5:05PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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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(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
GE CAPITAL EQUITY INVESTMENTS INC
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2. Issuer Name
and
Ticker or Trading Symbol
VALUEVISION MEDIA INC
[
VVTV
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
__
X
__ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Last)
(First)
(Middle)
201 MERRITT 7
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/25/2009
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(Street)
NORWALK, CT 06851
(City)
(State)
(Zip)
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4. 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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Series B Redeemable Preferred Stock
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2/25/2009
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J
(1)
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4929266
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A
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(1)
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4929266
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D
(2)
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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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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Series A Redeemable Convertible Preferred Stock
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(3)
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2/25/2009
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J
(1)
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5339500
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(3)
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(3)
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Common Stock
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5339500
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(1)
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0
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D
(2)
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Warrants
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$0.75
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2/25/2009
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J
(1)
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6000000
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2/25/2009
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2/25/2019
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Common Stock
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6000000
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(1)
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6000000
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D
(2)
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Explanation of Responses:
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(
1)
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ValueVision Media, Inc. (the "Issuer") and GE Capital Equity Investments, Inc. ("GECEI") exchanged 5,339,500 shares of Series
A Redeemable Convertible Preferred Stock held by GECEI for (i) 4,929,266 shares of a new series of Series B Redeemable
Preferred Stock of the Issuer, (ii) warrants to purchase up to 6,000,000 shares of the Issuer's common stock and (iii) a
cash payment of $3,400,000.
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(
2)
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Directly owned by GECEI. Indirectly owned by General Electric Capital Corporation ("GE Capital") because, among other
things, GECEI is a wholly-owned subsidiary of GE Capital. See Exhibit 99.1, incorporated by reference herein.
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(
3)
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The Series A Redeemable Convertible Preferred Stock was convertible into an equal number of shares of the Issuer's Common
Stock and was subject to mandatory redemption by the Issuer on the 10th anniversary of its issuance or upon a "change of
control" at $8.29 per share plus declared and unpaid dividends.
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Remarks:
Exhibit 99.1: Joint Filer Information, incorporated herein by reference.
Exhibit 24.1: Power of Attorney of General Electric Capital Corporation, incorporated herein by reference.
Exhibit 24.2: Power of Attorney of General Electric Capital Services, Inc., incorporated herein by reference.
Exhibit 24.3: Power of Attorney of General Electric Company, incorporated herein by reference.
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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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GE CAPITAL EQUITY INVESTMENTS INC
201 MERRITT 7
NORWALK, CT 06851
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X
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GENERAL ELECTRIC CAPITAL CORP
3135 EASTON TURNPIKE
FAIRFIELD, CT 06828-0001
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X
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GENERAL ELECTRIC CAPITAL SERVICES INC/CT
3135 EASTON TURNPIKE
FAIRFIELD, CT 06828-0001
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X
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GENERAL ELECTRIC CO
3135 EASTON TURNPIKE
FAIRFIELD, CT 06828-0001
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X
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Signatures
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/s/ Frank Ertl, Senior Managing Director - CFO & Treasurer/GECEI
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2/27/2009
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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 4(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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