SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Kingsbury Associates LP

(Last) (First) (Middle)
4401 EASTGATE MALL

(Street)
SAN DIEGO CA 92121

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/09/2004
3. Issuer Name and Ticker or Trading Symbol
DIGIRAD CORP [ DRAD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 614 I By Kingsbury Capital Partners, L.P.(2)
Common Stock 611 I By Kingsbury Capital Partners, L.P. II(2)
Common Stock 259 I By Kingsbury Capital Partners, L.P. III(2)
Common Stock 196 I By Kingsbury Capital Partners, L.P. IV(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Series G Preferred Stock (1) (1) Common Stock 499,871 (1) I By Kingsbury Capital Partners, L.P.(2)
Series G Preferred Stock (1) (1) Common Stock 497,274 (1) I By Kingsbury Capital Partners, L.P. II(2)
Series G Preferred Stock (1) (1) Common Stock 211,168 (1) I By Kingsbury Capital Partners, L.P. III(2)
Series G Preferred Stock (1) (1) Common Stock 159,803 (1) I By Kingsbury Capital Partners, L.P. IV(2)
Series H Preferred Stock (1) (1) Common Stock 5,322 (1) I By Kingsbury Capital Partners, L.P.(2)
Series H Preferred Stock (1) (1) Common Stock 95,009 (1) I By Kingsbury Capital Partners, L.P. III(2)
Series H Preferred Stock (1) (1) Common Stock 179,767 (1) I By Kingsbury Capital Partners, L.P. IV(2)
Stock Option (Right to Buy) (3) 03/19/2006 Common Stock 71 525 I By Kingsbury Capital Partners, L.P.(2)
Stock Option (Right to Buy) (3) 03/19/2006 Common Stock 71 525 I By Kingsbury Capital Partners, L.P. II(2)
Warrant (Right to Purchase) 01/25/2002 01/25/2007 Common Stock 3 1,050 I By Kingsbury Capital Partners, L.P.(2)
Warrant (Right to Purchase0 01/25/2002 01/25/2007 Common Stock 35 1,050 I By Kingsbury Capital Partners, L.P. III(2)
Warrant (Right to Purchase) 01/25/2002 01/25/2007 Common Stock 82 1,050 I By Kingsbury Capital Partners, L.P. IV(2)
Series E Preferred Stock Warrant (Right to Purchase) 09/29/2002 (4) Common Stock 14 2,125.2 I By Kingsbury Capital Partners, L.P. III(2)
Series E Preferred Stock Warrant (Right to Purchase) 09/29/2002 (4) Common Stock 33 2,125.2 I By Kingsbury Capital Partners, L.P. IV(2)
Explanation of Responses:
1. Immediately following the closing of the initial public offering of the Issuer's Common Stock, all outstanding shares of Preferred Stock will be automatically converted into shares of the Issuer's Common Stock for no additional consideration.
2. Reporting Person is the general partner of each of Kingsbury Capital Partners, L.P., Kingsbury Capital Partners, L.P., II, Kingsbury Capital Partners, L.P., III and Kingsbury Capital Partners, L.P., IV. Reporting Person disclaims beneficial ownership of the shares and warrants held by Kingsbury Capital Partners, L.P., Kingsbury Capital Partners, L.P., II, Kingsbury Capital Partners, L.P., III and Kingsbury Capital Partners, L.P., IV, except to the extent of any indirect pecuniary interest in its distributive share therein. As general partner, Reporting Person has voting and investment power with respect to the shares and warrants held by Kingsbury Capital Partners, L.P., Kingsbury Capital Partners, L.P., II, Kingsbury Capital Partners, L.P., III and Kingsbury Capital Partners, L.P., IV.
3. The option is immediately exercisable.
4. The right to purchase under this warrant will terminate unless exercised prior to the closing of the initial public offering of the Issuer's Common Stock.
Remarks:
Timothy J. Wollaeger, General Partner 06/09/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.