SEC Info - Anderson Fred D - ‘3/A’ for 10/24/07 re: Palm Inc.

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

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1. Name and Address of Reporting Person^*

ANDERSON FRED D

(Last)

(First)

(Middle)

2800 SAND HILL ROAD

SUITE 160

(Street)

MENLO PARK

94025

(City)

(State)

(Zip)

2. Date of Event Requiring Statement (Month/Day/Year)
10/24/07

3. Issuer Name and Ticker or Trading Symbol
PALM INC [ PALM ]

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director	X	10% Owner
	Officer (give title below)	X	Other (specify below)
See Remarks

5. If Amendment, Date of Original Filed (Month/Day/Year)
10/25/07

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)

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)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	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)
Series B Conv. Preferred Stock, par value $0.001 per share	10/24/07	10/24/14 ⁽¹⁾	Common Stock, par value $0.001 per share	38,223,176 ⁽²⁾	8.5 ⁽³⁾	I	See footnote ⁽⁴⁾
Series B Conv. Preferred Stock, par value $0.001 per share	10/24/07	10/24/14 ⁽¹⁾	Common Stock, par value $0.001 per share	12,118 ⁽²⁾	8.5 ⁽³⁾	I	See footnote ⁽⁵⁾

Explanation of Responses:

(1) The Series B Preferred Stock is mandatorily redeemable on the seventh anniversary of the original issuance date. The Series B Preferred Stock is also subject to earlier redemption, repurchase or mandatory conversion in accordance with the terms thereof.

(2) This is the number of shares of common stock, par value $0.001 per share of Palm, Inc., issuable upon conversion of the Series B Preferred Stock as of the date of this filing.

(3) Subject to anti-dilution adjustment pursuant to the terms of the Series B Preferred Stock.

(4) These securities are directly owned by Elevation Partners, L.P. ("Elevation Partners"). Elevation Associates, L.P. ("Elevation GP") is the sole general partner of Elevation Partners, and Elevation Associates, LLC ("Elevation LLC") is the sole general partner of Elevation GP. Mr. Anderson is a manager of Elevation LLC. As manager of Elevation LLC, Mr. Anderson may be deemed to be the indirect beneficial owner of such shares under Rule 16a-1(a)(2) promulgated under the Exchange Act. However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Mr. Anderson disclaims that he is the beneficial owner of such shares, except to the extent of his pecuniary interest therein.

(5) These securities are directly owned by Elevation Employee Side Fund, LLC ("Side Fund"). Elevation Management, LLC ("Elevation Management") is the sole managing member of Side Fund. Mr. Anderson is a manager of Elevation Management. As a manager of Elevation Management, Mr. Anderson may be deemed to be the indirect beneficial owner of such shares under Rule 16a-1(a)(2) promulgated under the Exchange Act. However, pursuant to Rule 16a-1(a)(4) promulgated under the Exchange Act, Mr. Anderson disclaims beneficial ownership of such shares, except to the extent of his pecuniary interest therein.

Remarks:

On October 25, 2007, a Form 3 was filed on behalf of the Reporting Person, erroneously reporting that he beneficially owned no securities of Palm, Inc.

	/*/ Tracy Hogan, Attorney-in-Fact	11/2/07
	** 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).
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Anderson Fred D – ‘3/A’ for 10/24/07 re: Palm Inc.

On: Monday, 11/5/07, at 3:56pm ET · For: 10/24/07 · As: Director, 10% Owner and Other · Accession #: 1209191-7-61771 · File #: 0-29597

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Amendment to Initial Statement of Beneficial Ownership of Securities by an Insider — Form 3 — SEA’34
Filing Table of Contents

‘3/A’ — Amendment to Initial Statement of Beneficial Ownership of Securities by an Insider — bpa35203_bpa4fda.xml/2.2