SECURITIES AND EXCHANGE COMMISSION

Washington, D.C.  20549

 

Schedule 13G

(Rule 13d-102)

 

INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1 (b), (c) AND (d)
AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2 (b)

(Amendment No. 1)*

 

VistaCare, Inc.

(Name of Issuer)

 

Class A Common Stock, par value $0.01 per share

(Title of Class of Securities)

 

92839Y109

(CUSIP Number)

 

December 31, 2003

(Date of Event Which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

o

Rule 13d-1(b)

o

Rule 13d-1(c)

ý

Rule 13d-1(d)

 

*The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.

 

The information required on the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).

 

(Continued on following pages)

 

Page 1 of 14 Pages
Exhibit Index on Page 13



 

CUSIP NO. 92839Y109

13 G

Page 2 of 14 Pages

 

1

NAME OF REPORTING PERSON
Bessemer Venture Partners III L.P. (“BVP III”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)           o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION

Delaware

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
– 0 –

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
– 0 –

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                      – 0 –

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                               0%

12

TYPE OF REPORTING PERSON                                                                                                       PN

 



 

CUSIP NO. 92839Y109

13 G

Page 3 of 14 Pages

 

1

NAME OF REPORTING PERSON
BVP III Special Situations, L.P. (“BVP III SS”)


2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

(a)           o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
– 0 –

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
– 0 –

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                      – 0 –

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                              0%

12

TYPE OF REPORTING PERSON                                                                                                      PN

 



 

CUSIP NO. 92839Y109

13 G

Page 4 of 14 Pages

 

1

NAME OF REPORTING PERSON     
Deer III & Co. LLC (“Deer III”)

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)          
o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
– 0 –

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
– 0 –

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                      – 0 –

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                              0%

12

TYPE OF REPORTING PERSON                                                                                                      OO

 



 

CUSIP NO. 92839Y109

13 G

Page 5 of 14 Pages

 

1

NAME OF REPORTING PERSON     
Robert H. Buescher

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)          
o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
– 0 –

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
– 0 –

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                      – 0 –

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                              0%

12

TYPE OF REPORTING PERSON                                                                                                       IN

 



 

CUSIP NO. 92839Y109

13 G

Page 6 of 14 Pages

 

1

NAME OF REPORTING PERSON     
William T. Burgin

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)          
o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
75,000 shares.

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
75,000 shares.

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                     75,000

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                            0.5%

12

TYPE OF REPORTING PERSON                                                                                                       IN

 



 

CUSIP NO. 92839Y109

13 G

Page 7 of 14 Pages

 

1

NAME OF REPORTING PERSON
David J. Cowan

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)          
o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
– 0 –

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
– 0 –

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                      – 0 –

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                              0%

12

TYPE OF REPORTING PERSON                                                                                                       IN

 



 

CUSIP NO. 92839Y109

13 G

Page 8 of 14 Pages

 

1

NAME OF REPORTING PERSON
Christopher F. O. Gabrieli

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)          
o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
88,527 shares.

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
88,527 shares.

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                     88,527

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                            0.6%

12

TYPE OF REPORTING PERSON                                                                                                       IN

 



 

CUSIP NO. 92839Y109

13 G

Page 9 of 14 Pages

 

1

NAME OF REPORTING PERSON     
G. Felda Hardymon

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
(a)          
o            (b)           ý

3

SEC USE ONLY

4

CITIZENSHIP OR PLACE OF ORGANIZATION
U.S.A.

NUMBER OF
SHARES
BENEFICIALLY
OWNED BY EACH
REPORTING
PERSON
WITH

5

SOLE VOTING POWER
– 0 –

6

SHARED VOTING POWER
– 0 –

7

SOLE DISPOSITIVE POWER
– 0 –

8

SHARED DISPOSITIVE POWER
– 0 –

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH
REPORTING PERSON                                                                                                                      – 0 –

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW 9
EXCLUDES CERTAIN SHARES                                                                                                                   
o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9                                              0%

12

TYPE OF REPORTING PERSON                                                                                                       IN

 



 

CUSIP NO. 92839Y109

13 G

Page 10 of 14 Pages

 

This Amendment No. 1 amends the Statement on 13(G) (the “Original Statement”) filed by Bessemer Venture Partners III, L.P., a Delaware limited partnership (“BVP III”), BVP III Special Situations, L.P., a Delaware limited partnership (“BVP III SS”), Robert H. Buescher, William T. Burgin, David J. Cowan, Christopher F.O. Gabrieli and G. Felda Hardymon.  The foregoing entities and individuals are collectively referred to as the “Reporting Persons”.  Only those items as to which there has been a change are included in this Amendment No. 1.

 

ITEM 1(b).                                      ADDRESS OF ISSUER’S PRINCIPAL EXECUTIVE OFFICES:

 

4800 N. Scottsdale Road, Suite 5000

Scottsdale, Arizona 85251

 

ITEM 4.                  OWNERSHIP:

 

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.  The following information with respect to the ownership of the Class A Common Stock of the issuer by the persons filing this statement is provided as of December 31, 2003:

 

(a)                                  Amount beneficially owned:

See Row 9 of the cover page for each Reporting Person.

 

(b)                                 Percent of Class:

See Row 11 of the cover page for each Reporting Person.

 

(c)           Number of shares as to which such person has:

 

(i)                                     Sole power to vote or to direct the vote:

 

See Row 5 of the cover page for each Reporting Person.

 

(ii)                                  Shared power to vote or to direct the vote:

 

See Row 6 of the cover page for each Reporting Person.

 

(iii)                               Sole power to dispose or to direct the disposition of:

 

See Row 7 of the cover page for each Reporting Person.

 

(iv)                              Shared power to dispose or to direct the disposition of:

 

See Row 8 of the cover page for each Reporting Person.

 

ITEM 5.                                                     OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS:

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following:      ý  Yes

 



 

 

 

Page 11 of 14 Pages

 

SIGNATURES

 

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

 

Date:  February 13, 2004

 

 

BESSEMER VENTURE PARTNERS III L.P.

 

 

 

By: Deer III & Co. LLC, General Partner

 

 

 

By:

/s/ J. Edmund Colloton

 

 

 

 J. Edmund Colloton

 

 

 

 Authorized Officer

 

 

 

 

BVP III SPECIAL SITUATIONS L.P.

 

 

 

By: Deer III & Co. LLC, General Partner

 

 

 

By:

/s/ J. Edmund Colloton

 

 

 

 J. Edmund Colloton

 

 

 

 Authorized Officer

 

 

 

 

DEER III & Co. LLC

 

 

 

By:

/s/ J. Edmund Colloton

 

 

 

 J. Edmund Colloton

 

 

 

 Authorized Officer

 

 

 

 

ROBERT H. BUESCHER

 

 

 

By:

*

 

 

 

 J. Edmund Colloton

 

 

 

 Attorney-in-Fact

 

 

 

 

WILLIAM T. BURGIN

 

 

 

By:

*

 

 

 

 J. Edmund Colloton

 

 

 

 Attorney-in-Fact

 

 

 

 

DAVID J. COWAN

 

 

 

By:

*

 

 

 

 J. Edmund Colloton

 

 

 

 Attorney-in-Fact

 

 



 

 

 

Page 12 of 14 Pages

 

 

 

 

CHRISTOPHER F. O. GABRIELI

 

 

 

By:

*

 

 

 

 J. Edmund Colloton

 

 

 

 Attorney-in-Fact

 

 

 

 

G. FELDA HARDYMON

 

 

 

By:

*

 

 

 

J. Edmund Colloton

 

 

 

Attorney-in-Fact

 

 


*Signed  pursuant to a Statement Appointing Designated Filer and Authorized Signatories, dated February 14, 2002 (the “Statement of Designation”) and filed with the SEC on February 14, 2002 as an exhibit to the Form 13G for Telocity Delaware, Inc., filed by Bessemer Venture Partners IV, L.P., which Statement of Designation is incorporated by reference herein.

 



 

 

 

Page 13 of 14 Pages

 

EXHIBIT INDEX

 

Exhibit

 

Found on
Sequentially
Number Page

 

Exhibit A:               Agreement of Joint Filing

14

 



 

 

 

Page 14 of 14 Pages

 

EXHIBIT A

Agreement of Joint Filing

 

The Reporting Persons hereby agree that a single Schedule 13G (or any amendment thereto) relating to the Class A Common Stock of VistaCare, Inc. shall be filed on behalf of each of the Reporting Persons.  Note that copies of the applicable Agreement of Joint Filing are already on file with the appropriate agencies.