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
 
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1. Name and Address of Reporting Person*
KINDERHOOK GP LLC

(Last) (First) (Middle)
1 EXECUTIVE DRIVE
SUITE 160

(Street)
FORT LEE NJ 07024

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/22/2003
3. Issuer Name and Ticker or Trading Symbol
SEGMENTZ INC [ SEGZ ]
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)
Form filed by One Reporting Person
X 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 1,500,000(1)(2) I By Kinderhook Partners, LP
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
1. Name and Address of Reporting Person*
KINDERHOOK GP LLC

(Last) (First) (Middle)
1 EXECUTIVE DRIVE
SUITE 160

(Street)
FORT LEE NJ 07024

(City) (State) (Zip)
1. Name and Address of Reporting Person*
KINDERHOOK PARTNERS L P

(Last) (First) (Middle)
ONE EXECUTIVE DR SUITE 160

(Street)
FORT LEE NJ 07024

(City) (State) (Zip)
1. Name and Address of Reporting Person*
CLEARMAN STEPHEN J

(Last) (First) (Middle)
ONE EXECUTIVE DRIVE, SUITE 160

(Street)
FORT LEE NJ 07024

(City) (State) (Zip)
Explanation of Responses:
1. Each of the reporting person and the joint filers disclaims beneficial ownership of the reported securities except to the extent of his or its pecuniary interest therein, and this report shall not be deemed an admission that the reporting person or any joint filer is the beneficial owner of the securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended or for any other purpose.
2. These securities are owned by Kinderhook Partners, LP. Kinderhook GP, LLC is the general partner of Kinderhook Partners, LP. Stephen J. Clearman is the managing member of Kinderhook GP, LLC.
Kinderhook Partners, LP By: Kinderhook GP, LLC, its GP By: Stephen J. Clearman, Managing Member 12/31/2003
Kinderhook GP, LLC By: Stephen J. Clearman, Managing Member 12/31/2003
Stephen J. Clearman 12/31/2003
** 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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