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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 3
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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
1. Name and Address of Reporting Person*
Behrens Christopher C.
(Last) (First) (Middle)
c/o Chase Venture Capital Associates, LLC (FN 1)
380 Madison Avenue, 12th Floor
(Street)
New York, New York 10017
(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
1/1/2000
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)
4. Issuer Name and Ticker or Trading Symbol
Patina Oil & Gas Corporation ("POG")
5. Relationship of Reporting Person to Issuer (Check all applicable)
/X/ Director /X/ 10% Owner
/ / Officer (give title below) / / Other (specify below)
6. If Amendment, Date of Original (Month/Day/Year)
3/9/99
7. Individual or Joint/Group Reporting (Check applicable line)
/X/ Form filed by One Reporting Person
/ / Form filed by More than One Reporting Person
* If the Form is filed by more than one Reporting Person, see instruction
5(b)(v).
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<TABLE>
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Table I -- Non-Derivative Securities Beneficially Owned
2. Amount 3. Ownership
of Secu- Form:
rities Direct 4. Nature of
Bene- (D) or Indirect
ficially Indirect Beneficial
Owned (I) Ownership
1. Title of Security (Instr. 4) (Instr. 5) (Instr. 5)
- -------------------------------- ------------- ------------- ----------------
<S> <C> <C> <C>
Common Stock 84,753 I By CVCA,LP (FN 1)
</TABLE>
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<TABLE>
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Table II--Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
2. Date Exercisable
and Expiration Date 3. Title and Amount of Securities Underlying Derivative
(Month/Day/Year) Security (Instr. 4)
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Date Amount or
1. Title of Derivative Exercis- Expiration Title Number of
Security (Instr. 4) able Date Shares
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<S> <C> <C> <C> <C>
Convertible Preferred Stock (FN 2) Common Stock 1,503,773
Non-Qualified Stock Option (right to buy) (FN3) (FN3) 10/21/2002 Common Stock 5,000
Non-Qualified Stock Option (right to buy) (FN3) (FN3) 5/13/2003 Common Stock 5,000
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5. Ownership
Form of
Derivative
4. Conver- Security:
sion or Direct 6. Nature of
Exercise (D) or Indirect
Price of Indirect Beneficial
1. Title of Derivative Derivative (I) Ownership
Security (Instr. 4) Security (Instr. 5) (Instr. 5)
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<S> <C> <C> <C>
Convertible Preferred Stock (FN 2) 1 to 2.6316 I (FN 3)
Non-Qualified Stock Option (right to buy) (FN3) $10.3125 I (FN 3)
Non-Qualified Stock Option (right to buy) (FN3) $ 7.7500 I (FN 3)
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Explanation of Responses:
(1) The amounts shown in Table I and II represent the beneficial ownership of
the Issuer's equity securities by Chase Venture Capital Associates, LP ("CVCA,
LP"), a portion of which may be attributable to the reporting person because the
reporting person is a general partner of Chase Capital Partners ("CCP"), which
is the sole general partner of CVCA. The actual pro rata portion of such
beneficial ownership that may be deemed to be attributable to the reporting
person is not readily determinable because it is subject to several variables
including CVCA's internal rate of return and vesting. The reporting person
disclaims beneficial ownership to the extent it exceeds his pecuniary interest.
(2) Dividends on Convertible Preferred Stock are payable in kind through
October 21, 1999.
(3) Stock option grant for non-employee directors issued pursuant to the 1996
Patina Non-Employee Stock Option Plan. Exercisable as follows: 30% on first
anniversary date of transaction, 30% on second anniversary date of transaction,
and 40% on third anniversary. Arnold Chavkin, a general partner of CCP and a
former director of the Issuer, and the reporting person are obligated to
exercise the options upon the request of CVCA and to transfer all shares
received upon such exercise to CVCA.
/s/ Christopher C. Behrens 2/23/2000
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Christopher C. Behrens Date
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
