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FORM 3 OMB APPROVAL
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OMB Number: ..................
Expires: .....................
Estimated average burden .....
Hours per response ...........
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
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
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<S> <C> <C> <C>
(Print or Type Response)
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date
Statement Trading Symbol of Original
Sierra Ventures V, L.P. (Month/Day/Year) (Month/Day/Year)
---------------------------------------- VINA Technologies, Inc. (VINA)
(Last) (First) (Middle) 8/8/00 ---------------------------------- -----------------------
---------------------------- 5. Relationship of Reporting 7. Individual or Joint/
3000 Sand Hill Road, Bldg. 4, Ste. 210 3. IRS or Social Security Person to Issuer Group Filing (Check
---------------------------------------- Number of Reporting (Check all applicable) Applicable Line)
(Street) Person (Voluntary)
Director X 10% Owner X Form filed by
Menlo Park CA 94025 ---------------------------- ----- ----- ----- One Reporting
-------------------------------------- Officer Other Person
(City) (State) (Zip) ----- (give ----- (specify Form filed by
title below) below) ----- More than One
Reporting Person
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TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct (D) or Beneficial
(Instr. 4) Indirect (I) Ownership (Instr. 5)
(Instr. 5)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
*If the form is filed by more than one Reporting Person, see Instruction 5(b)(v). SEC 1473(7-96)
10410606v1
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership
Expiration Date Derivative Security Exercise Form of (Instr. 5)
(Month/Day/ (Instr. 4) Price of Deriv-
Year) Deriv- ative
ative Security:
Security Direct (D)
------------------------------------------------- or Indirect
Date Expira- Amount or (I) (Instr. 5)
Exercis- tion Title Number
able Date of Shares
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Series A Convertible Immediate Common Stock 7,500,000 1-to-1 D
Prefered Stock
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Series B Convertible Immediate Common Stock 800,000 1-to-1 D
Prefered Stock
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Series C Convertible Immediate Common Stock 291,484 1-to-1 D
Prefered Stock
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Explanation of Responses:
By: /s/ JEFFREY DRAZAN 8-8-00
**Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------- ----------------
Violations. **Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained in this form
are not required to respond unless the form displays a currently valid OMB number.
10410606v1
SEC 1473(7-96) Page 2
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