<PAGE>
- --------------------------------------------------------------------------------
SEC 1745 POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION
(3-98) CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM
DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER.
- --------------------------------------------------------------------------------
-------------------------------
OMB APPROVAL
UNITED STATES -------------------------------
SECURITIES AND EXCHANGE COMMISSION OMB Number: 3235-0145
WASHINGTON, D.C. 20549 -------------------------------
Expires: November 30, 1999
-------------------------------
Estimated average burden
hours per response. . . 14.9
-------------------------------
SCHEDULE 13G
UNDER THE SECURITIES EXCHANGE ACT OF 1934
(AMENDMENT NO. ___________)*
eBenx, Inc
- --------------------------------------------------------------------------------
(Name of Issuer)
Common Stock
- --------------------------------------------------------------------------------
(Title of Class of Securities)
278668108
- --------------------------------------------------------------------------------
(CUSIP Number)
December 31, 1999
- --------------------------------------------------------------------------------
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule
is filed:
[ ] Rule 13d-1(b)
[ ] Rule 13d-1(c)
[X] 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 the
disclosures provided in a prior cover page.
The information required in 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
<PAGE>
CUSIP No. 6400509105
- --------------------------------------------------------------------------------
1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
JMI Equity Fund III, L.P. 52-2016380
- --------------------------------------------------------------------------------
2. Check the Appropriate Box if a Member of a Group (See
Instructions)
(a) .....................................................
............................
(b) .....................................................
............................
- --------------------------------------------------------------------------------
3. SEC Use Only
..............................................................
- --------------------------------------------------------------------------------
4. Citizenship or Place of Organization:
Delaware
- --------------------------------------------------------------------------------
Number of 5. Sole Voting Power : 0
Shares
- --------------------------------------------------------------------------------
Beneficially 6. Shared Voting Power : 1,094,262
Owned by
- --------------------------------------------------------------------------------
Each Reporting 7. Sole Dispositive Power : 0
Person With
- --------------------------------------------------------------------------------
8. Shared Dispositive Power : 1,094,262
- --------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting
Person 1,094,262
- --------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions
- --------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (11) : 6.9%
- --------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions): PN
- --------------------------------------------------------------------------------
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
- --------------------------------------------------------------------------------
<PAGE>
CUSIP No. 6400509105
- --------------------------------------------------------------------------------
1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
JMI Associates III, LLC
- --------------------------------------------------------------------------------
2. Check the Appropriate Box if a Member of a Group (See
Instructions)
(a) .....................................................
............................
(b) .....................................................
............................
- --------------------------------------------------------------------------------
3. SEC Use Only
..............................................................
- --------------------------------------------------------------------------------
4. Citizenship or Place of Organization:
Delaware
- --------------------------------------------------------------------------------
Number of 5. Sole Voting Power : 0
Shares
- --------------------------------------------------------------------------------
Beneficially 6. Shared Voting Power : 1,094,262
Owned by
- --------------------------------------------------------------------------------
Each Reporting 7. Sole Dispositive Power : 0
Person With
- --------------------------------------------------------------------------------
8. Shared Dispositive Power : 1,094,262
- --------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting
Person 1,094,262
- --------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions
- --------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (11) : 6.9%
- --------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions): PN
- --------------------------------------------------------------------------------
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
- --------------------------------------------------------------------------------
<PAGE>
CUSIP No. 6400509105
- --------------------------------------------------------------------------------
1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
Paul V. Barber
- --------------------------------------------------------------------------------
2. Check the Appropriate Box if a Member of a Group (See
Instructions)
(a) .....................................................
............................
(b) .....................................................
............................
- --------------------------------------------------------------------------------
3. SEC Use Only
..............................................................
- --------------------------------------------------------------------------------
4. Citizenship or Place of Organization:
USA
- --------------------------------------------------------------------------------
Number of 5. Sole Voting Power : 0
Shares
- --------------------------------------------------------------------------------
Beneficially 6. Shared Voting Power : 1,094,262
Owned by
- --------------------------------------------------------------------------------
Each Reporting 7. Sole Dispositive Power : 0
Person With
- --------------------------------------------------------------------------------
8. Shared Dispositive Power : 1,094,262
- --------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting
Person 1,094,262
- --------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions
- --------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (11) : 6.9%
- --------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions): IN
- --------------------------------------------------------------------------------
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
- --------------------------------------------------------------------------------
<PAGE>
CUSIP No. 6400509105
- --------------------------------------------------------------------------------
1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
Harry S. Gruner
- --------------------------------------------------------------------------------
2. Check the Appropriate Box if a Member of a Group (See
Instructions)
(a) .....................................................
............................
(b) .....................................................
............................
- --------------------------------------------------------------------------------
3. SEC Use Only
..............................................................
- --------------------------------------------------------------------------------
4. Citizenship or Place of Organization:
USA
- --------------------------------------------------------------------------------
Number of 5. Sole Voting Power : 0
Shares
- --------------------------------------------------------------------------------
Beneficially 6. Shared Voting Power : 1,094,262
Owned by
- --------------------------------------------------------------------------------
Each Reporting 7. Sole Dispositive Power : 0
Person With
- --------------------------------------------------------------------------------
8. Shared Dispositive Power : 1,094,262
- --------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting
Person 1,094,262
- --------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions
- --------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (11) : 6.9%
- --------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions): IN
- --------------------------------------------------------------------------------
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
- --------------------------------------------------------------------------------
<PAGE>
CUSIP No. 6400509105
- --------------------------------------------------------------------------------
1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
Charles Noell III
- --------------------------------------------------------------------------------
2. Check the Appropriate Box if a Member of a Group (See
Instructions)
(a)
(b) .....................................................
............................
- --------------------------------------------------------------------------------
3. SEC Use Only
..............................................................
- --------------------------------------------------------------------------------
4. Citizenship or Place of Organization:
USA
- --------------------------------------------------------------------------------
Number of 5. Sole Voting Power : 0
Shares
- --------------------------------------------------------------------------------
Beneficially 6. Shared Voting Power : 1,094,262
Owned by
- --------------------------------------------------------------------------------
Each Reporting 7. Sole Dispositive Power : 0
Person With
- --------------------------------------------------------------------------------
8. Shared Dispositive Power : 1,094,262
- --------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting
Person 1,094,262
- --------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions
- --------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (11) : 6.9%
- --------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions): IN
- --------------------------------------------------------------------------------
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
- --------------------------------------------------------------------------------
<PAGE>
CUSIP No. 6400509105
- --------------------------------------------------------------------------------
1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
Norris van den Berg
- --------------------------------------------------------------------------------
2. Check the Appropriate Box if a Member of a Group (See
Instructions)
(a)
(b) .....................................................
............................
- --------------------------------------------------------------------------------
3. SEC Use Only
..............................................................
- --------------------------------------------------------------------------------
4. Citizenship or Place of Organization:
USA
- --------------------------------------------------------------------------------
Number of 5. Sole Voting Power : 0
Shares
- --------------------------------------------------------------------------------
Beneficially 6. Shared Voting Power : 1,094,262
Owned by
- --------------------------------------------------------------------------------
Each Reporting 7. Sole Dispositive Power : 0
Person With
- --------------------------------------------------------------------------------
8. Shared Dispositive Power : 1,094,262
- --------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting
Person 1,094,262
- --------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions)
- --------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (11) : 6.9%
- --------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions): IN
- --------------------------------------------------------------------------------
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
- --------------------------------------------------------------------------------
<PAGE>
CUSIP No. 6400509105
- --------------------------------------------------------------------------------
1. Names of Reporting Persons.
I.R.S. Identification Nos. of above persons (entities only).
Robert Sywolski
- --------------------------------------------------------------------------------
2. Check the Appropriate Box if a Member of a Group (See
Instructions)
(a)
(b) .....................................................
............................
- --------------------------------------------------------------------------------
3. SEC Use Only
..............................................................
- --------------------------------------------------------------------------------
4. Citizenship or Place of Organization:
USA
- --------------------------------------------------------------------------------
Number of 5. Sole Voting Power : 0
Shares
- --------------------------------------------------------------------------------
Beneficially 6. Shared Voting Power : 1,094,262
Owned by
- --------------------------------------------------------------------------------
Each Reporting 7. Sole Dispositive Power : 0
Person With
- --------------------------------------------------------------------------------
8. Shared Dispositive Power : 1,094,262
- --------------------------------------------------------------------------------
9. Aggregate Amount Beneficially Owned by Each Reporting
Person 1,094,262
- --------------------------------------------------------------------------------
10. Check if the Aggregate Amount in Row (11) Excludes Certain
Shares (See Instructions
- --------------------------------------------------------------------------------
11. Percent of Class Represented by Amount in Row (11) : 6.9%
- --------------------------------------------------------------------------------
12. Type of Reporting Person (See Instructions): IN
- --------------------------------------------------------------------------------
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
................................................................................
- --------------------------------------------------------------------------------
<PAGE>
INSTRUCTIONS FOR SCHEDULE 13G
INSTRUCTIONS FOR COVER PAGE
(l) NAMES AND I.R.S. IDENTIFICATION NUMBERS OF REPORTING PERSONS--Furnish
the full legal name of each person for whom the report is
filed--i.e., each person required to sign the schedule
itself--including each member of a group. Do not include the name of
a person required to be identified in the report but who is not a
reporting person. Reporting persons that are entities are also
requested to furnish their I.R.S. identification numbers, although
disclosure of such numbers is voluntary, not mandatory (see "SPECIAL
INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13G" below).
(2) If any of the shares beneficially owned by a reporting person are
held as a member of a group and that membership is expressly
affirmed, please check row 2(a). If the reporting person disclaims
membership in a group or describes a relationship with other persons
but does not affirm the existence of a group, please check row 2(b)
[unless it is a joint filing pursuant to Rule 13d1(k)(1) in which
case it may not be necessary to check row 2(b)].
(3) The third row is for SEC internal use; please leave blank.
(4) CITIZENSHIP OR PLACE OF ORGANIZATION--Furnish citizenship if the
named reporting person is a natural person.
Otherwise, furnish place of organization.
(5)-(9), AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON,
ETC.--Rows (5) through (9) inclusive,
(11) and (11) are to be completed in accordance with the provisions of
Item 4 of Schedule 13G. All percentages are to be rounded off to the
nearest tenth (one place after decimal point).
(10) Check if the aggregate amount reported as beneficially owned in row
(9) does not include shares as to which beneficial ownership is
disclaimed pursuant to Rule 13d-4 (17 CFR 240.13d-4] under the
Securities Exchange Act of 1934.
(12) TYPE OF REPORTING PERSON--Please classify each "reporting person"
according to the following breakdown (see Item 3 of Schedule 13G) and
place the appropriate symbol on the form:
<TABLE>
<CAPTION>
CATEGORY SYMBOL
<S> <C>
Broker Dealer BD
Bank BK
Insurance Company IC
Investment Company IV
Investment Adviser IA
Employee Benefit Plan, Pension Fund, or Endowment Fund EP
Parent Holding Company/Control Person HC
Savings Association SA
Church Plan CP
Corporation CO
Partnership PN
Individual IN
Other OO
</TABLE>
NOTES: Attach as many copies of the second part of the cover page as are
needed, one reporting person per page. Filing persons may, in order
to avoid unnecessary duplication, answer items on the schedules
(Schedule 13D, 13G or 14D1) by appropriate cross references to an
item or items on the cover page(s). This approach may only be used
where the cover page item or items provide all the disclosure
required by the schedule item. Moreover, such a use of a cover page
item will result in the item becoming a part of the schedule and
accordingly being considered as "filed" for purposes of Section 18 of
the Securities Exchange Act or otherwise subject to the liabilities
of that section of the Act.
Reporting persons may comply with their cover page filing
requirements by filing either completed copies of the blank forms
available from the Commission, printed or typed facsimiles, or
computer printed facsimiles, provided the documents filed have
identical formats to the forms prescribed in the Commission's
regulations and meet existing Securities Exchange Act rules as to
such matters as clarity and size (Securities Exchange Act Rule
12b-12).
<PAGE>
SPECIAL INSTRUCTIONS FOR COMPLYING WITH SCHEDULE 13G
Under Sections 13(d), 13(g), and 23 of the Securities Exchange Act of 1934 and
the rules and regulations thereunder, the Commission is authorized to solicit
the information required to be supplied by this schedule by certain security
holders of certain issuers.
Disclosure of the information specified in this schedule is mandatory, except
for I.R.S. identification numbers, disclosure of which is voluntary. The
information will be used for the primary purpose of determining and
disclosing the holdings of certain beneficial owners of certain equity
securities. This statement will be made a matter of public record. Therefore,
any information given will be available for inspection by any member of the
public. Because of the public nature of the information, the Commission can
use it for a variety of purposes, including referral to other governmental
authorities or securities self-regulatory organizations for investigatory
purposes or in connection with litigation involving the Federal securities
laws or other civil, criminal or regulatory statutes or provisions. I.R.S.
identification numbers, if furnished, will assist the Commission in
identifying security holders and, therefore, in promptly processing
statements of beneficial ownership of securities.
Failure to disclose the information requested by this schedule, except for
I.R.S. identification numbers, may result in civil or criminal action against
the persons involved for violation of the Federal securities laws and rules
promulgated thereunder.
GENERAL INSTRUCTIONS
A. Statements filed pursuant to Rule 13d-1(b) containing the
information required by this schedule shall be filed not later
than February 14 following the calendar year covered by the
statement or within the time specified in Rules 13d-1(b)(2) and
13d2(c). Statements filed pursuant to Rule 13d-1(c) shall be
filed within the time specified in Rules 13d-1(c), 13d-2(b) and
13d-2(d). Statements filed pursuant to Rule 13d-1(d) shall be
filed not later than February 14 following the calendar year
covered by the statement pursuant to Rules 13d-1(d) and
13d-2(b).
B. Information contained in a form which is required to be filed
by rules under section 13(f) (15 U.S.C. 78m(f)) for the same
calendar year as that covered by a statement on this schedule
may be incorporated by reference in response to any of the
items of this schedule. If such information is incorporated by
reference in this schedule, copies of the relevant pages of
such form shall be filed as an exhibit to this schedule.
C. The item numbers and captions of the items shall be included
but the text of the items is to be omitted. The answers to the
items shall be so prepared as to indicate clearly the coverage
of the items without referring to the text of the items. Answer
every item. If an item is inapplicable or the answer is in the
negative, so state.
ITEM 1.
(a) Name of Issuer: eBenx, Inc.
(b) Address of Issuer's Principal Executive
Offices: 5500 Wayzata Boulevard, Suite
1450 Minneapolis, Minnesota
ITEM 2.
(a) Name of Person Filing: JMI Equity Fund III,
L.P.
(b) Address of Principal Business Office or, if
none. Residence: 12680 High Bluff Dr. #200
San Diego, CA 92130
(c) Citizenship: USA
(d) Title of Class of Securities: Common Stock
(e) CUSIP Number: 278668108
<PAGE>
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO SECTIONS 240.13d-1(b) OR
240.13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A:
(a) [ ] Broker or dealer registered under
section 15 of the Act
(15 U.S.C. 78o).
(b) [ ] Bank as defined in section 3(a)(6)
of the Act (15 U.S.C. 78c).
(c) [ ] Insurance company as defined in
section 3(a)(19) of the Act
(15 U.S.C. 78c).
(d) [ ] Investment company registered under
section 8 of the Investment Company
Act of 1940 (15 U.S.C 80a-8).
(e) [ ] An investment adviser in accordance
with Section 240.13d-1(b)(1)(ii)(E);
(f) [ ] An employee benefit plan or
endowment fund in accordance with
Section 240.13d-1(b)(1)(ii)(F);
(g) [ ] A parent holding company or control
person in accordance with Section
240.13d-1(b)(1)(ii)(G);
(h) [ ] A savings associations as defined in
Section 3(b) of the Federal Deposit
Insurance Act (12 U.S.C. 1813);
(i) [ ] A church plan that is excluded from
the definition of an investment
company under Section 3(c)(14) of
the Investment Company Act of
1940 (15 U.S.C. 80a-3);
(j) [ ] Group, in accordance with Section
240.13d-1(b)(1)(ii)(J).
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.
(a) Amount beneficially owned: 1,094,262
(b) Percent of class: 6.9%
(c) Number of shares as to which the person
has:
(i) Sole power to vote or to
direct the vote: 0
(ii) Shared power to vote or to
direct the vote: 1,094,262
(iii) Sole power to dispose or to
direct the disposition of :
0
(iv) Shared power to dispose or
to direct the disposition
of : 1,094,262
INSTRUCTION. For computations regarding securities which represent a right to
acquire an underlying security SEE Sections 240.13d3(d)(1).
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 [ ].
INSTRUCTION: Dissolution of a group requires a response to this item.
<PAGE>
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER
PERSON.
If any other person is known to have the right to receive or the power to
direct the receipt of dividends from, or the proceeds from the sale of, such
securities, a statement to that effect should be included in response to this
item and, if such interest relates to more than five percent of the class,
such person should be identified. A listing of the shareholders of an
investment company registered under the Investment Company Act of 1940 or the
beneficiaries of employee benefit plan, pension fund or endowment fund is not
required.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY
If a parent holding company has filed this schedule, pursuant to Rule
13d-1(b)(ii)(G), so indicate under Item 3(g) and attach an exhibit stating
the identity and the Item 3 classification of the relevant subsidiary. If a
parent holding company has filed this schedule pursuant to Rule 13d-1(c) or
Rule 13d-1(d), attach an exhibit stating the identification of the relevant
subsidiary.
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP
If a group has filed this schedule pursuant to Section 240.13d-1(b)(1)(ii)(J),
so indicate under Item 3(j) and attach an exhibit stating the identity and
Item 3 classification of each member of the group. If a group has filed this
schedule pursuant to Section 240.13d-1(c) or Section 240.13d-1(d), attach an
exhibit stating the identity of each member of the group.
ITEM 9. NOTICE OF DISSOLUTION OF GROUP
Notice of dissolution of a group may be furnished as an exhibit stating the
date of the dissolution and that all further filings with respect to
transactions in the security reported on will be filed, if required, by
members of the group, in their individual capacity. See Item 5.
ITEM 10. CERTIFICATION
(a) The following certification shall be
included if the statement is filed pursuant
to Section 240.13d-1(b):
By signing below I certify that, to
the best of my knowledge and belief,
the securities referred to above were
acquired and are held in the ordinary
course of business and were not
acquired and are not held for the
purpose of or with the effect of
changing or influencing the control of
the issuer of the securities and were
not acquired and are not held in
connection with or as a participant in
any transaction having that purpose or
effect.
(b) The following certification shall be
included if the statement is filed pursuant
to Section 240.13d-1(c):
By signing below I certify that, to
the best of my knowledge and belief,
the securities referred to above were
not acquired and are not held for the
purpose of or with the effect of
changing or influencing the control of
the issuer of the securities and were
not acquired and are not held in
connection with or as a participant in
any transaction having that purpose or
effect.
<PAGE>
SIGNATURE
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
--------------------------------
Signature
--------------------------------
Name/Title
The original statement shall be signed by each person on whose behalf the
statement is filed or his authorized representative. If the statement is
signed on behalf of a person by his authorized representative other than an
executive officer or general partner of the filing person, evidence of the
representative's authority to sign on behalf of such person shall be filed
with the statement, provided, however, that a power of attorney for this
purpose which is already on file with the Commission may be incorporated by
reference. The name and any title of each person who signs the statement
shall be typed or printed beneath his signature.
NOTE: Schedules filed in paper format shall include a signed original and
five copies of the schedule, including all exhibits. SEE Section 240.13d-7
for other parties for whom copies are to be sent.
ATTENTION: INTENTIONAL MISSTATEMENTS OR OMISSIONS OF FACT CONSTITUTE FEDERAL
CRIMINAL VIOLATIONS
(SEE 18 U.S.C. 1001)
