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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 RULE 13d-(2)(b)
(AMENDMENT NO.________)(1)
SILVERSTREAM SOFTWARE, INC.
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(Name of Issuer)
Common Stock
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(Title of Class of Securities)
827907 10 6
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(CUSIP Number)
August 16, 1999
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(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)
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(1) 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 (the "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).
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CUSIP No. 827907 10 6 13G Page 2 of 6 Pages
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1 NAMES OF REPORTING PERSONS.
I.R.S. IDENTIFICATION NOS. OF ABOVE PERSONS (ENTITIES ONLY)
David R. Skok
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a)
(b)
Not Applicable
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
Ireland
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5 SOLE VOTING POWER
1,099,849 shares
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NUMBER OF 6 SHARED VOTING POWER
SHARES
BENEFICIALLY 0 shares
OWNED BY -------------------------------------------------------
EACH 7 SOLE DISPOSITIVE POWER
REPORTING
PERSON 1,099,849 shares
WITH -------------------------------------------------------
8 SHARED DISPOSITIVE POWER
0 shares
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
2,089,849 shares
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10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
Not Applicable
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
11.0%
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12 TYPE OF REPORTING PERSON*
IN
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* See Instructions before filling out.
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CUSIP No. 827907 10 6 13G Page 3 of 6 Pages
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ITEM 1(a). Name of Issuer:
SilverStream Software, Inc.
ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
One Burlington Woods, Suite 200
Burlington, MA 01803
ITEM 2(a). NAME OF PERSON FILING:
David R. Skok
ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE:
The address of the reporting person is:
c/o SilverStream Software, Inc.
One Burlington Woods, Suite 200
Burlington, MA 01803
ITEM 2(c). CITIZENSHIP:
David R. Skok is a citizen of Ireland.
ITEM 2(d). TITLE OF CLASS OF SECURITIES:
Common Stock, $.001 par value per share ("Common Stock").
ITEM 2(e). CUSIP NUMBER:
CUSIP No. 827907 10 6
ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR 13d-2(b)
OR (c), CHECK WHETHER THE PERSON FILING IS A: Not Applicable.
(a) Broker or dealer registered under Section 15 of the Exchange
Act.
(b) Bank as defined in Section 3(a)(6) of the Exchange Act.
(c) Insurance company as defined in Section 3(a)(19) of the
Exchange Act.
(d) Investment company registered under Section 8 of the
Investment Company Act.
(e) An investment adviser in accordance with Rule
13d-1(b)(1)(ii)(E);
(f) An employee benefit plan or endowment fund in accordance
with Rule 13d-1(b)91)(ii)(F);
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CUSIP No. 827907 10 6 13G Page 4 of 6 Pages
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(g) A parent holding company or control person in accordance
with Rule 13d-1(b)(1)(ii)(G);
(h) A savings association as defined in Section 3(b) of the
Federal Deposit Insurance Act;
(i) A church plan that is excluded from the definition of an
investment company under Section 3(c)(14) of the Investment
Company Act;
(j) Group, in accordance with Rule 13d-1(b)(1)(ii)(J).
ITEM 4. OWNERSHIP:
DAVID R. SKOK
(a) Amount Beneficially Owned by David R. Skok: 2,089,849 shares
(b) Percent of Class: 11.0%
(c) Number of Shares as to which David R. Skok has:
(i) Sole power to vote or to direct the vote: 1,099,849
shares
(ii) Shared power to vote or to direct the vote: 0 shares
(iii) Sole power to dispose or to direct the disposition of:
1,099,849 shares
(iv) Shared power to dispose or to direct the disposition
of: 0 shares
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 5% of the class of securities,
check the following: [ ]
ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.
Not Applicable.
ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY.
Not Applicable.
ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.
Not Applicable.
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CUSIP No. 827907 10 6 13G Page 5 of 6 Pages
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ITEM 9. NOTICE OF DISSOLUTION OF GROUP.
Not Applicable.
ITEM 10. CERTIFICATION.
Not Applicable.
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CUSIP No. 827907 10 6 13G Page 6 of 6 Pages
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SIGNATURES
After reasonable inquiry and to the best of the knowledge and belief of the
undersigned, the undersigned certifies that the information set forth in this
statement is true, complete and correct.
Dated: February 14, 2000
/s/ David R. Skok
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David R. Skok
Chairman of the Board of Directors
