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OMB APPROVAL
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FORM 3 Expires:
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hours per response .... 0.5
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U.S. 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>
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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
Dale Kerry J. Statement Trading Symbol of Original
- ---------------------------------------- (Month/Day/Year) i3 Mobile, Inc. "IIIM" (Month/Day/Year)
(Last) (First) (Middle) 4/5/00 ------------------------------------
c/o Keystone Venture IV, L.P. ---------------------------- 5. Relationship of Reporting
- ---------------------------------------- 3. IRS or Social Security Person to Issuer 7. Individual or Joint/
(Street) Number of Reporting (Check all applicable) Group Filing
Person (Voluntary) X Director ----- 10% Owner (Check Applicable
1601 Market St., Suite 2500 ----- Officer ----- Other Line)
- -------------------------------------- ---------------------------- (give title below) (specify below)
(City) (State) (Zip) X Form filed by One
Philadelphia, PA 19103 --------------------------- Reporting Person
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-- Form filed by More
than One Reporting
Person
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TABLE 1 -- 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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Common Stock 1,125,858(1) I By Keystone Venture IV, L.P.
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Common Stock 378,750(2) I By Keystone Venture V, L.P.
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* If the form is filed by more than one Reporting Person, see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Responses)
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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) Deri- ative
vative Security:
Security Direct
------------------------------------------------- (D) or
Date Expira- Amount or Indirect (I)
Exercis- tion Title Number (Instr. 5)
able Date of Shares
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Common Stock Warrants 12/17/97 12/31/01 Common Stock 234,465(1) $3.00 I By Keystone
Venture IV, L.P.
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Common Stock Warrants 6/23/98 12/31/01 Common Stock 350,000(1) $3.50 I By Keystone
Venture IV, L.P.
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Explanation of Responses:
(1) Owned by Keystone Venture IV, L.P. Mr. Dale is Vice President of Keystone IV MGCP, Inc., the General Partner of Keystone Venture
IV Management Company, L.P., which is the General Partner of Keystone Venture IV, L.P. Mr. Dale Disclaims beneficial ownership
of the securities, except to the extent of his pecuniary interest therein.
(2) Owned by Keystone Venture V, L.P. Mr. Dale is Managing Director of Keystone V Management Company, Inc., the General Partner of
Keystone V Partners, L.P., which is the General Partner of Keystone Venture V, L.P. Mr. Dale disclaims beneficial ownership of
the securities, except to the extent of his pecuniary interest therein.
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Kerry J. Dale
By: /s/ Kerry J. Dale 4/5/00
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**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. SEC 1147 (9/93)
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