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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )
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InsWeb Corporation
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(Name of Issuer)
Common
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(Title of Class of Securities)
45809K103
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(CUSIP Number)
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(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate box to designate the rule pursuant to
which this Schedule is filed:
/ / Rule 13d-1(b)
/X/ Rule 13d-1(c)
/ / 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 Act but shall be subject to all other provisions of the Act (however, see
the Notes).
SEC 1745 (3/98)
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CUSIP NO. 45809K103 13G PAGE 2 OF 9 PAGES
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1 NAMES OF REPORTING PERSONS. I.R.S. IDENTIFICATION NO. OF ABOVE
PERSON (ENTITIES ONLY)
Darrell J. Ticehurst
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*
(a) / /
(b) / /
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3 SEC USE ONLY
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4 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
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5 SOLE VOTING POWER
1,125
NUMBER OF --------------------------------------------------
SHARES 6 SHARED VOTING POWER
BENEFICIALLY 1,744,605
OWNED BY --------------------------------------------------
BY EACH 7 SOLE DISPOSITIVE POWER
REPORTING 1,125
PERSON --------------------------------------------------
WITH 8 SHARED DISPOSITIVE POWER
1,744,605
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9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
1,745,730
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10 CHECK IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
/ /
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11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9
5.02%
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12 TYPE OF REPORTING PERSON *
IN
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*SEE INSTRUCTION BEFORE FILLING OUT!
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CUSIP NO. 45809K103 13G PAGE 3 OF 9 PAGES
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Item 1(a) NAME OF ISSUER:
InsWeb Corporation
Item 1(b) ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES:
901 Marshall Street
Redwood City, CA 94063
Item 2(a) NAME OF PERSON FILING:
Darrell J. Ticehurst
Item 2(b) ADDRESS OF PERSON FILING:
901 Marshall Street
Redwood City, CA 94063
Item 2(c) CITIZENSHIP:
USA
Item 2(d) TITLE OF CLASS OF SECURITIES:
Common Stock, $0.001 par value
Item 2(e) CUSIP NUMBER:
45809K103
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 is 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);
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CUSIP NO. 45809K103 13G PAGE 4 OF 9 PAGES
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(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 and securities of the issuer identified in Item I.
(a) Amount "beneficially" owned within the meaning of rule 13d-3:
1,745,730
(b) Percent of class:
5.02% (based on 34,742,760 shares outstanding at 12/31/99)
(c) Number of shares as to which such person has:
(i) sole power to vote or direct the vote: 1,125
(ii) shared power to vote or direct the vote: 1,744,605
(iii) sole power to dispose or to direct the disposition of: 1,125
(iv) shared power to dispose or to direct disposition of: 1,744,605
Item 5 OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS
Not Applicable.
Item 6 OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF
ANOTHER PERSON
Not Applicable.
Item 7 IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH AS
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY
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CUSIP NO. 45809K103 13G PAGE 5 OF 9 PAGES
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Not Applicable.
Item 8 IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP
Not Applicable.
Item 9 NOTICE OF DISSOLUTION OF GROUP
Not Applicable.
Item 10 CERTIFICATIONS.
(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.
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).
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: February 14, 2000
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CUSIP NO. 45809K103 13G PAGE 6 OF 9 PAGES
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/s/ /s/
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Darrell J. Ticehurst, Trustee Carmi J. Ticehurst, Trustee
The Ticehurst 1999 Revocable Trust, The Ticehurst 1999 Revocable Trust,
dated June 28, 1999 dated June 28, 1999
/s/ /s/
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Darrell J. Ticehurst Carmi J. Ticehurst
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CUSIP NO. 45809K103 13G PAGE 7 OF 9 PAGES
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EXHIBIT INDEX
<TABLE>
<CAPTION>
EXHIBIT REFERENCE DESCRIPTION
<S> <C>
A Agreement to Jointly File Schedule13G
</TABLE>
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CUSIP NO. 45809K103 13G PAGE 8 OF 9 PAGES
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EXHIBIT A
Agreement to Jointly File Schedule13(G)
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CUSIP NO. 45809K103 13G PAGE 9 OF 9 PAGES
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AGREEMENT TO JOINTLY FILE SCHEDULE 13G
AGREEMENT dated as of February 14, 2000 by and between The Ticehurst
1999 Revocable Trust, dated June 28, 1999 ("The Trust") and Darrell J.
Ticehurst.
WHEREAS, pursuant to paragraph (k) of Rule 13d-1 promulgated under
Subsection 13(d)(1) of the Securities Exchange Act of 1934, as amended (the
"1934 Act"), the parties hereto have decided to satisfy their filing obligations
under the 1934 Act by a single joint filing:
NOW, THEREFORE, the undersigned hereby agree as follows:
1. The Schedule 13G with respect to InsWeb Corporation, to which this
is attached as Exhibit A, is filed on behalf of The Trust and Darrell J.
Ticehurst.
2. Each of The Trust, Darrell J. Ticehurst and Carmi J. Ticehurst is
responsible for the completeness and accuracy of the information concerning such
person contained therein.
IN WITNESS WHEREOF, the undersigned hereunto set their hands as of the
date first above written.
/s/
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Darrell J. Ticehurst, Trustee
The Ticehurst 1999 Revocable Trust,
dated June 28, 1999
/s/
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Carmi J. Ticehurst Trustee
The Ticehurst 1999 Revocable Trust,
dated June 28, 1999
/s/
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Darrell J. Ticehurst
