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OMB Number: 3235-0145
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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. _______)*
E.piphany, Inc.
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(Name of Issuer)
Common Stock, $0.0001 par value per share
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(Title of Class of Securities)
26881V100
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(CUSIP Number)
December 31, 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)
*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).
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 CONTROL NUMBER.
SEC 1745 (3-98)
Page 1 of 6
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CUSIP No. 26881V100
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1. Names of Reporting Persons. Roger S. Siboni
I.R.S. Identification Nos. of above persons (entities only).
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2. Check the Appropriate Box if a Member of a Group (See Instructions)
(a) [ ] Not applicable
(b) [ ]
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3. SEC Use Only
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4. Citizenship or Place of Organization U.S.A.
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Number of 5. Sole Voting Power 1,600,000 shares
Shares Bene- -----------------------------------------------------------
ficially Owned
by Each 6. Shared Voting Power 0 shares
Reporting -----------------------------------------------------------
Person With:
7. Sole Dispositive Power 1,600,000 shares
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8. Shared Dispositive Power 0 shares
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9. Aggregate Amount Beneficially Owned by Each Reporting Person
1,600,000 shares
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10. Check if the Aggregate Amount in Row (9) Excludes Certain
Shares (See Instructions)
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11. Percent of Class Represented by Amount in Row (9) 5.9%
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12. Type of Reporting Person (See Instructions) IN
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Page 2 of 6
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ITEM 1.
(a) Name of Issuer E.piphany, Inc.
(b) Address of Issuer's Principal Executive Offices
1900 South Norfolk Street,
Suite 310
San Mateo, CA 94403
ITEM 2.
(a) Name of Person Filing Roger S. Siboni
c/o E.piphany, Inc.
1900 South Norfolk Street,
Suite 310
San Mateo, CA 94403
(b) Address of Principal Business Office or, if none, Residence
(c) Citizenship U.S.A.
(d) Title of Class of Securities Common Stock
(e) CUSIP Number Not Applicable
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:
NOT APPLICABLE
Page 4 of 6
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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 of beneficially owed: 1,600,000 shares
(b) Percent of class: 5.9%
(c) Number of shares as to which the person has:
(i) Sole power to vote or to direct the vote. 1,600,000 shares
(ii) Shared power to vote or to direct the vote. 0 shares
(iii) Sole power to dispose or to direct the disposition of.
1,600,000 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
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 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
ITEM 9. NOTICE OF DISSOLUTION OF GROUP Not Applicable
Page 5 of 6
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ITEM 10. CERTIFICATION
Not Applicable
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information set in this statement is true, complete and
correct.
February 11, 2000
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Date
/s/ Roger S. Siboni
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Signature
Roger S. Siboni
President, Chief Executive Officer
and Chairman of the Board of Directors
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Name/Title
Page 6 of 6
