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-------- U.S. SECURITIES AND EXCHANGE COMMISSION ---------------------------
FORM 3 WASHINGTON, DC 20549 OMB APPROVAL
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OMB Number: 3235-0104
Expires: December 31, 2001
Estimated average burden
hours per response......0.5
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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(Print or Type Responses)
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1. Name and Address of Reporting Person* 2. Date of Event 4. Issuer Name and Ticker or 6. If Amendment,
Requiring Statement Trading Symbol Date of Original
Tennenbaum Michael E. (Month/Day/Year) (Month/Day/Year)
---------------------------------------- Water Pik Technologies, Inc. (PIK)
(Last) (First) (Middle) 1/3/01 ---------------------------------- -----------------------
c/o Tennenbaum & Co., LLC ---------------------------- 5. Relationship of Reporting 7. Individual or Joint/
11100 Santa Monica Boulevard, Suite 210 3. IRS or Social Security Person(s) to Issuer Group Filing (Check
---------------------------------------- Number of Reporting (Check all applicable) applicable line)
(Street) Person (Voluntary)
Director X 10% Owner Form filed by
Los Angeles CA 90025 ---------------------------- ----- ----- ----- One Reporting
---------------------------------------- Person
(City) (State) (Zip) Officer Other
----- (give title ----- (specify X Form filed by
below) below) ----- 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 Ownership
(Instr. 4) Indirect (I) (Instr. 4)
(Instr. 5)
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Common Stock 650,000 (1) (1)
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Common Stock 1,710,485 (2) (2)
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Page 1
SEC 1473 (7-96)
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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 Exercisable 3. Title and Amount of 4. Conversion 5. Ownership 6. Nature of
(Instr. 4) and Expiration Securities Underlying or Exercise Form of Indirect
Date (Month/ Derivative Security Price of Derivative Beneficial
Day/Year) (Instr. 4) Derivative Security: Ownership
------------------------------------------------- Security Direct (D) (Instr. 5)
Date Expiration Amount or or Indirect(I)
Exercis- Date Title Number of (Instr. 5)
able Shares
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None
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Explanation of Responses:
/s/ Michael E. Tennenbaum 1/11/01
(1) These shares are owned directly by Special Value Bond Fund, LLC and ------------------------------- ----------------
indirectly by (a) SVIM/MSM, LLC, as the managing member of Special Value **Signature of Reporting Person Date
Bond Fund, LLC, (b) Special Value Investment Management, LLC, as an
investment advisor to Special Value Bond Fund, LLC, (c) Tennenbaum & Co.,
LLC, as the managing member of SVIM/MSM, LLC, and (d) Michael E. Tennenbaum,
as the managing member of Tennenbaum & Co., LLC. Mr. Tennenbaum disclaims
beneficial ownership of these securities except to the extent of his
pecuniary interest therein.
(2) These shares are owned directly by Special Value Bond Fund II, LLC and
indirectly by (a) SVIM/MSM II, LLC, as the managing member of Special Value
Bond Fund II, LLC, (b) Special Value Investment Management, LLC, as an
investment advisor to Special Value Bond Fund II, LLC, (c) Tennenbaum & Co.,
LLC, as the managing member of SVIM/MSM II, LLC, and (d) Michael E.
Tennenbaum, as the managing member of Tennenbaum & Co., LLC. Mr. Tennenbaum
disclaims beneficial ownership of these 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).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, See Instruction 6 for procedure.
Potential persons who are to respond to the collection of information Page 2
contained in this form are not required to respond unless the form displays SEC 1473 (7-96)
a currently valid OMB Number
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Form 3 Continuation Sheet
Joint Filer Information
Name: Tennenbaum & Co., LLC
Address: 11100 Santa Monica Boulevard, Suite 210
Los Angeles, CA 90025
Designated Filer: Michael E. Tennenbaum
Issuer and Ticker Symbol: Water Pik Technologies, Inc. (PIK)
Date of Event Requiring Statement: January 3, 2001
Signature: Tennenbaum & Co., LLC
By: /s/ Michael E. Tennenbaum
-------------------------------
Michael E. Tennenbaum,
its Managing Member
3
<PAGE> 4
Form 3 Continuation Sheet
Joint Filer Information
Name: Special Value Bond Fund, LLC
Address: 11100 Santa Monica Boulevard, Suite 210
Los Angeles, CA 90025
Designated Filer: Michael E. Tennenbaum
Issuer and Ticker Symbol: Water Pik Technologies, Inc. (PIK)
Date of Event Requiring Statement: January 3, 2001
Signature: Special Value Bond Fund, LLC
By: SVIM/MSM, LLC,
its Managing Member
By: Tennenbaum & Co., LLC,
its Managing Member
By: /s/ Michael E. Tennenbaum
----------------------------
Michael E. Tennenbaum,
its Managing Member
4
<PAGE> 5
Form 3 Continuation Sheet
Joint Filer Information
Name: SVIM/MSM, LLC
Address: 11100 Santa Monica Boulevard, Suite 210
Los Angeles, CA 90025
Designated Filer: Michael E. Tennenbaum
Issuer and Ticker Symbol: Water Pik Technologies, Inc. (PIK)
Date of Event Requiring Statement: January 3, 2001
Signature: SVIM/MSM, LLC
By: Tennenbaum & Co., LLC,
its Managing Member
By: /s/ Michael E. Tennenbaum
-----------------------------
Michael E. Tennenbaum,
its Managing Member
5
<PAGE> 6
Form 3 Continuation Sheet
Joint Filer Information
Name: Special Value Bond Fund II, LLC
Address: 11100 Santa Monica Boulevard, Suite 210
Los Angeles, CA 90025
Designated Filer: Michael E. Tennenbaum
Issuer and Ticker Symbol: Water Pik Technologies, Inc. (PIK)
Date of Event Requiring Statement: January 3, 2001
Signature: Special Value Bond Fund II, LLC
By: SVIM/MSM II, LLC,
its Managing Member
By: Tennenbaum & Co., LLC,
its Managing Member
By: /s/ Michael E. Tennenbaum
-----------------------------
Michael E. Tennenbaum,
its Managing Member
6
<PAGE> 7
Form 3 Continuation Sheet
Joint Filer Information
Name: SVIM/MSM II, LLC
Address: 11100 Santa Monica Boulevard, Suite 210
Los Angeles, CA 90025
Designated Filer: Michael E. Tennenbaum
Issuer and Ticker Symbol: Water Pik Technologies, Inc. (PIK)
Date of Event Requiring Statement: January 3, 2001
Signature: SVIM/MSM II, LLC
By: Tennenbaum & Co., LLC,
its Managing Member
By: /s/ Michael E. Tennenbaum
----------------------------
Michael E. Tennenbaum,
its Managing Member
7
<PAGE> 8
Form 3 Continuation Sheet
Joint Filer Information
Name: Special Value Investment Management, LLC
Address: 11100 Santa Monica Boulevard, Suite 210
Los Angeles, CA 90025
Designated Filer: Michael E. Tennenbaum
Issuer and Ticker Symbol: Water Pik Technologies, Inc. (PIK)
Date of Event Requiring Statement: January 3, 2001
Signature: Special Value Investment Management, LLC
By: Tennenbaum & Co., LLC,
its Managing Member
By: /s/ Michael E. Tennenbaum
------------------------------
Michael E. Tennenbaum,
its Managing Member
8