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FORM 3 OMB APPROVAL
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OMB Number: ..................
Expires: .....................
Estimated average burden .....
Hours per response ...........
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UNITED STATES 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>
(Print or Type Response)
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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
Statement Trading Symbol of Original
Kazmierczak Stanley E. (Month/Day/Year) (Month/Day/Year)
---------------------------------------- VINA Technologies, Inc. (VINA)
(Last) (First) (Middle) 8/8/00 ---------------------------------- -----------------------
---------------------------- 5. Relationship of Reporting 7. Individual or Joint/
39745 Eureka Drive 3. IRS or Social Security Person to Issuer Group Filing (Check
---------------------------------------- Number of Reporting (Check all applicable) Applicable Line)
(Street) Person (Voluntary)
Director 10% Owner X Form filed by
Newark CA 94560 ---------------------------- ----- ----- ----- One Reporting
-------------------------------------- X Officer Other Person
(City) (State) (Zip) ----- (give ----- (specify Form filed by
title below) below) ----- More than One
Reporting Person
Vice President, Finance &
Administration, Chief Financial
Officer and Secretary
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TABLE I -- 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. 5)
(Instr. 5)
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Common Stock 353,000 D
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Common Stock 20,000 I By The Chrislin Kazmierczak
Grantor Retained Annuity Trust
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Common Stock 20,000 I By The Stanley Kazmierczak
Grantor Retained Annuity Trust
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
*If the form is filed by more than one Reporting Person, see Instruction 5(b)(v). SEC 1473(7-96)
10410662v1
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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) Deriv- ative
ative 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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employee stock option
(right to buy) Immediate 02/15/10 Common Stock 20,000 $1.00 D
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Explanation of Responses:
/s/ STANLEY KAZMIERCZAK 8-8-00
**Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------- ----------------
Violations. **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.
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 number.
10410662v1
SEC 1473(7-96) Page 2
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