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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, D.C. 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
London Pacific Assurance Limited Statement Trading Symbol of Original
---------------------------------------- (Month/Day/Year) VINA Technologies, Inc. (VINA) (Month/Day/Year)
(Last) (First) (Middle) 8/7/00 ----------------------------------
Minden House, 6 Minden Place ---------------------------- 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 (Check
St. Helier, Jersey Person (Voluntary) Director X 10% Owner Applicable Line)
United Kingdom JE24WQ, UK ----- ----- Form filed by
-------------------------------------- ---------------------------- Officer Other ----- One Reporting
(City) (State) (Zip) ----- (give ----- (specify Person
title below) below) Form filed by
----- More than One
---------------------------------- Reporting Person
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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
(Instr. 4) Indirect (I) Ownership (Instr. 5)
(Instr. 5)
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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)
10410631v1
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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
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Date Expira- Amount or (D) or
Exercis- tion Title Number Indirect (I)
able Date of Shares (Instr. 5)
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Series B Convertible
Preferred Stock Immediate Common Stock 146,782 1-to-1 D
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Series C Convertible
Preferred Stock Immediate Common Stock 1,750,000 1-to-1 D
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Series D Convertible
Preferred Stock Immediate Common Stock 333,334 1-to-1 D
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Series E Convertible By London Pacific
Preferred Stock Immediate Common Stock 714,286 1-to-1 I Life & Annuity Co.
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Explanation of Responses:
By: /s/ Ron W. Green 8/7/2000
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**Signature of Reporting Person Date
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
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 Page 2
are not required to respond unless the form displays a currently valid OMB Number.
SEC 1473(7-96)
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