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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
| Persons who 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 1474 (9-02) | ||
| 1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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| Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
| Total Return Equity Swap | (1) | 12/18/2008 | J/K(1) | 1 | 09/12/2007 | 09/17/2010 | Common Stock | 2,729,913 | $ 0 | 0 | I | By Madison Dearborn Capital Partners III, L.P. (3) | |||
| Total Return Equity Swap | (1) | 12/18/2008 | J/K(1) | 1 | 09/12/2007 | 09/17/2010 | Common Stock | 60,616 | $ 0 | 0 | I | By Madison Dearborn Special Equity III, L.P. (3) | |||
| Reporting Owner Name / Address | Relationships | |||
| Director | 10% Owner | Officer | Other | |
| HURD TIMOTHY M THREE FIRST NATIONAL PLAZA SUITE 4600 CHICAGO, IL 60602 |
X | |||
| /s/ Mark B. Tresnowski, by power of attorney | 12/22/2008 | |
| **Signature of Reporting Person | Date |
| * | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
| ** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
| (1) | On December 18, 2008, Madison Dearborn Capital Partners III, L.P. ("MDCP III") and Madison Dearborn Special Equity III, L.P. ("MDSE") acquired 2,729,913 shares and 60,616 shares of Common Stock of CapitalSource, Inc. ("Common Stock"), respectively, pursuant to the settlement of a Partially Collateralized Equity Total Return Swap with Full Recourse to MDCP III and MDSE, each dated September 12, 2007 (the "Equity Swap"). MDCP III and MDSE acquired these shares of Common Stock, which were the "underlying securities" in the Equity Swap, for the price set forth in the Equity Swap. Immediately following this transaction, MDCP III beneficially owns 23,604,921.89 shares and MDSE beneficially owns 524,129.47 shares. The settlement of the Equity Swap in Table II and the reported acquisition of Common Stock in connection therewith in Table I are deemed exempt from Section 16(b) of the Securities Exchange Act of 1934 pursuant to Rule 16b-6(b) thereunder. |
| (2) | Includes 92,178.13 shares acquired by MDCP III since January 1, 2008 under the CapitalSource Inc. Dividend Reinvestment and Stock Purchase Plan. |
| (3) | Madison Dearborn Partners III, L.P. ("MDP III") is the general partner of MDCP III and MDSE, and the manager of Special Advisors Fund I, LLC ("SAF"). MDP III may be deemed to beneficially own the reported shares. Mr. Hurd is a managing director of the ultimate general partner of (a) MDCP III and MDSE and (b) the manager of SAF, and therefore may be deemed to share beneficial ownership of the shares held by MDCP III, MDSE and SAF. Mr. Hurd expressly disclaims beneficial ownership of the shares owned by MDCP III, MDSE and SAF except to the extent of his pecuniary interest therein. |
| (4) | Includes 2,046.75 shares acquired by MDSE since January 1, 2008 under the CapitalSource Inc. Dividend Reinvestment and Stock Purchase Plan. |
| (5) | Includes 37.41 shares acquired by Special Advisors Fund I, LLC since January 1, 2008 under the CapitalSource Inc. Dividend Reinvestment and Stock Purchase Plan. |