SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
STACEY RICHARD

(Last) (First) (Middle)
801 FOX LANE

(Street)
SAN JOSE CA 94063

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
IMMERSION CORP [ IMMR ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP, GM of IMMR MED
3. Date of Earliest Transaction (Month/Day/Year)
01/12/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1) 01/12/2004 M 313 A $2.348 376 I by Spouse
Common Stock(1) 01/12/2004 M 416 A $2.74 792 I by Spouse
Common Stock(1) 01/12/2004 M 1,291 A $6.23 2,083 I by Spouse
Common Stock(1) 01/12/2004 M 208 A $1.91 2,291 I by Spouse
Common Stock 400 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (right to buy)(1) $6.23 01/12/2004 M 1,291 03/10/2002(2) 05/01/2011 Common Stock 1,291 $0 5,709 I by Spouse
Non-Qualified Stock Option (right to buy)(1) $1.91 01/12/2004 M 208 06/03/2003(2) 06/03/2012 Common Stock 208 $0 4,792 I by Spouse
Non-Qualified Stock Option (right to buy)(1) $2.348 01/12/2004 M 313 02/15/2003(2) 02/15/2012 Common Stock 313 $0 2,917 I by Spouse
Non-Qualified Stock Option (right to buy)(1) $2.74 01/12/2004 M 416 04/24/2003(2) 04/24/2012 Common Stock 416 $0 9,584 I by Spouse
Explanation of Responses:
1. These shares are indirect ownership shares by Spouse - this note would normally be included on column 5 (non-derivative) or column 9 (derivative).
2. Options Vest: 25% at one year of grant with the remainder vesting at a rate of 1/48 until fuly vested at 4 years from grant date
By: Mary Beth Baust For: Richard Stacey 01/14/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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 Number.