FORM 3 |
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 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/18/2006 |
3. Issuer Name and Ticker or Trading Symbol
DRUGSTORE COM INC [ DSCM ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock | 177 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Non-Qualified Stock Option (right-to-buy) | 07/01/2005(1) | 07/15/2015 | Common Stock | 2,813 | $1.02 | D | |
Non-Qualified Stock Option (right-to-buy) | 02/09/2001(2) | 02/09/2011 | Common Stock | 5,000 | $1.375 | D | |
Non-Qualified Stock Option (right-to-buy) | 12/31/2001(3) | 02/08/2012 | Common Stock | 15,857 | $1.93 | D | |
Non-Qualified Stock Option (right-to-buy) | 09/30/2005(4) | 07/15/2015 | Common Stock | 9,142 | $1.93 | D | |
Non-Qualified Stock Option (right-to-buy) | 01/31/2003(5) | 01/31/2013 | Common Stock | 4,857 | $2.33 | D | |
Non-Qualified Stock Option (right-to-buy) | 02/03/2006(6) | 02/03/2016 | Common Stock | 20,000 | $2.96 | D | |
Non-Qualified Stock Option (right-to-buy) | 07/02/2005(7) | 07/15/2015 | Common Stock | 135,000 | $3.76 | D | |
Non-Qualified Stock Option (right-to-buy) | 02/05/2004(8) | 02/05/2014 | Common Stock | 1,285 | $6.45 | D | |
Non-Qualified Stock Option (right-to-buy) | 05/04/2000(9) | 05/04/2010 | Common Stock | 7,500 | $7 | D | |
Non-Qualified Stock Option (right-to-buy) | 03/20/2000(10) | 03/24/2010 | Common Stock | 13,594 | $16.5 | D |
Explanation of Responses: |
1. Indicates vesting commencement date; the stock option becomes exercisable as to the original share total of this option over 6 months with shares vesting ratably each month through 01/01/06. |
2. Indicates vesting commencement date; the stock option becomes exercisable as to the original share total of this option over two and a half years at the rate of 20% six months from the vesting commencement date and an additional 20% at the end of each six-month period thereafter. |
3. Indicates vesting commencement date; the stock option becomes exercisable as to the option's original share total over 48 months, at the rate of 20% six months from the vesting commencement date and the remaining 80% vesting in equal increments at the end of each quarterly period thereafter. |
4. Indicates vesting commencement date; the stock option becomes exercisable as to the original share total of this option over 12 months with 2,286 shares having vested on 09/30/05, and remaining shares vested rateably each quarter through 09/30/06. |
5. Indicates vesting commencement date; the stock option becomes exercisable as to the option's original share total over 48 months, at the rate of 20% six months from the vesting commencement date and the remaining 80% vesting in equal increments at the end of each quarterly period thereafter. |
6. Indicates vesting commencement date; the stock option becomes exercisable as to the option's original share total over 48 months, at the rate of 20% six months from the vesting commencement date and the remaining 80% vesting in equal increments at the end of each quarterly period thereafter. |
7. Indicates vesting commencement date; the stock option becomes exercisable as to the option's original share total over 48 months, at the rate of 20% six months from the vesting commencement date and the remaining 80% vesting in equal increments at the end of each quarterly period thereafter. |
8. Indicates vesting commencement date; the stock option becomes exercisable as to the option's original share total over 48 months, at the rate of 20% six months from the vesting commencement date and the remaining 80% vesting in equal increments at the end of each quarterly period thereafter. |
9. Indicates vesting commencement date; the stock option becomes exercisable as to the option's original share total over 48 months, at the rate of 25% six months from the vesting commencement date and the remaining 75% vesting in equal increments at the end of each six-month period thereafter. |
10. Indicates vesting commencement date; the stock option becomes exercisable as to the option's original share total over 60 months, at the rate of 25% twelve months from the vesting commencement date and the remaining 75% vesting in equal increments at the end of each six-month period thereafter. |
/s/ Yukio Morikubo, by power of attorney | 12/27/2006 | |
** 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 5 (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. |