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*
BELGER BRENDA A

(Last) (First) (Middle)
717 N. HARWOOD, SUITE 1500

(Street)
DALLAS TX 75201

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
ODYSSEY HEALTHCARE INC [ ODSY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Sr. V.P. of Human Resources
3. Date of Earliest Transaction (Month/Day/Year)
11/06/2003
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, par value $0.001 per share 11/06/2003 M 5,625 A $0.4466 13,345 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
Employee Stock Option (Right to Buy) $0.4467 (1) 01/28/2009 Common Stock (2) 6,750 D
Employee Stock Option (Right to Buy) $0.4466 11/06/2003 M 5,625 (3) 10/27/2009 Common Stock 5,625(2) (4) 5,625 D
Employee Stock Option (Right to Buy) $1.38 (5) 01/31/2011 Common Stock (2) 6,750 D
Employee Stock Option (Right to Buy) $11.6933 (6) 01/30/2012 Common Stock (2) 12,655 D
Employee Stock Option (Right to Buy) $15.2467 (7) 02/06/2013 Common Stock (2) 16,875 D
Employee Stock Option (Right to Buy) $22.3267 (8) 06/20/2013 Common Stock (2) 75,000 D
Explanation of Responses:
1. 20% of the stock options became exercisable on January 28, 2000, and 20% of the stock options become exercisable on each January 28th thereafter.
2. Upon the exercise of one stock option, the option holder will receive one share of common stock.
3. 20% of the stock options became exercisable on October 27, 2000, and 20% of the stock options become exercisable on each October 27th thereafter.
4. Not applicable - Employee Stock Option
5. 20% of the stock options became exercisable on January 31, 2002, and 20% of the stock options become exercisable on each January 31st thereafter.
6. 25% of the stock options became exercisable on January 30, 2003, and 25% of the stock options become exercisable on each January 30th thereafter.
7. 25% of the stock options become exercisable on February 6, 2004, and 25% of the stock options become exercisable on each February 6th thereafter.
8. 25% of the stock options become exercisable on June 20, 2004, and 25% of the stock options become exercisable on each June 20th thereafter.
Remarks:
/s/ Douglas B. Cannon, by power of attorney 11/10/2003
** 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.