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
OMB APPROVAL
OMB Number: 3235-0287
Expires: December 31, 2014
Estimated average burden
hours per response: 0.5
  
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*
MEYERS DAVID P

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EZ EM INC [ EZM ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
07/14/2003
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(1) 07/14/2003 M 1,000 A 5.875 378,801 D
Common stock(1) 07/14/2003 M 1,000 A 5 379,801 D
Common stock(1) 07/14/2003 M 1,000 A 6.5 380,801 D
Common stock(1) 07/14/2003 M 1,000 A 5.2 381,801 D
Common stock(2) 07/14/2003 J 2,430 A 0 384,231 D
Common stock(3) 07/14/2003 W 5,627 A 4.22 365,759.67 I Remainder interest
Common stock(4)(5) 07/14/2003 W 883 A 0 366,642.67 I Remainder interest
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
Common stock 5.875 07/14/2003 M 1,000 05/30/1999 05/30/2008 Common stock 1,000 $0 5,000 D
Common stock 5 07/14/2003 M 1,000 05/29/2000 05/29/2009 Common stock 1,000 $0 4,000 D
Common stock 6.5 07/14/2003 M 1,000 06/03/2001 06/03/2010 Common stock 1,000 $0 3,000 D
Common stock 5.2 07/14/2003 M 1,000 06/02/2002 06/02/2011 Common stock 1,000 $0 2,000 D
Explanation of Responses:
1. The shares were acquired pursuant to the exercise of options granted on May 30, 1998, May 29, 1999, June 3, 2000, and June 2, 2001 in consideration for services as a director of the Company.
2. Represents the recent discovery of 2,430 shares titled in Mr. Meyers' name.
3. The shares were acquired by his mother pursuant to the exercise of options. Mr. Meyers has a remainder interest in such shares that was obtained under his father's will, and his mother has a life estate.
4. Represents the recent discovery of 883 shares titled in Mr. Meyers' late father's name, in which Mr. Meyers' mother has a life estate and Mr. Meyers has a remainder interest under his father's will.
5. In addition, Mr. Meyers is deemed to have indirect ownership of certain shares owned by his spouse, by virtue of his ownership of 22.55% of a partnership that owns shares in the Company, and by virtue of his spouse's ownership of 7.12% of a partnership that owns shares in the Company. Reference is made to Mr. Meyers' Form 5 for the year ended May 31, 2003 for a description of all shares in which he is deemed to have indirect ownership.
David P. Meyers 07/15/2003
** 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.