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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
KINETIC CONCEPTS INC /TX/ [ KCI ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 11/09/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 11/09/2004 | A | 970 | A | (1) | 4,499 | D(2)(3) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Stock Option (right to buy) | $61.78 | 11/09/2004 | A | 809 | (4) | 11/09/2011 | Common Stock | 809 | (1) | 809 | D(2)(3) |
Explanation of Responses: |
1. N/A. |
2. These securities were granted to Robert Jaunich II, director and Chairman of the Board of the Issuer and initially and timely reported on a Form 4 filed by Fremont Investors, Inc. Mr. Jaunich is a Managing Partner of Fremont Partners, L.L.C. ("Fremont Partners LLC") and Fremont Partners III L.L.C. ("Fremont Partners III LLC"). Mr. Jaunich is required to provide Fremont Partners LLC and Fremont Partners III, LLC with the benefit of any gain or loss realized from any securities of the Issuer issued to Mr. Jaunich in his capacity as director. Each of Fremont Partners LLC, Fremont Partners III LLC and Mr. Jaunich may be deemed to be the indirect beneficial owner of the securities to the extent of its or his pro rata interest therein. Each of Fremont Partners LLC, Fremont Partners III LLC and Mr. Jaunich disclaims beneficial ownership of such securities, except to the extent of any pecuniary interest therein. |
3. As a result of the matters described in Note (2), the securities may also be deemed to be owned indirectly by (i) Fremont Partners LLC, (ii) Fremont Partners III LLC,(iii) Fremont Group, L.L.C. ("Fremont Group"), the managing member of Fremont Partners LLC and the sponsoring member of Fremont Partners III LLC and (iv) Fremont Investors, Inc. ("Fremont Investors"), the manager of Fremont Group. Fremont Partners LLC, Fremont Partners III LLC, Fremont Group and Fremont Investors disclaim beneficial ownership of these shares, except to the extent of any pecuniary interest therein. |
4. The option vests in one-twelfth installments every three months over a period of three years beginning on February 9, 2005. |
Remarks: |
/s/Robert Jaunich II | 01/28/2005 | |
** 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. |