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 |
|
1. Name and Address of Reporting Person*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year) 12/01/2003 |
3. Issuer Name and Ticker or Trading Symbol
OMNICELL INC /CA/ [ OMCL ] |
|||||||||||||
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
5. If Amendment, Date of Original Filed
(Month/Day/Year) 12/11/2003 |
||||||||||||||
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Beneficially Owned | |||
---|---|---|---|
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 | 8,629 | D |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
---|---|---|---|---|---|---|---|
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 | ||||
Stock Option (right to buy) | 07/01/1998(1) | 02/02/2008 | Common Stock | 2,287 | $10.4 | D | |
Stock Option (right to buy) | 07/01/1999(2) | 02/15/2009 | Common Stock | 4,375 | $10.4 | D | |
Stock Opton (right to buy) | 09/01/1999(3) | 08/30/2009 | Common Stock | 2,500 | $10.4 | D | |
Stock Option (right to buy) | 08/01/2000(4) | 01/31/2010 | Common Stock | 2,500 | $10.4 | D | |
Stock Option (right to buy) | 09/20/2000(5) | 04/02/2010 | Common Stock | 2,500 | $10.4 | D | |
Stock Option (right to buy) | 05/08/2002(6) | 05/07/2011 | Common Stock | 5,000 | $7.2 | D | |
Stock Option (right to buy) | 09/21/2001(7) | 09/20/2011 | Common Stock | 2,500 | $5.6 | D | |
Stock Option (right to buy) | 08/02/2002(8) | 05/02/2012 | Common Stock | 1,708 | $5.15 | D | |
Stock Option (right to buy) | 05/02/2002(9) | 05/02/2012 | Common Stock | 7,081 | $5.15 | D | |
Stock Option (right to buy) | 11/05/2008(10) | 11/05/2009 | Common Stock | 22,985 | $2.75 | D | |
Stock Option (right to buy) | 12/20/2002(11) | 12/20/2012 | Common Stock | 100,000 | $3.03 | D | |
Stock Option (right to buy) | 04/18/2003(12) | 04/17/2008 | Common Stock | 50,000 | $5.2 | D | |
Stock Option (right to buy) | 05/21/2004(13) | 05/20/2008 | Common Stock | 2,000 | $7 | D | |
Stock Option (right to buy) | 07/02/2004(14) | 07/01/2008 | Common Stock | 50,000 | $10 | D | |
Stock Option (right to buy) | 12/04/2007(15) | 12/03/2008 | Common Stock | 40,000 | $13.16 | D |
Explanation of Responses: |
1. Option vests 1/10th of the shares on July 1, 1998, and ratably thereafter over the subsequent 60 months. |
2. Option vests 1/10th of the shares on July 1, 1999, and ratably thereafter over the subsequent 60 months. |
3. Option vests 1/30th of the shares on September 1, 1999, and ratably thereafter over the subsequent 28 months. |
4. Option vests 20% of the shares on August 1, 2000, and ratably thereafter over the subsequent 30 months. |
5. Option vests 1/6th of the shares on September 20, 2000, and ratably thereafter over the subsequent 30 months. |
6. Option vests 25% of the shares on May 8, 2002, and ratably thereafter over the subsequent 36 months. |
7. Option vests 1/36th of the shares on September 21, 2001, and ratably thereafter over the subsequent 36 months. |
8. Option vests 25% of the shares on August 2, 2002, and ratably thereafter over the subsequent 12 months. |
9. Option vests 1/30th of the shares on May 2, 2002, and ratably thereafter over the subsequent 30 months. |
10. Option vests 100% on November 5, 2008, subject to acceleration upon the achievement of certain milestones. |
11. Option vests 1/48th of the shares on December 20, 2002, and ratably thereafter over the subsequent 48 months. |
12. Option vests 1/48th of the shares on April 18, 2003, and ratably thereafter over the subsequent 48 months. |
13. Option vests 25% on May 21, 2004, and ratably thereafter over the subsequent 36 months. |
14. Option vests 25% on July 2, 2004, and ratably thereafter over the subsequent 36 months. |
15. Option granted on December 4, 2003. 100% of the shares vest on December 4, 2007, subject to acceleration upon the achievement of certain milestones. |
/s/ J. Christopher Drew | 02/04/2004 | |
** 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 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. |