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) 08/01/2004 |
3. Issuer Name and Ticker or Trading Symbol
CISCO SYSTEMS INC [ CSCO ] |
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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 | 6,439 | D | |
Common Stock | 679,730 | I | By Trust(1) |
Common Stock | 800 | I | By Trust(2) |
Common Stock | 800 | I | By Trust(3) |
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) | 11/14/1996(4) | 11/14/2004 | Common Stock | 261,000 | $4.5 | D | |
Non-Qualified Stock Option (right to buy) | 05/07/1997(4) | 05/07/2005 | Common Stock | 990,000 | $5.81 | D | |
Non-Qualified Stock Option (right to buy) | 04/04/1998(4) | 04/04/2006 | Common Stock | 900,000 | $5.65 | D | |
Non-Qualified Stock Option (right to buy) | 04/27/1999(4) | 04/27/2007 | Common Stock | 810,000 | $11.74 | D | |
Non-Qualified Stock Option (right to buy) | 07/27/1999(4) | 07/27/2007 | Common Stock | 360,000 | $16.25 | D | |
Non-Qualified Stock Option (right to buy) | 04/05/2000(5) | 04/05/2008 | Common Stock | 680,000 | $28.61 | D | |
Non-Qualified Stock Option (right to buy) | 01/12/2001(5) | 01/12/2009 | Common Stock | 750,000 | $51.91 | D | |
Non-Qualified Stock Option (right to buy) | 11/13/2001(5) | 11/13/2009 | Common Stock | 400,000 | $50.38 | D | |
Non-Qualified Stock Option (right to buy) | 05/14/2002(6) | 05/14/2010 | Common Stock | 200,000 | $18.57 | D | |
Non-Qualified Stock Option (right to buy) | 08/21/2002(6) | 08/21/2010 | Common Stock | 100,000 | $16.01 | D | |
Non-Qualified Stock Option (right to buy) | 08/21/2002(6) | 08/21/2010 | Common Stock | 200,000 | $16.01 | D | |
Non-Qualified Stock Option (right to buy) | 11/02/2002(5) | 11/02/2010 | Common Stock | 100,000 | $17.26 | D | |
Non-Qualified Stock Option (right to buy) | 01/07/2003(5) | 01/07/2011 | Common Stock | 250,000 | $20.53 | D | |
Non-Qualified Stock Option (right to buy) | 04/05/2003(5) | 04/05/2011 | Common Stock | 350,000 | $16.15 | D | |
Non-Qualified Stock Option (right to buy) | 04/05/2003(5) | 04/05/2011 | Common Stock | 250,000 | $16.15 | D | |
Non-Qualified Stock Option (right to buy) | 10/10/2003(5) | 10/10/2011 | Common Stock | 175,000 | $9.75 | D | |
Non-Qualified Stock Option (right to buy) | 01/10/2004(5) | 01/10/2012 | Common Stock | 75,000 | $15.22 | D | |
Non-Qualified Stock Option (right to buy) | 04/10/2004(5) | 04/10/2012 | Common Stock | 175,000 | $13.04 | D | |
Non-Qualified Stock Option (right to buy) | 09/02/2004(5) | 09/02/2012 | Common Stock | 350,000 | $19.59 | D | |
Non-Qualified Stock Option (right to buy) | 07/09/2005(5) | 07/09/2013 | Common Stock | 250,000 | $22.36 | D |
Explanation of Responses: |
1. These shares are held by the Giancarlo Family Trust. |
2. These shares are held by the M. Giancarlo trust. The reporting person's daughter is the beneficiary of the trust. |
3. These shares are held by the G. Giancarlo trust. The reporting person's daughter is the beneficiary of the trust. |
4. The Option shall vest for twenty-five percent (25%) of the total shares granted on the one (1) year anniversary date, while the remaining seventy-five percent (75%) vests in thirty-six (36) successive equal monthly installments. |
5. The Option shall vest for twenty percent (20%) of the total shares granted on the one (1) year anniversary date, while the remaining eighty percent (80%) vests in forty-eight (48) successive equal monthly installments. |
6. The Option will become exercisable for one-sixtieth (1/60) of the option shares each month over a sixty (60) month period, commencing on the date shown in the table (i.e., one (1) month following the date of grant) upon the reporting person's continuation of service with the issuer through the end of each such month. |
/s/ Charles H Giancarlo | 08/09/2004 | |
** 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. |