SEC Form 3
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*
Blazevich Jeffery Alan

(Last) (First) (Middle)
6290 SEQUENCE DRIVE

(Street)
SAN DIEGO CA 92121

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
01/01/2005
3. Issuer Name and Ticker or Trading Symbol
APPLIED MICRO CIRCUITS CORP [ AMCC ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Interim CFO
5. 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 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 6,335 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
Non-Qualified Stock Option (right to buy) 10/02/2004(1) 09/02/2014 Common Stock 17,000 $3.29 D
Non-Qualified Stock Option (right to buy) 01/13/2005(1) 12/13/2014 Common Stock 60,000 $3.73 D
Non-Qualified Stock Option (right to buy) 09/30/2002(1) 08/30/2012 Common Stock 35,000 $3.85 D
Non-Qualified Stock Option (right to buy) 06/05/2003(1) 05/05/2013 Common Stock 15,000 $4.9 D
Non-Qualified Stock Option (right to buy) 06/12/2003(1) 05/12/2013 Common Stock 11,500 $4.95 D
Non-Qualified Stock Option (right to buy) 04/22/2004(1) 03/22/2014 Common Stock 40,000 $5.41 D
Non-Qualified Stock Option (right to buy) 01/22/2004(1) 12/22/2013 Common Stock 30,000 $5.65 D
Non-Qualified Stock Option (right to buy) 10/02/2003(1) 09/02/2013 Common Stock 780 $5.89 D
Non-Qualified Stock Option (right to buy) 06/30/2000(1) 03/08/2010 Common Stock 12,000 $6.54 D
Non-Qualified Stock Option (right to buy) 01/21/2000(1) 12/21/2010 Common Stock 6,000 $6.54 D
Non-Qualified Stock Option (right to buy) 08/11/2001(1) 07/11/2011 Common Stock 7,500 $6.54 D
Non-Qualified Stock Option (right to buy) 03/04/2002(1) 05/28/2012 Common Stock 15,000 $6.54 D
Non-Qualified Stock Option (right to buy) 06/30/2000(2) 05/24/2009 Common Stock 34,000 $7.1875 D
Non-Qualified Stock Option (right to buy) 05/26/2001(3) 04/26/2011 Common Stock 2,500 $22 D
Explanation of Responses:
1. The stock option vests in 48 equal monthly installments from the date of grant.
2. The stock option vests 25% on June 30, 2000 and 1/48th per month thereafter until fully vested on June 30, 2003.
3. The stock option vests in 24 equal monthly installments from the date of grant.
By: /s/ Jane Borneman For: Jeffery Alan Blazevich 01/06/2005
** 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 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.