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*
SPITZEN JAY

(Last) (First) (Middle)
C/O VOCERA COMMUNICATIONS, INC.
525 RACE STREET

(Street)
SAN JOSE CA 95126

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
03/27/2012
3. Issuer Name and Ticker or Trading Symbol
VOCERA COMMUNICATIONS, INC. [ VCRA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
General Counsel & Secretary
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 28,648 (1) D
Common Stock 4,684 (2) I By Spitzen Children's Trust dated 9/26/2000
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
Employee Stock Option (Right to Buy) (3) (4) (5) 05/04/2021 Common Stock 33,333 5.04 D
Series A Convertible Preferred Stock (6) (6) Common Stock 4,931 (6) D
Series C Convertible Preferred Stock (6) (6) Common Stock 1,754 (6) D
Series D Convertible Preferred Stock (6) (6) Common Stock 1,337 (6) D
Series E Convertible Preferred Stock (6) (6) Common Stock 469 (6) D
Series F Convertible Preferred Stock (6) (6) Common Stock 706 (6) D
Explanation of Responses:
1. Shares are unvested and subject to a right of repurchase held by the Issuer, which right of repurchase lapses as to 7,022 shares on April 1, 2012 and thereafter shall vest as to 976 shares per month through April 1, 2013.
2. Shares are unvested and subject to a right of repurchase held by the Issuer, which right of repurchase lapses as to all shares on April 1, 2012.
3. Immediately exercisable.
4. 19,841 shares are unvested and shall vest as to 1/4th of the total number of shares on April 1, 2012, and thereafter shall vest as to 1/48th of the total number of shares in equal monthly installments.
5. 13,492 shares are unvested and shall vest as to 1/48th of the total number of shares commencing on May 1, 2013.
6. Each share of Series A, Series C, Series D, Series E, and Series F Convertible Preferred Stock is convertible into one share of common stock upon the completion of the Issuer's initial public offering and has no expiration date.
Remarks:
Exhibit List - Exhibit 24 - Power of Attorney
/s/ Jay Spitzen 03/27/2012
** 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.
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