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
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Anderson Devin J

(Last) (First) (Middle)
11 STATE STREET

(Street)
WOBURN MA 01801

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/01/2005
3. Issuer Name and Ticker or Trading Symbol
POLYMEDICA CORP [ PLMD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
General Counsel & Sec.
5. If Amendment, Date of Original Filed (Month/Day/Year)
06/13/2005
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 659.026(1) D
Common Stock 8,333(2) 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 06/30/2003(3) 06/30/2013 Common Stock 5,016 $13.75 D
Stock Option 03/31/2004(4) 03/31/2013 Common Stock 1,883 $15.225 D
Stock Option 06/30/2004(5) 06/30/2013 Common Stock 3,100 $22.93 D
Stock Option 09/30/2004(6) 09/30/2013 Common Stock 3,500 $26.5 D
Stock Option 12/31/2004(7) 12/31/2013 Common Stock 3,500 $26.3 D
Stock Option 03/31/2005(8) 03/31/2014 Common Stock 3,500 $26.8 D
Stock Option 06/30/2005(9) 06/30/2014 Common Stock 3,000 $31.04 D
Stock Option 09/30/2005(10) 09/30/2014 Common Stock 3,000 $30.8 D
Stock Option 10/15/2005(11) 10/15/2014 Common Stock 14,000 $32.32 D
Stock Option 11/12/2005(12) 11/12/2014 Common Stock 14,000 $34.75 D
Stock Option 12/31/2005(13) 12/31/2014 Common Stock 3,000 $37.29 D
Stock Option 03/31/2006(14) 03/31/2015 Common Stock 3,000 $31.76 D
Stock Option 05/27/2006(15) 05/27/2015 Common Stock 17,500 $34.7 D
Explanation of Responses:
1. This Form 3 Amendment includes an increase in the total number of shares beneficially owned to reflect 657.84 shares purchased through an employee stock purchase plan issuance to Mr. Anderson and an increase of 1.186 shares purchased through a dividend reinvestment on May 16, 2005.
2. Shares were acquired pursuant to a restricted stock agreement containing a vesting schedule whereby 100% of the shares will vest on 5/27/09.
3. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 9,000 options granted pursuant to this option grant, 2,250 options were exercisable on 6/30/03; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 9/30/03 and ending on 6/30/06. Of the 9,000 options initially granted, 3,984 have been exercised.
4. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,000 options granted pursuant to this option grant, 750 options were exercisable on 3/31/04; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 6/30/04 and ending on 3/31/07. Of the 3,000 options initially granted, 1,117 have been exercised.
5. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,500 options granted pursuant to this option grant, 875 options were exercisable on 6/30/04; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 9/30/04 and ending on 6/30/07. Of the 3,500 options initially granted, 400 have been exercised.
6. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,500 options granted pursuant to this option grant, 875 options were exercisable on 9/30/04; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 12/31/04 and ending on 9/30/07.
7. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,500 options granted pursuant to this option grant, 875 options were exercisable on 12/31/04; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 3/31/05 and ending on 12/31/07.
8. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,500 options granted pursuant to this option grant, 875 options were exercisable on 3/31/05; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 6/30/05 and ending on 3/31/08.
9. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,000 options granted pursuant to this option grant, 750 options are exercisable on 6/30/05; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 9/30/05 and ending on 6/30/08.
10. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,000 options granted pursuant to this option grant, 750 options are exercisable on 9/30/05; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 12/31/05 and ending on 9/30/08.
11. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 14,000 options granted pursuant to this option grant, 3,500 options are exercisable on 10/15/05; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 12/31/05 and ending on 9/30/08.
12. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 14,000 options granted pursuant to this option grant, 3,500 options are exercisable on 11/12/05; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 12/31/05 and ending on 9/30/08.
13. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,000 options granted pursuant to this option grant, 750 options are exercisable on 12/31/05; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 3/31/06 and ending on 12/31/08.
14. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 3,000 options granted pursuant to this option grant, 750 options are exercisable on 3/31/06; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 6/30/06 and ending on 3/31/09.
15. Issued under a stock option plan which, under certain conditions, allows for the surrender of shares to satisfy tax withholding obligations. Of the 17,500 options granted pursuant to this option grant, 4,375 options are exercisable on 5/27/2006; the remaining options are exercisable in equal installments at the end of each calendar quarter beginning on 6/30/06 and ending on 3/31/09.
Remarks:
/s/ Devin J. Anderson 06/17/2005
** 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.