-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CN36b5VaCEq+HVUMWh3tlI5gmrjtdh0y6gamLUn/ZF18ISiwmhrpPvq+bhpxEMiE VQCVInDr94ktsC1gO05syA== 0000898430-02-000835.txt : 20020415 0000898430-02-000835.hdr.sgml : 20020415 ACCESSION NUMBER: 0000898430-02-000835 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020211 FILED AS OF DATE: 20020308 COMPANY DATA: COMPANY CONFORMED NAME: GOOD STEVEN C CENTRAL INDEX KEY: 0001047065 DIRECTOR FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O OSI SYSTEMS INC STREET 2: 12525 CHADRON AVE CITY: HAWTHORNE STATE: CA ZIP: 70250 MAIL ADDRESS: STREET 2: 12525 CHADRON AVE CITY: HAWTHORNE STATE: CA ZIP: 90250 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: OSI SYSTEMS INC CENTRAL INDEX KEY: 0001039065 STANDARD INDUSTRIAL CLASSIFICATION: SEMICONDUCTORS & RELATED DEVICES [3674] IRS NUMBER: 330238801 STATE OF INCORPORATION: CA FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23125 FILM NUMBER: 02571149 BUSINESS ADDRESS: STREET 1: 12525 CHADRON AVE CITY: HAWTHORNE STATE: CA ZIP: 90250 BUSINESS PHONE: 3109780516 MAIL ADDRESS: STREET 1: 12525 CHADRON AVENUE CITY: HAWTHORNE STATE: CA ZIP: 90250 4 1 d4.txt FORM 4 /------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-026 / / Expires: September 30, 1998 / / Estimated average burden / / hours per response...... 0.4 / /------------------------------/ +--------+ | FORM 4 | U.S. SECURITIES AND EXCHANGE COMMISSION +--------+ Washington, D.C. 20549 [_] Check this box if no longer subject STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP to Section 16. Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities obligations may Exchange Act of 1934, Section 17(a) of the continue. See Public Utility Holding Company Act of 1935 or Instruction 1(b). Section 30(f) of the Investment Company Act of 1940 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of 2. Issuer Name and Ticker 6. Relationship of Reporting Person to Reporting Person* or Trading Symbol Issuer (Check all applicable) X Director ___ 10% Owner --- Good Steven OSI Systems, Inc. (OSIS) ___ Officer (give ___ Other (specify - ------------------------------------------------------------------------------------------ title below) below) (Last) (First) (Middle) 3. I.R.S. or Social Security 4. Statement for Number of Reporting Month/Year _____________________ C/O OSI Systems, Inc. Person (Voluntary) 12525 Chadron Avenue 2/2002 - ------------------------------------ -------------------- (Street) 5. If Amendment, 7. Individual or Joint/Group Filing Date of Original (Check applicable line) (Month/Year) X Form filed by One Reporting ---- Person Hawthorne Ca. 90250 ____ Form filed by More than One Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table I--Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned * If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). - ------------------------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Title 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of action action Code or Disposed of (D) Securities ship of In- Security Date (Instr. 8) (Instr. 3, 4 and 5) Beneficially Form: direct (Instr. 3) ----------------------------------------------- Owned at Direct Bene- (Month/ End of (D) or ficial Day/ Month Indirect Owner- Year) Code V Amount (A) or Price (Instr. 3 and 4) (I) ship (D) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/6/02 M 5000 A $13.50 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/6/02 M 5000 A $11.10 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/8/02 S 5000 D $21.56 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/11/02 S 5000 D $21.98 0 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
- ----------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Conversion 3. Trans- 4. Transac- 5. Number of Deriv- Security (Instr. 3) or Exercise action tion Code ative Securities Price of Date Acquired (A) or Derivative (Instr. 8) Disposed of (D) Security (Month/ Day/ (Instr. 3, 4, and 5) Year) --------------------------------------------------- Code V (A) (D) - ----------------------------------------------------------------------------------------------------------------------------- Incentive Stk Optn $13.50 2-6-02 M 5000 - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- Incentive Stk Optn $11.10 2-6-02 M 5000 - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ 6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Nature cisable and Underlying Securities of Deri- of Deriva- ship of Indirect Expiration vative tive Form of Beneficial Date (Instr. 3 and 4) Security Securities Derivative Ownership Beneficially Securities (Month/Day/ (Instr. 5) Owned at Direct (D) (Instr. 4) Year) End of or Indirect -------------------------------------------- Month (I) Date Expira- Amount or Exer- tion Title Number of (Instr. 4) (Instr. 4) cisable Date Shares - ----------------------------------------------------------------------------------- -------------------------------- --------------- - ------------------------------------------------------------------------------------------------------------------------------------ (1) 5/31/02 Common 5000 $ 13.50 Stock - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ (1) 6/23/03 Common 5000 $ 11.10 Stock - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Entire stock options are vested. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Steven Good 3/8/02 See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ----------------------------------- ---------- **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, see Instruction 6 for procedure.
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