SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Juhasz Tibor

(Last) (First) (Middle)
9701 JERONIMO

(Street)
IRVINE CA 92618

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTRALASE CORP [ ILSE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Technology Officer
3. Date of Earliest Transaction (Month/Day/Year)
10/11/2005
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 10/11/2005 M 1,278 A $4.4905 349,032 I by Trust
Common Stock 10/11/2005 M 18,399 A $1.8017 367,431 I by Trust
Common Stock 10/11/2005 M 18,296 A $0.8316 385,727 I by Trust
Common Stock 10/11/2005 M 28,598 A $0.8316 414,325 I by Trust
Common Stock 10/11/2005 M 51,785 A $1.4414 466,110 I by Trust
Common Stock 10/11/2005 M 11,544 A $1.4414 477,654 I by Trust
Common Stock 10/11/2005 M 25,253 A $1.8017 502,907 I by Trust
Common Stock 591 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (right to buy) $0.8316 10/11/2005 M 18,296 (1) 12/13/2011 Common Stock 18,296 $0 3,350 D
Incentive Stock Option (right to buy) $0.8316 10/11/2005 M 28,598 (2) 02/08/2012 Common Stock 28,598 $0 6,478 D
Incentive Stock Option (right to buy) $1.4414 10/11/2005 M 11,544 (3) 05/09/2012 Common Stock 11,544 $0 17,317 D
Incentive Stock Option (right to buy) $1.4414 10/11/2005 M 51,785 (4) 05/17/2012 Common Stock 51,785 $0 10,356 D
Incentive Stock Option (right to buy) $1.8017 10/11/2005 M 18,399 (5) 01/16/2011 Common Stock 18,399 $0 28,500 D
Incentive Stock Option (right to buy) $1.8017 10/11/2005 M 25,253 (6) 01/16/2011 Common Stock 25,253 $0 3,247 D
Incentive Stock Option (right to buy) $4.4905 10/11/2005 M 1,278 (7) 04/27/2014 Common Stock 1,278 $0 2,330 D
Explanation of Responses:
1. The option becomes exercisable as to 2.2% of the shares on 5/31/04, with the balance of the shares becoming exercisable in 5.14% increments through full vest on 12/13/05.
2. The option becomes exercisable as to 89 of the shares on 11/30/03, with the balance of the shares becoming exercisable in 3.7% increments through full vest on 2/8/06.
3. The option becomes exercisable as to 40% of the shares on 1/10/03, with the balance of the shares becoming exercisable on 5/9/09.
4. The option becomes exercisable as to 25% of the shares on the first anniversary of the grant, 5/17/03; with the balance becoming exercisable in 2.08% increments monthly through full vest on 5/17/06.
5. The option becomes exercisable as to 75% of the shares on 2/8/02; with 10% of the shares becoming exercisable on 1/10/03; and the 15% balance of the shares becoming exercisable on 1/16/08.
6. The option becomes exercisable as to 25% of the shares on the first anniversary of the grant, 1/16/02, with the balance becoming exercisable in 2.08% increments each month thereafter until full vest on 1/16/05.
7. The option becomes exercisable as to 25% of the shares on 4/27/05, the first anniversary of the date of grant, with the balance becoming exercisable in 2.08% increments each month thereafter, until full vest on 4/27/08.
Tibor Juhasz 10/12/2005
** 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 4 (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).
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