-----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, Cxvb71VJc8DC0sLGVhmrYPvQaujcQAAwdR/5vK6eDwr2FoR1PYnl3xVLM2LNCzpT mNenHxOduz3P5q2avd7pqA== 0001181431-04-032810.txt : 20040629 0001181431-04-032810.hdr.sgml : 20040629 20040629145958 ACCESSION NUMBER: 0001181431-04-032810 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040625 FILED AS OF DATE: 20040629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MATHEWS ROBERT CENTRAL INDEX KEY: 0001216634 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-10207 FILM NUMBER: 04888351 MAIL ADDRESS: STREET 1: 10221 WATERRIDGE CIRCLE CITY: SAN DIEGO STATE: CA ZIP: 921211 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ALARIS MEDICAL SYSTEMS INC CENTRAL INDEX KEY: 0000817161 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 133492624 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 10221 WATERIDGE CIRCLE CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 8584587000 MAIL ADDRESS: STREET 1: 10221 WATERIDGE CIRCLE CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: ALARIS MEDICAL INC DATE OF NAME CHANGE: 19970512 FORMER COMPANY: FORMER CONFORMED NAME: ADVANCED MEDICAL INC DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: ADVANCED MEDICAL TECHNOLOGIES INC DATE OF NAME CHANGE: 19901116 4 1 rrd46553.xml FORM 4 X0202 4 2004-06-25 1 0000817161 ALARIS MEDICAL SYSTEMS INC AMI 0001216634 MATHEWS ROBERT 10221 WATERIDGE CIRCLE SAN DIEGO CA 92121 0 1 0 0 VP, Finance & Treasurer Common Stock 2004-06-25 4 U 0 27561 22.35 D 0 D Stock Option (right to buy) 2.4375 2004-06-25 4 D 0 17436 19.9125 D 2001-07-22 2006-07-22 Common Stock 17436 180000 D Stock Option (right to buy) 3.0938 2004-06-25 4 D 0 5000 19.2562 D 2000-12-09 2006-12-09 Common Stock 5000 175000 D Stock Option (right to buy) 3.25 2004-06-25 4 D 0 15000 19.10 D 2003-03-31 2009-05-03 Common Stock 15000 160000 D Stock Option (right to buy) 3.9065 2004-06-25 4 D 0 15000 18.4435 D 2003-06-30 2009-06-30 Common Stock 15000 145000 D Stock Option (right to buy) 2.00 2004-06-25 4 D 0 15000 20.35 D 2003-08-28 2009-12-23 Common Stock 15000 130000 D Stock Option (right to buy) 12.89 2004-06-25 4 D 0 60000 9.46 D 2004-06-25 2013-06-25 Common Stock 60000 70000 D Includes 27,561 shares of common stock purchased through the ALARIS Medical Systems Retirement Investment Plan. The option was cancelled by mutual agreement of the reporting person and ALARIS Medical Systems, Inc. The reporting person received as consideration for the cancellation the difference between the tender offer price and the exercise price. /s/ Stuart E. Rickerson as attorney in fact 2004-06-29 -----END PRIVACY-ENHANCED MESSAGE-----