-----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, TU4foQ4AWqbYYodf0nVzYOVVNYgE2qM+zBTfZ1wMVAhTEPyRxWqXALvQ+7uPL6LJ YKwGbGmEIgLT0YqwuNOcDw== 0000950117-02-003269.txt : 20021231 0000950117-02-003269.hdr.sgml : 20021231 20021231110445 ACCESSION NUMBER: 0000950117-02-003269 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021230 FILED AS OF DATE: 20021231 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: SCHIFF FREDERICK CENTRAL INDEX KEY: 0001210528 RELATIONSHIP: OFFICER FILING VALUES: FORM TYPE: 4 MAIL ADDRESS: STREET 1: C/O VITAL SIGNS INC STREET 2: 20 CAMPUS RD CITY: TOTOWA STATE: NJ ZIP: 07512 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: VITAL SIGNS INC CENTRAL INDEX KEY: 0000865846 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 112279807 STATE OF INCORPORATION: NJ FISCAL YEAR END: 0930 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-18793 FILM NUMBER: 02873164 BUSINESS ADDRESS: STREET 1: 20 CAMPUS RD CITY: TOTOWA STATE: NJ ZIP: 07512 BUSINESS PHONE: 2017901330 MAIL ADDRESS: STREET 1: 20 CAMPUS RD CITY: TOTOWA STATE: NJ ZIP: 07512 4 1 a34083.txt FREDERICK SCHIFF Form 4 Page 1 of 2 ---------------------------- - --------------- OMB APPROVAL FORM 4 ---------------------------- - --------------- OMB Number: 3235-0287 ---------------------------- Expires: January 31, 2005 ---------------------------- Estimated average burden hours per response... 0.5 ---------------------------- [ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses)
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
- ------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol Schiff, Frederick Vital Signs, Inc. (VITL) - ------------------------------------------------------------------------------------------------------------------------ (Last) (First) (Middle) 3. I.R.S. Identification 4. Statement for Number of Reporting Month/Day/Year Person, if an entity (voluntary) December 30, 2002 c/o Vital Signs, Inc. 20 Campus Road - ------------------------------------------------------------------------------------------------------------------------ (Street) 5. If Amendment, Date of Original (Month/Day/Year) Totowa, New Jersey 07512 - ------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip)
- --------------------------------------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner -------- ------- X Officer (give Other (specify -------- title below) ------- below) Chief Financial Officer - --------------------------------------------------------------- 7. 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 2. Transaction Date 2A. Deemed 3. Transaction 4. Securities Acquired (A) (Instr. 3) (Month/Day/Year) Execution Code or Disposed of (D) Date, (Instr.8) (Instr. 3, 4 and 5) if any --------------------------------------------------------- (Month/ Code V Amount (A) or Price Day/ (D) Year) - -------------------------------------------------------------------------------------------------------------------------- Common Stock 12/30/2002 J(1) 1,661 A $30.09 - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------ 5. Amount of 6. Ownership 7. Nature of Securities Form: Direct Indirect Beneficially (D) or Indirect (I) Beneficial Owned Following (Instr. 4) Ownership Reported Transaction(s) (Instr. 4) (Instr. 3 and 4) - ------------------------------------------------------------------------------------ 1,661 D - ------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------
Form 4 Page 2 of 2 Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - -------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Conver- 3. Trans- 3A. Deemed Execution 4. Transac- 5. Number of Security (Instr. 3) sion or action Date, if any tion Code Derivative Exercise Date (Month/Day/Year) (Instr. 8) Securities Price of (Month/ Acquired (A) Derivative Day/ or Disposed of Security Year) (D) (Instr. 3, 4 and 5) ----------------------------------- Code V (A) (D) - -------------------------------------------------------------------------------------------------------------------- Stock option $30.09 12/30/2002 A 3,322 (right to buy) - -------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------------------- - --------------------------------------------------------------------------------------------------------------------
- ------------------------------------------------------------------------------------------- 6. Date Exercisable 7. Title and Amount of 8. Price of 9. Number of and Expiration Date Underlying Securities Derivative Derivative (Month/Day/Year) (Instr. 3 and 4) Security Securities (Instr. 5) Beneficially Owned Following Reported Transaction(s) (Instr. 4) - ------------------------ --------------------------- Date Expi- Title Amount or Exercis- ration Number of able Date Shares - ------------------------------------------------------------------------------------------- (2) 12/29/2012 Common Stock 3,322 3,322 - ------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------- - ------------------------------------ 10. Ownership 11. Nature Form of of Indirect Derivative Beneficial Securities Ownership Beneficially (Instr. 4) Owned at End of Month (Instr. 4) - ----------------------------------- D - ----------------------------------- - ----------------------------------- - ----------------------------------- - ----------------------------------- - ----------------------------------- - ----------------------------------- - -----------------------------------
Explanation of Responses: (1) Shares were purchased pursuant to the Company's Investment Plan. (2) Options were granted pursuant to the Company's Investment Plan and are exercisable as described in such plan. Frederick Schiff /s/ Peter H. Ehrenberg December 30, 2002 -------------------------------- ----------------- **Signature of Reporting Person Date by: Peter H. Ehrenberg, Esq., Attorney-in-Fact 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). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. -----END PRIVACY-ENHANCED MESSAGE-----