-----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, Pm3Ku8+2KuhOcRba5soRIqLUhkZjAYHDvhNHbjfZ/7qMWZ9MQtMOG6SYtWqpXsvr 4QZ+XQ4kfG8Ll6mWbZboYQ== 0000950135-98-004028.txt : 19980629 0000950135-98-004028.hdr.sgml : 19980629 ACCESSION NUMBER: 0000950135-98-004028 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 19980617 FILED AS OF DATE: 19980626 SROS: AMEX SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: PLC SYSTEMS INC CENTRAL INDEX KEY: 0000879682 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 043153858 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-11388 FILM NUMBER: 98655110 BUSINESS ADDRESS: STREET 1: 10 FORGE PK CITY: FRANKLIN STATE: MA ZIP: 02038 BUSINESS PHONE: 5084785991 COMPANY DATA: COMPANY CONFORMED NAME: SUIKHART ROBERT CENTRAL INDEX KEY: 0001065003 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] OFFICER FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: 10 FORGE PK CITY: FRANKLIN STATE: MA ZIP: 02038 BUSINESS PHONE: 5085418800 MAIL ADDRESS: STREET 1: PLC SYSTEMS INC STREET 2: 10 FORGE PARK CITY: FRANKLIN STATE: MA ZIP: 02038 3 1 FORM 3 1 - -------- FORM 3 - -------- U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES 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(f) of the Investment Company Act of 1940 - ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date Svikhart Robert Statement Trading Symbol of Original - ---------------------------------------- (Month/Day/Year) PLC Systems Inc. (Month/Day/Year) (Last) (First) (Middle) June 17, 1998 ---------------------------------- N/A 252 Weed Street ---------------------------- 5. Relationship of Reporting ----------------------- - ---------------------------------------- 3. IRS Identification Person to Issuer 7. Individual or Joint/ (Street) Number of Reporting (Check all applicable) Group Filing (Check Canaan Connecticut 06840 Person, if an Entity Director 10% Owner applicable line) - ---------------------------------------- (Voluntary) N/A ----- ----- X Form filed by (City) (State) (Zip) ---------------------------- X Officer Other ----- One Reporting ----- (give ----- (specify Person title below) below) Form filed by Chief Financial Officer ----- More than One ---------------------------------- Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect (Instr. 4) Beneficially Owned Direct (D) or Beneficial (Instr. 4) Indirect (I) Ownership (Instr. 4) (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ None - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ *If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v). Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over) (Print or Type Responses)
2
FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect (Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership Expiration Date Derivative Security Exercise Form of (Instr. 5) (Month/Day/ (Instr. 4) Price of Deriv- Year) Deri- ative vative Security: Security Direct ------------------------------------------------- (D) or Date Expira- Amount or Indirect Exercis- tion Title Number (I) able Date of Shares (Instr. 5) - ------------------------------------------------------------------------------------------------------------------------------------ Options to Purchase Common Stock ***** June 16, 2008 Common Stock 148,500 $10.125 (D) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: ***** The vesting schedule for the options to purchase Common Stock is attached hereto as Exhibit "A". /s/ Robert Svikhart June 25, 1997 **Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------- ------------------ Violations. 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. Page 2 If space provided is insufficient, See Instruction 6 for procedure. (Print or Type Responses)
3 EXHIBIT A TO FORM 3 FILING FOR ROBERT SVIKHART The 148,500 options are each exercisable at $10.125 per share and vest as follows: (i) options to purchase 19,000 shares of Common Stock which vest in two equal installments of 9,500 immediately and August 1, 1999; (ii) options to purchase 9,500 shares of Common Stock vesting upon the earlier of receipt of pre-market approval for the Company's Heart Laser from the U.S. Food and Drug Administration or August 15, 2001, (iii) options to purchase 15,000 shares vesting upon the earlier of the release of audited financial statements by the Company for a completed fiscal year in which the Company reports positive earnings after taxes (exclusive of extraordinary items of gain or loss) or August 15, 2001, (iv) options to purchase 15,000 shares vesting upon the earlier of the 30th consecutive trading day when the Company's closing price for its Common Stock exceeds $15.00 per share or August 15, 2001, (v) options to purchase 15,000 shares vesting upon the earlier of the 30th consecutive trading day when the Company's closing price for its Common Stock exceeds $18.00 per share or August 15, 2003, (vi) options to purchase 15,000 shares vesting upon the earlier of the 30th consecutive trading day when the Company's closing price for its Common Stock exceeds $21.50 per share or August 15, 2003, (vii) options to purchase 30,000 shares vesting upon the earlier of the 30th consecutive trading day when the Company's closing price for its Common Stock exceeds $35.00 per share or August 15, 2003, and (viii) options to purchase 30,000 shares vesting upon the earlier of the 30th consecutive trading day when the Company's closing price for its Common Stock exceeds $40.00 per share or August 15, 2003. All options vest upon a sale or acquisition of substantially all of the stock or assets of the Company. SEC 1473 (7-96) -----END PRIVACY-ENHANCED MESSAGE-----