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*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
CELERITEK INC/CA [ CLTK ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 01/28/2004 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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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 | 01/28/2004 | M | 50,000 | A | $4 | 166,361(1) | D | |||
Common Stock | 01/28/2004 | M | 25,000 | A | $5.625 | 191,361 | D | |||
Common Stock | 01/28/2004 | M | 30,000 | A | $5.625 | 221,361 | D | |||
Common Stock | 01/28/2004 | M | 22,500 | A | $3 | 243,861 | D | |||
Common Stock | 1,276 | I | By Son and daughters |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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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 | ||||||||
Employee stock option (Right to buy) | $4 | 01/28/2004 | M | 50,000 | (2) | 03/31/2009 | Common Stock | 50,000 | $0 | 0 | D | ||||
Employee stock option (Right to buy) | $5.625 | 01/28/2004 | M | 25,000 | (3) | 05/01/2008 | Common Stock | 25,000 | $0 | 0 | D | ||||
Employee stock option (Right to buy) | $5.625 | 01/28/2004 | M | 30,000 | (4) | 03/01/2006 | Common Stock | 30,000 | $0 | 0 | D | ||||
Employee stock option (Right to buy) | $3 | 01/28/2004 | M | 22,500 | (5) | 03/14/2005 | Common Stock | 22,500 | $0 | 0 | D |
Explanation of Responses: |
1. Includes 6,324 shares acquired since January 31, 2001 pursuant to purchases under the Celeritek, Inc. Employee Qualified Stock Purchase Plan. |
2. The Reporting Person exercised in full the 50,000 share stock option granted under the Celeritek, Inc. 1994 Stock Option Plan (the "1994 Plan") on March 31, 1999. Such option became exercisable at the rate of 1/8th of the shares on September 30, 1999 and 1/48th of the shares at the end of each full month thereafter. |
3. The Reporting Person exercised in full the 25,000 share stock option granted under the 1994 Plan on July 6, 1998. Such option became exercisable at the rate of 1/8th of the shares on November 1, 1998 and 1/48th of the shares at the end of each full month thereafter. |
4. The Reporting Person exercised in full the 30,000 share stock option granted under the 1994 Plan on July 6, 1998. Such option became exercisable at the rate of 1/8th of the shares on September 1, 1996 and 1/48th of the shares at the end of each full month thereafter. |
5. The Reporting Person exercised in full the 22,500 share stock option granted under the Celeritek, Inc. 1985 Incentive Stock Program on February 3, 1994. Such option became exercisable at the rate of 1/48th of the shares on March 3, 1994 and at the end of each full month thereafter. |
Remarks: |
/S/TAMER HUSSEINI | 01/30/2004 | |
** 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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |