-----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, CdrD5tjw1PaXjKclu8LgFcJbvmoZXX5eb5Bsb3HlD7yyPcBBohd+yoEo4rtQwRA1 8lhr5ukiiAvbur6KlOmKxA== 0000898430-00-000878.txt : 20000323 0000898430-00-000878.hdr.sgml : 20000323 ACCESSION NUMBER: 0000898430-00-000878 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000301 FILED AS OF DATE: 20000322 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: TOTAL RENAL CARE HOLDINGS INC CENTRAL INDEX KEY: 0000927066 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISC HEALTH & ALLIED SERVICES, NEC [8090] IRS NUMBER: 510354549 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: SEC FILE NUMBER: 001-04034 FILM NUMBER: 575083 BUSINESS ADDRESS: STREET 1: 21250 HAWTHORNE BLVD STREET 2: SIE 800 CITY: TORRANCE STATE: CA ZIP: 90503-5517 BUSINESS PHONE: 3107922600 MAIL ADDRESS: STREET 1: 21250 HAWTHORNE BLVD SUITE 800 STREET 2: 21250 HAWTHORNE BLVD SUITE 800 CITY: TORRANCE STATE: CA ZIP: 90503-5517 FORMER COMPANY: FORMER CONFORMED NAME: TOTAL RENAL CARE INC DATE OF NAME CHANGE: 19940719 COMPANY DATA: COMPANY CONFORMED NAME: BARRY DAVID P CENTRAL INDEX KEY: 0001104301 STANDARD INDUSTRIAL CLASSIFICATION: [] OFFICER FILING VALUES: FORM TYPE: 3 BUSINESS ADDRESS: STREET 1: TOTAL RENAL CARE HOLDINGS INC STREET 2: 21250 HAWTHORNE BLVD CITY: TORRANCE STATE: CA ZIP: 90503 3 1 FORM 3 - DAVID P. BARRY U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 3 OMB APPROVAL ----------------------------- OMB NUMBER: 3235-0104 Expires: April 30, 1997 Estimated average burden hours per response ...... 0.5 ----------------------------- INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section16(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 Barry David P. - -------------------------------------------------------------------------------- (Last) (First) (Middle) 21250 Hawthorne Boulevard - -------------------------------------------------------------------------------- (Street) Torrance CA 90503 - -------------------------------------------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 2. Date of Event Requiring Statement (Month/Day/Year) 03/01/2000 - -------------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) - -------------------------------------------------------------------------------- 4. Issuer Name and Ticker or Trading Symbol Total Renal Care Holdings, Inc. (TRL) - -------------------------------------------------------------------------------- 5. Relationship of Reporting Person to Issuer: (Check all applicable) Director 10% Owner ----- ------ X Officer (give Other (Specify ----- title below) ------ below) President and Chief Operating Officer -------------------------------------- - -------------------------------------------------------------------------------- 6. If Amendment, Date of Original (Month/Day/Year) - --------------------------------------------------------------------------------
Table 1 -- Non-Derivative Securities Beneficially Owned 1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect Beneficial Ownership (Instr. 4) Beneficially Owned Direct (D) or (Instr. 5) (Instr. 4) Indirect (I) (Instr. 5) - -------------------------- --------------------------- ----------------- ------------------------------------------ None - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------ - -------------------------- --------------------------- ----------------- ------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses) (Over) SEC 1473 (8-92) ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ FORM 3 (continued)
Table II -- Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conversion 5. Ownership 6. Nature of cisable and Underlying Derivative Security or Exercise Form of Indirect Expiration (Instr. 4) Price of Derivative Beneficial Date Derivative Security: Ownership (Month Day Security Direct (D) (Instr. 5) Year) or ------- ------- --------------------------------- Indirect (I) Date Expira- Amount (Instr. 5) Exer- tion or cisable Date Title Number of Shares - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- Options to buy (16b-3 plan; (1) 1/25/2010 Common Stock 700,000 $4.9375/share D - ------------------------------- --- --------- ------------ ------- ---------------- --------------- ---------- right to buy) - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- --------- - ------------------------------- --- --------- ------------ ------- ---------------- --------------- ---------
Explanation of Responses: (1) Vests 25% per year on each anniversary of January 25, 2000. **Intentional misstatements or omissions of fcats constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ David P. Barry 3/16/2000 ------------------------------- ------------------- **Signature of Reporting Person Date Note: File three copies of this Form, one of which must be manually signed. If space provided is insufficient, See Instruction 6 for procedure.
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