4 1 0001.txt FORM 4 U.S. SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 4 OMB APPROVAL ----------------------------- [_] Check this box if no longer OMB NUMBER: 3235-0287 subject to Section 16. Form 4 Expires: April 30, 1997 or Form 5 obligations may Estimated average burden continue. SEE Instruction 1(b). hours per response ...... 0.5 ----------------------------- 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(f) of the Investment Company Act of 1940 1. Name and Address of Reporting Person Lindenfeld Stan M. -------------------------------------------------------------------------------- (Last) (First) (Middle) 21250 Hawthorne Boulevard -------------------------------------------------------------------------------- (Street) Torrance CA 90503 -------------------------------------------------------------------------------- (City) (State) (Zip) -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Total Renal Care Holdings, Inc. (TRL) -------------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) -------------------------------------------------------------------------------- 4. Statement for Month/Year June 2000 -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) -------------------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) Director 10% Owner ----- ------ X Officer (give Other (Specify ----- title below) ------ below) Senior Vice President ---------------------------------- --------------------------------------------------------------------------------
Table 1 -- Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature (Instr. 3) action action or Disposed of (D) Securities Form: of Indirect Date Code Beneficially Direct Beneficial (Instr. 8) (Instr. 3,4 and 5) Owned at (D) or Ownership (Month/ ------------ -------------------------- End of Month Indirect (Instr. 4) Day/ Code V Amount (A) or Price (Instr. 3 (I) Year) (D) and 4) (Instr. 4) -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- Common Stock 6/6/2000 M 20,833 A $0.90 31,001 D -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ ------------- -------------------------- ---------- ------ ---- -------- ------ ------ -------------- ------------ -------------
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 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) 1. Title of Derivative Security 2. Conversion 3. Transaction 4. Transacation 5. Number of Derivative 6. Date Exercisable (Instr. 3) or Exercise Date Code Securities Acquired (A) and Expiration Price of (Month/Day/ (Instr. 8) or Disposed of (D) Date Derivative Year) (Instr. 3, 4, and 5) (Month/Day/ Security Year) --------------- -------------------------- ------------------- Code V (A) (D) Date Expiration Exer- Date cisable ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ---------- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- ------- ----------- Options (16b-3 Plan) $0.90 6/6/2000 M 20,833 (1) 12/13/2004 (right to buy) ------------------------------- -------------- -------------- -------- ----- --------------- ---------- ------- ----------- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ---------- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ---------- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ---------- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ---------- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ---------- ------------------------------- -------------- -------------- -------- ----- --------------- ---------- -------- ----------
7. Title and Amount of 8. Price of Derivative 9. Number of Derivative 10. Ownership Form 11. Nature of Indirect Underlying Securities Security (Instr. 5) Securities Beneficially of Derivative Security: Beneficial Ownership (Instr. 3 and 4) Owned at End of Month Direct (D) or (Instr. 4) Instr. 4) Indirect (I) (Instr. 4) ------------------------ Title Amount or Number of Shares ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ Common Stock 0 D ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ ------------------------ ---------------------- -------------------------- --------------------------- ------------------------ ------------------------ ---------------------- -------------------------- --------------------------- ------------------------
Explanation of Responses: (1) 25% of the options vested on each of 12/13/1995, 12/13/1996, 12/13/1997 and 12/13/1998. **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Stan M. Lindenfeld 7/7/2000 _______________________________ ______________ **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. Page 2 SEC 1474 (8-92)