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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Stock Option (right to buy) | $ 15.72 | 06/30/2003 | A | 10,000 | 06/30/2006 | 06/30/2013 | Common Stock | 10,000 | $ 0 | 10,000 | D | ||||
Stock Option (right to buy) | $ 17.78 | 06/30/2003 | J(1) | 6,668 | 06/30/2003 | 12/25/2006 | Common Stock | 6,668 | $ 0 (5) | 6,668 | D | ||||
Stock Option (right to buy) | $ 39.39 | 06/30/2003 | J(1) | 5,142 | 06/30/2003 | 07/27/2008 | Common Stock | 5,142 | $ 0 (5) | 5,142 | D | ||||
Stock Option (right to buy) | $ 35.02 | 06/30/2003 | J(1) | 5,142 | 06/30/2003 | 03/22/2009 | Common Stock | 5,142 | $ 0 (5) | 5,142 | D | ||||
Stock Option (right to buy) | $ 32.1 | 06/30/2003 | J(1) | 10,398 | 06/30/2003 | 06/30/2010 | Common Stock | 10,398 | $ 0 (5) | 10,398 | D | ||||
Stock Option (right to buy) | $ 15.68 | 06/30/2003 | J(1) | 4,583 | 06/30/2003 | 05/30/2011 | Common Stock | 4,583 | $ 0 (5) | 4,583 | D | ||||
Stock Option (right to buy) | $ 15.68 | 06/30/2003 | J(1) | 1,845 | 06/30/2003 | 05/30/2011 | Common Stock | 1,845 | $ 0 (5) | 1,845 | D | ||||
Stock Option (right to buy) | $ 2.54 | 06/30/2003 | J(1) | 20,570 | 06/30/2003 | 07/05/2012 | Common Stock | 20,570 | $ 0 (5) | 20,570 | D | ||||
Common Stock Warrant | $ 19.46 | 06/30/2003 | J(1) | 21,467 | 06/30/2003 | 02/16/2006 | Common Stock | 21,467 | $ 0 (5) | 21,467 | D | ||||
Common Stock Warrant | $ 17.32 | 06/30/2003 | J(1) | 3,135 | 06/30/2003 | 02/13/2007 | Common Stock | 3,135 | $ 0 (5) | 3,135 | D | ||||
Common Stock Warrant | $ 35.68 | 06/30/2003 | J(1) | 38,412 | 06/30/2003 | 09/21/2007 | Common Stock | 38,412 | $ 0 (5) | 38,412 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DUGGAN ROBERT W 950 KIFER ROAD SUNNYVALE, CA 94086 |
X |
/s/ Robert W. Duggan | 08/03/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | Acquired in exchange for securities of Computer Motion, Inc. in connection with the acquisition of Computer Motion, Inc. by Intuitive Surgical, Inc. (the "Merger"). |
(2) | Received in exchange for 4,184,127 shares of common stock of Computer Motion, Inc. in connection with the Merger. Calculated by multiplying 4,184,127 by the merger exchange ratio of .51426943 and giving effect to the 1-for-2 reverse stock split of Intuitive Surgical common stock effected on June 30, 2003. |
(3) | Received in exchange for 130,572 shares of common stock of Computer Motion, Inc. in connection with the Merger. Calculated by multiplying 130,572 by the merger exchange ratio of .51426943 and giving effect to the 1-for-2 reverse stock split of Intuitive Surgical common stock effected on June 30, 2003. |
(4) | The reporting person disclaims beneficial ownership of these shares except to the extent of the reporting person's pecuniary interest in the shares. |
(5) | Received in the Merger in exchange for a stock option or warrant, as applicable, to acquire common stock of Computer Motion, Inc. The share numbers and exercise prices reflect the share numbers and exercise prices for the related Computer Motion, Inc. common stock option or warrant, as applicable, after the application of the merger exchange ratio of .51426943 and giving effect to the 1-for-2 reverse stock split of Intuitive Surgical, Inc. common stock effected on June 30, 2003. |