SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
OBERG SHERRI C

(Last) (First) (Middle)
C/O ACCUSPHERE, INC.
500 ARSENAL STREET

(Street)
WATERTOWN MA 02472

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/07/2003
3. Issuer Name and Ticker or Trading Symbol
ACUSPHERE INC [ ACUS ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President and CEO
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 83,975 D
Common Stock 25,000 I See Footnote(1)
Common Stock 25,000 I See Footnote(2)
Common Stock 3,334 I See Footnote(3)
Common Stock 3,334 I See Footnote(4)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (Right to Buy) 07/11/1997 07/11/2007 Common Stock 3,116 $1.8 D
Stock Option (Right to Buy) 07/11/1998 07/11/2008 Common Stock 2,778 $1.98 D
Stock Option (Right to Buy) 08/11/2000(5) 07/11/2010 Common Stock 1,011 $5.7 D
Stock Option (Right to Buy) 02/02/2001 01/01/2011 Common Stock 2,605 $7.2 D
Stock Option (Right to Buy) 02/01/2001(5) 01/01/2011 Common Stock 25,000 $7.2 D
Stock Option (Right to Buy) 10/26/2001(5) 09/26/2011 Common Stock 44,280 $7.2 D
Stock Option (Right to Buy) 02/01/2002(5) 01/01/2012 Common Stock 9,457 $0.84 D
Stock Option (Right to Buy) 08/19/2002(5) 07/19/2012 Common Stock 119,919 $0.84 D
Stock Option (Right to Buy) 02/01/2003(5) 01/01/2013 Common Stock 33,334 $0.84 D
Stock Option (Right to Buy) 10/02/2003(5) 09/02/2013 Common Stock 122,537 $13.02 D
Explanation of Responses:
1. These shares are held of record by AMO Irrevocable Trust-2000. The reporting person disclaims beneficial ownership of such securities except to the extent of her pecuniary interest therein.
2. These shares are held of record by EAO Irrevocable Trust-2000. The reporting person disclaims beneficial ownership of such securities except to the extent of her pecuniary interest therein.
3. These shares are held of record by Lambert R. Oberg and Jean P. Oberg, the inlaws of the reporting person. The reporting person disclaims beneficial ownership of such securities except to the extent of her pecuniary interest therein.
4. These shares are held of record by Mary C. Carroll and A. David Carroll, the parents of the reporting person. The reporting person disclaims beneficial ownership of such securities except to the extent of her pecuniary interest therein.
5. These options vest and become excercisable in equal monthly installments over a four year period from the date of grant. The date listed is the date on which the first such installment becomes exercisable.
/s/ Sherri C. Oberg 10/02/2003
** 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 5 (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.