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*
ORY ANDREW D

(Last) (First) (Middle)
C/O ACME PACKET, INC.
71 THIRD AVENUE

(Street)
BURLINGTON MA 01803

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/12/2006
3. Issuer Name and Ticker or Trading Symbol
ACME PACKET INC [ APKT ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
President & 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, $0.001 par value 4,500,000 D
Common Stock, $0.001 par value 2,000,000 I By The Ory Family Trust(1)
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) (2) 05/19/2014 Common Stock 100,000 $0.33 D
Stock Option (right to buy) (3) 12/23/2015 Common Stock 300,000 $1.1 D
Series A Convertible Preferred Stock 12/12/2000 (4) Common Stock 975,806 (4) D
Series A Convertible Preferred Stock 12/12/2000 (4) Common Stock 161,290 (4) I By Spouse(5)
Explanation of Responses:
1. Shares held by The Ory Family Trust for the benefit of the reporting person's minor children. The reporting person is not a trustee of The Ory Family Trust, but may be deemed to have a pecuniary interest in these shares. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for the purposes of Section 16 or for any other purpose.
2. Twenty-five percent of the shares underlying the option vest on May 31, 2005, and the balance of the shares vest in equal monthly installments at the end of each calendar month beginning on June 30, 2005 and ending on May 31, 2008.
3. Twenty-five percent of the shares underlying the option vest on December 31, 2006, and the balance of the shares vest in equal monthly installments at the end of each calendar month beginning on January 31, 2007 and ending on December 31, 2009.
4. The Series A Convertible Preferred Stock is convertible into Acme Packet, Inc. common stock on an one-for one basis and has no expiration date.
5. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for the purposes of Section 16 or for any other purpose.
/s/ Andrew D. Ory 10/12/2006
** 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.