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*
VALERIANI NICHOLAS J

(Last) (First) (Middle)
JOHNSON & JOHNSON
ONE JOHNSON & JOHNSON

(Street)
NEW BRUNSWICK NJ 08933

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/08/2003
3. Issuer Name and Ticker or Trading Symbol
JOHNSON & JOHNSON [ JNJ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President Human Resources
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 28,173 D
Common Stock 7,077 I 401 (k) and ESOP Savings Plans
Common Stock 2,185 I Held by Wife as custodian for Daughter under UTMA
Common Stock 2,462 I As custodian for Son under UTMA
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)(1) 12/01/1996 12/01/2004 Common Stock 4,400 $13.41(2) D
Stock Option (Right to Buy)(1) 11/30/1997 11/30/2005 Common Stock 27,200 $21.57(2) D
Stock Option (Right to Buy)(1) 11/30/1997 11/29/2005 Common Stock 10,000 $21.57(2) D
Stock Option (Right to Buy)(1) 12/05/1998 12/04/2006 Common Stock 2,000 $26(3) D
Stock Option (Right to Buy)(4) 12/04/2000 12/03/2007 Common Stock 1,400 $32.38(3) D
Stock Option (Right to Buy)(4) 12/04/2000 12/03/2007 Common Stock 14,600 $32.38(3) D
Stock Option (Right to Buy)(4) 12/03/2001 12/02/2008 Common Stock 1,100 $40.16(3) D
Stock Option (Right to Buy)(4) 12/03/2001 12/02/2008 Common Stock 20,600 $40.16(3) D
Stock Option (Right to Buy)(4) 12/02/2002 12/01/2009 Common Stock 1,700 $50.08(3) D
Stock Option (Right to Buy)(4) 12/02/2002 12/01/2009 Common Stock 17,600 $50.08(3) D
Stock Option (Right to Buy)(4) 11/30/2003 11/29/2010 Common Stock 1,900 $50.69(3) D
Stock Option (Right to Buy)(4) 11/30/2003 11/29/2010 Common Stock 42,100 $50.69(3) D
Stock Option (Right to Buy)(4) 02/11/2005 02/10/2012 Common Stock 1,700 $57.3 D
Stock Option (Right to Buy)(4) 02/11/2005 02/10/2012 Common Stock 53,300 $57.3 D
Stock Option (Right to Buy)(4) 02/10/2006 02/08/2013 Common Stock 51,085 $52.2 D
Stock Option (Right to Buy)(4) 02/10/2006 02/08/2013 Common Stock 1,915 $52.2 D
Explanation of Responses:
1. Awarded under Issuer's Stock Option Plan and exercisable in increments of 20% per year starting two years from date of grant.
2. Adjusted to reflect two-for-one stock splits in 1996 and 2001.
3. Adjusted to reflect two-for-one stock split in 2001.
4. Awarded under Issuer's Stock Option Plan.
Remarks:
M. H. Ullmann, as attorney-in-fact for N. J. Valeriani 09/10/2003
** 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.