FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
|
|||||||||||||||
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
|
2. Issuer Name and Ticker or Trading Symbol
SELECT MEDICAL CORP [ SEM ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
||||||||||||||||||||||||
3. Date of Earliest Transaction
(Month/Day/Year) 08/05/2003 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock | 2,029,008 | I | See footnote(1) | |||||||
Common Stock | 20,288 | I | See footnote(2) | |||||||
Common Stock | 08/06/2003 | J(3) | 1,500,000 | D | $0 | 878,089 | I | See footnote(4) | ||
Common Stock | 08/05/2003 | S | 5,786 | D | $28.84 | 0 | I | See footnote(5) | ||
Common Stock | 08/06/2003 | J(6) | 11,473 | A | $0 | 120,846 | D | See footnote(7) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. These shares are owned directly by Thoma Cressey Fund VI, L.P. ("Fund VI"). Mr. Cressey is a Principal of Thoma Cressey Equity Partners, Inc. ("TCEP"), which is the general partner of TC Partners VI, L.P., which is the general partner of Fund VI. The Reporting Person disclaims beneficial ownership except to the extent of his proportionate ownership interests therein. |
2. These shares are owned directly by Friends VI. Mr. Cressey is a Principal of TCEP, which is the general partner of TC Partners VI, L.P., which is the general partner of Friends VI. The Reporting Person disclaims beneficial ownership except to the extent of his proportionate ownership interests therein. |
3. The reported securities were distributed by Golder, Thoma, Cressey, Rauner Fund V, L.P. ("Fund V") to its partners in a pro rata distribution on August 6, 2003. |
4. These shares are owned directly by Fund V. Mr. Cressey is a Principal of GTCR Inc. which is the general partner of GTCR V, L.P., which is the general partner of Fund V. The Reporting Person disclaims beneficial ownership except to the extent of his proportionate ownership interests therein. |
5. These shares are owned directly by GTCR Associates V ("Associates V"). Mr. Cressey is a Principal of GTCR Inc., which is the managing general partner of Associates V. The Reporting Person disclaims beneficial ownership except to the extent of his proportionate ownership interests therein. |
6. The reported securities were acquired by the Reporting Person in a pro rata distribution from partnerships, reflecting a new change in the form of ownership of the securities. |
7. These shares are owned directly by Mr. Cressey. |
Bryan C. Cressey | 08/06/2003 | |
** 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 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). | ||
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. |