-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, U58GjCPfuEkUVhf9G46J4ygy7GsWfcDJFUpZ12cRCFARIeHm77mfU3fb0dtq4iYt FpPdxiF5ARutKBMYKkbXIA== 0000901309-03-000066.txt : 20030214 0000901309-03-000066.hdr.sgml : 20030214 20030214095829 ACCESSION NUMBER: 0000901309-03-000066 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20021231 FILED AS OF DATE: 20030214 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: BRUKER DALTONICS INC CENTRAL INDEX KEY: 0001109354 STANDARD INDUSTRIAL CLASSIFICATION: LABORATORY ANALYTICAL INSTRUMENTS [3826] IRS NUMBER: 043110160 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-30833 FILM NUMBER: 03563078 BUSINESS ADDRESS: STREET 1: 44 MANNING RD CITY: BILLERICA STATE: MA ZIP: 01821 MAIL ADDRESS: STREET 1: 44 MANNING RD CITY: BILLERICA STATE: MA ZIP: 01821 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: LAUKIEN FRANK H CENTRAL INDEX KEY: 0001133649 RELATIONSHIP: DIRECTOR FILING VALUES: FORM TYPE: 5 BUSINESS ADDRESS: STREET 1: C/O BRUKER DALTONICS CITY: BILLERICA STATE: MA ZIP: 01821 MAIL ADDRESS: STREET 1: C/O BRUKER DALTONICS CITY: BILLERICA STATE: MA ZIP: 01821 5 1 laukienfrankform5.htm Form 5
Form 5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549

ANNUAL STATEMENT OF CHANGES BENEFICIAL OWNERSHIP


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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[X]

Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See instructions 1(b).

Form 3 Holdings Reported

Form 4 Transactions Reported

Estimated average burden
hours per response. . . 1.0
1. Name and Address of Reporting Person*
Laukien, Frank H.
2. Issuer Name and Ticker or Trading Symbol
Bruker Daltonics Inc. (BDAL)

6. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
[X]    Director                    [X]     10% Owner
[X]    Officer (give               [_]   Other (specify
                  title below)                     below)

President & Chief Executive Officer
(Last)             (First)            (Middle)

c/o Bruker Daltonics Inc. 40 Manning Road
     
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary)

4. Statement for Month/Year
 December 31, 2002
(Street)


Billerica, MA  01821
5. If Amendment, Date of Original (Month/Year)
7. Individual or Joint/Group Filing
(Check Applicable Line)
[X]  Form filed by One Reporting Person
[_] Form filed by More than One Reporting Person
(City)             (State)             (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security
(Instr. 3)

2. Trans-
action
Date
(mm/dd/yy)

2A.
Deemed
Execution
Date, if
any
(mm/dd/yy
3. Transaction
Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned at the end of Issuer's Fiscal Year(Instr. 3 and 4) 6. Owner-
ship Form:
Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Amount (A)
or
(D)
Price
                    
                    
                    
                    
                    

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 Instructions 4(b)(v).

 
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently vaild OMB Number.
(Over)
SEC 2270 (9-02)
FORM 5 (continued)
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)

3. A 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 at End of Year (Instr. 4)

10. Ownership of Derivative Security: Direct (D) or Indirect (I)(Instr. 4) 11. Nature of Indirect Beneficial Ownership(Instr. 4)
(A) (D) Date
Exercisable
Expiration
Date
Title Amount or
Number
of Shares
Stock Option (right to buy) $5.63 (1) 9/5/02   A   100,000   9/5/04 (2) 9/5/07 Common Stock 100,000   100,000 D  
                               
                               
                               
Explanation of Responses:

(1)       Adjusted to 110% of such exercise price to the extent required by applicable law or regulation.

(2)       This option vests as to 25,000 shares on each of September 5, 2004, September 5, 2005, September 6, 2006 and September 5, 2007.
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). /s/ Frank H. Laukien
**Signature of Reporting Person
2/13/03 
Date
Note: File three copies of this Form, one of which must be manually signed.If space provided is insufficient, see Instruction 6 for procedure.

Potential persons who are to respond to the collection of information contained in this form are not
required to respond unless the form displays a currently valid OMB Number.
Page 2


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