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*
ERDMANN MICHAEL

(Last) (First) (Middle)
15301 HIGHWAY 55 WEST

(Street)
PLYMOUTH MN 55447

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/23/2003
3. Issuer Name and Ticker or Trading Symbol
MEDAMICUS INC [ MEDM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Secretary
5. If Amendment, Date of Original Filed (Month/Day/Year)
10/27/2003
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)
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) 04/12/2004 Common Stock 4,500 $1.5 D
Stock Option (right to buy) (1) 08/12/2004 Common Stock 1,000 $1.5 D
Stock Option (right to buy) (1) 01/29/2005 Common Stock 5,000 $1.5 D
Stock Option (right to buy) (2) 01/28/2006 Common Stock 5,000 $1.5 D
Stock Option (right to buy) 01/29/2003(3) 03/02/2005 Common Stock 5,000 $1.03 D
Stock Option (right to buy) 02/07/2001(3) 02/06/2006 Common Stock 5,000 $2 D
Stock Option (right to buy) 02/05/2002(3) 02/04/2007 Common Stock 5,000 $4.625 D
Stock Option (right to buy) 02/11/2003(3) 02/10/2008 Common Stock 5,000 $1,479 D
Stock Option (right to buy) 02/13/2004(3) 02/12/2009 Common Stock 4,000 $7.33 D
Explanation of Responses:
1. Option fully vested as of 10/23/2003.
2. As of 10/23/2003 4,000 shares vested. Remaining 1,000 shares vest on 1/29/2004.
3. Form 3 amendment filed to reflect the outstanding stock options owned by Mr. Erdmann that were inadvertently left off of initial filing. Options vest in five equal yearly installments beginning one year from date of grant. First 20% of shares vest on date indicated in column 2.
Michael Erdmann 11/05/2003
** 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.