SEC Form 4
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
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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*
HOLMES JAY T

(Last) (First) (Middle)
3400 CENTRAL EXPRESSWAY

(Street)
SANTA CLARA CA 95051

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
VISX INC [ EYE ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
05/27/2005
4. 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 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 05/27/2005 D 3,480 D (1) 0 D
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
Stock Option (Right to Buy) $6.3125 05/27/2005 D 40,000 (2) 04/01/2008 Common Stock 40,000 (2) 0 D
Stock Option (Right to Buy) $49.7813 05/27/2005 D 45,000 (3) 03/16/2009 Common Stock 45,000 $0 0 D
Stock Option (Right to Buy) $20.4375 05/27/2005 D 6,000 (4) 05/19/2010 Common Stock 6,000 (4) 0 D
Stock Option (Right to Buy) $21.65 05/27/2005 D 6,000 (5) 05/04/2011 Common Stock 6,000 (5) 0 D
Stock Option (Right to Buy) $16.12 05/27/2005 D 6,000 (6) 05/03/2012 Common Stock 6,000 (6) 0 D
Stock Option (Right to Buy) $17.06 05/27/2005 D 10,000 (7) 05/23/2013 Common Stock 10,000 (7) 0 D
Phantom Stock (Right to Aquire) (8) 05/27/2005 D 1,760 (9) (9) Common Stock 1,760 (9) 0 D
Stock Option (Right to Buy) $22.84 05/27/2005 D 10,000 (10) 05/13/2014 Common Stock 10,000 (10) 0 D
Phantom Stock (Right to Aquire) (8) 05/27/2005 D 1,314 (11) (11) Common Stock 1,314 (11) 0 D
Explanation of Responses:
1. Disposed of pursuant to merger agreement between issuer and Advanced Medical Optics, Inc. in exchange for 1,920 shares of Advanced Medical Optics, Inc. common stock on the effective date of the merger.
2. This option, which provided for vesting at 1/6 of the total grant at the conclusion of each calendar month in which services were performed beginning April 1, 1998, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with an option to purchase 25,690 shares of Advanced Medical Optics, Inc. common stock for $9.83 per share.
3. This option, which was fully vested as of the grant date of March 16, 1999, was canceled pursuant to the terms of the merger agreement.
4. This option, which provided for vesting at 25% of the shares subject to the option vest upon the first anniversary of the grant and 1/48 of the shares subject to the option vest at the end of each full month for 36 months following the initial grant date of May 19, 2000, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with an option to purchase 3,853 shares of Advanced Medical Optics, Inc. common stock for $31.83 per share.
5. This option, which provided for vesting at 25% of the shares subject to the option vest upon the first anniversary of the grant and 1/48 of the shares subject to the option vest at the end of each full month for 36 months following the initial grant date of May 4, 2001, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with an option to purchase 3,853 shares of Advanced Medical Optics, Inc. common stock for $33.72 per share.
6. This option, which provided for vesting at 25% of the shares subject to the option vest upon the first anniversary of the grant and 1/48 of the shares subject to the option vest at the end of each full month for 36 months following the initial grant date of May 3, 2002, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with an option to purchase 3,853 shares of Advanced Medical Optics, Inc. common stock for $25.11 per share.
7. This option, which was fully vested as of the grant date of May 23, 2003, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with an option to purchase 6,422 shares of Advanced Medical Optics, Inc. common stock for $26.57 per share.
8. The phantom stock was credited to the Reporting Person's account under the 1995 Director Option and Stock Deferral Plan and upon exercise will be settled in common stock on a 1-for-1 basis.
9. This right, which becomes payable in common stock following the Reporting Person's termination of service as a director, in accordance with the deferral election made by the Reporting Person pursuant to the 1995 Director Option and Stock Deferral Plan, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with 1,130 shares of Advanced Medical Optics, Inc. common stock for $26.58 per share.
10. This option, which was fully vested as of the grant date of May 13, 2004, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with an option to purchase 6,422 shares of Advanced Medical Optics, Inc. common stock for $35.57 per share.
11. This right, which becomes payable in common stock following the Reporting Person's termination of service as a director, in accordance with the deferral election made by the Reporting Person pursuant to the 1995 Director Option and Stock Deferral Plan, was assumed by Advanced Medical Optics, Inc. in the merger and replaced with 843 shares of Advanced Medical Optics, Inc. common stock for $35.61 per share.
Remarks:
Jay T. Holmes 06/01/2005
** Signature of Reporting Person Date
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