EX-99.(A)(6) 8 a2082196zex-99_a6.txt EXHIBIT (A)(6) EXHIBIT (a)(6) FORM OF STATEMENT OF STOCK OPTION GRANTS SEPRACOR INC. OPTIONEE ACTIVITY FOR ALL SHAREHOLDERS ALL TYPES--ALL PLANS, ALL GRANTS, AS OF JUNE 11, 2002
OPTION HOLDER NAME GRANT PLAN / NEXT VEST GRANT NO. TYPE DATE ------------------ --------- ----------------------------------------------------------- ----------------------------- [Insert Name and Address] (Tax ID) Plan / Next Vest: [--] [Insert Date] [Insert Type] [Insert Date] Plan / Next Vest: [--] [Insert Date] [Insert Type] [Insert Date] Plan / Next Vest: [--] [Insert Date] [Insert Type] [Insert Date] --------- ----------------------------------------------------------- ----------------------------- Totals for [Insert Name] EXPIRED OPTION HOLDER NAME SUBJECT TO CANCELLED PLAN / NEXT VEST SHARES PRICE VESTED EXERCISED REPURCHASE OR AMENDED OUTSTANDING ------------------ ------------------------ -------- -------- --------- ----------- ----------- ----------- [Insert Name and Address] Plan / Next Vest: [ ] $ Plan / Next Vest: [ ] $ Plan / Next Vest: [ ] $ ------------------------ -------- --- --- --- --- --- Totals for [Insert Na [ ] $ ======================== ======== === === === === === OPTION HOLDER NAME OUTSTANDING OUTSTANDING PLAN / NEXT VEST UN-VESTED EXERCISABLE ------------------ ----------- ----------- [Insert Name and Address] Plan / Next Vest: Plan / Next Vest: Plan / Next Vest: --- --- Totals for [Insert Na === ===