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*
Elich Michael L

(Last) (First) (Middle)
4724 SW MACADAM AVENUE

(Street)
PORTLAND OR 97239

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
05/12/2005
3. Issuer Name and Ticker or Trading Symbol
BARRETT BUSINESS SERVICES INC [ BBSI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
VP and Chief Operating Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
05/17/2005
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)
Common Stock 3,000(1) D
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
Employee Stock Option (Right to Buy) (2) 10/01/2011 Common Stock 15,000 $2.7 D
Employee Stock Option (Right to Buy) (3) 08/20/2012 Common Stock 7,500 $2 D
Employee Stock Option (Right to Buy) (4) 06/04/2013 Common Stock 16,875 $2.01 D
Employee Stock Option (Right to Buy) (5) 03/04/2014 Common Stock 3,873 $9.27 D
Explanation of Responses:
1. All share amounts in this amendment to Form 3 reflect adjustment for a 3-for-2 stock split effected May 19, 2005.
2. Currently exercisable with respect to 11,250 shares; 3,750 shares vesting October 1, 2005.
3. 3,750 shares vesting August 20, 2005; 3,750 shares vesting August 20, 2006.
4. Currently exercisable with respect to 5,625 shares; 5,625 shares vesting June 4, 2006; and 5,625 shares vesting June 4, 2007.
5. Currently exercisable with respect to 968 shares; 968 shares vesting March 4, 2006; 968 shares vesting March 4, 2007; and 969 shares vesting March 4, 2008.
Remarks:
, as attorney-in-fact
Michael D. Mulholland 06/16/2005
** 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.