-----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, ULyhDCNklC5largXSvZK6n6l+ysqu26azPZ6uJATrIreIZ14CUKaFOkjvYsniN7z 7NFg41JYXZLXWO+Gv0QXZQ== 0000897069-04-001275.txt : 20040706 0000897069-04-001275.hdr.sgml : 20040705 20040706183858 ACCESSION NUMBER: 0000897069-04-001275 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20040630 FILED AS OF DATE: 20040706 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FARO TECHNOLOGIES INC CENTRAL INDEX KEY: 0000917491 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 593157093 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746-6204 BUSINESS PHONE: 4073339911 MAIL ADDRESS: STREET 1: FARO TECHNOLOGIES INC STREET 2: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RAAB SIMON CENTRAL INDEX KEY: 0001061096 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-23081 FILM NUMBER: 04903254 BUSINESS ADDRESS: STREET 1: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746 BUSINESS PHONE: 4073339911 MAIL ADDRESS: STREET 1: FARO TECHNOLOGIES INC STREET 2: 125 TECHNOLOGY PARK CITY: LAKE MARY STATE: FL ZIP: 32746 4 1 dkm275_ex.xml X0202 4 2004-06-30 0 0000917491 FARO TECHNOLOGIES INC FARO 0001061096 RAAB SIMON 125 TECHNOLOGY PARK LAKE MARY FL 32746 1 1 1 0 President and CEO Common Stock, par value $.001 2084108 I Note 1 Common Stock, par value $.001 102000 I Note 2 Common Stock, par value $.001 169721 D Contract 2004-06-30 2004-07-01 4 J 0 250000 A 2005-03-30 Common Stock 250000 250000 I See Note 7 Contract 2004-06-30 2004-07-01 4 J 0 250000 A 2005-11-30 Common Stock 250000 250000 I See Note 7 Contract 2004-06-30 2004-07-01 4 J 0 250000 A 2006-03-30 Common Stock 250000 250000 I See Note 7 Represents shares held by Xenon Research, Inc., a corporation in which the reporting person has investment control over the shares of the issuer owned by such corporation. The reporting person and his wife, Diana Raab, own all of the outstanding shares of Xenon Research, Inc. Represents shares held by a revocable trust of which the reporting person is the settlor and trustee. See attached exhibit. See attached exhibit. See attached exhibit. See attached exhibit. Represents shares held by Xenon Research, Inc., a corporation in which the reporting person has investment control over the shares of the issuer owned by such corporation. The reporting person and his wife, Diana Raab, own all of the outstanding shares of Xenon Research, Inc. /s/ Martin A. Traber, Attorney-in-fact for Simon Raab 2004-07-06 EX-99 2 dkm275a.txt Exhibit 99 ---------- 1. The transactions reported on this Form 4 were effected pursuant to Rule 10b5-1 trading plan adopted by reporting person on June 10, 2004. 2. On June 10, 2004, the Reporting Person entered into a Prepaid Forward Agreement (the "Forward Agreement") relating to the forward sale of up to 750,000 shares of common stock in three tranches. On June 30, 2004, the counterparty to the Forward Agreement sold 750,000 shares of common stock into the public market in accordance with paragraphs (f) and (g) of Rule 144 under the Securities Act of 1933, as amended, at a weighted-average per share price equal to $25.8978 (the "Floor Price"). The terms of the first tranche provide that three business days after March 30, 2005 (the "Maturity Date"), the Reporting Person will deliver to the counterparty to the Forward Agreement a number of shares of common stock (or, at the election of the Reporting Person, the cash equivalent of such shares) based on the following: (a) if the price per share of common stock, determined in accordance with the terms of the tranche, for the Maturity Date (the"Final Price") is equal to or less than the Floor Price, the Reporting Person will deliver 250,000 shares; (b) if the Final Price is greater than the Floor Price but less than $35.00 (the "Cap Price"), the Reporting Person will deliver a number of shares equal to Floor Price/Final Price x 250,000; (c) if the Final Price is equal to or greater than the Cap Price, the Reporting Person will deliver a number of shares equal to the product of (i) 250,000 x (ii) the sum of (Floor Price/Final Price) + (Final Price-Cap Price/Final Price). In consideration of the first tranche of the Forward Agreement, the Reporting Person received $5,612,053.26. 3. On June 10, 2004, the Reporting Person entered into a Prepaid Forward Agreement (the "Forward Agreement") relating to the forward sale of up to 750,000 shares of common stock in three tranches. On June 30, 2004, the counterparty to the Forward Agreement sold 750,000 shares of common stock into the public market in accordance with paragraphs (f) and (g) of Rule 144 under the Securities Act of 1933, as amended, at a weighted-average per share price equal to $25.8978 (the "Floor Price"). The terms of the second tranche provide that three business days after November 30, 2005 (the "Maturity Date"), the Reporting Person will deliver to the counterparty to the Forward Agreement a number of shares of common stock (or, at the election of the Reporting Person, the cash equivalent of such shares) based on the following: (a) if the price per share of common stock, determined in accordance with the terms of the tranche, for the Maturity Date (the"Final Price") is equal to or less than the Floor Price, the Reporting Person will deliver 250,000 shares; (b) if the Final Price is greater than the Floor Price but less than $40.00 (the "Cap Price"), the Reporting Person will deliver a number of shares equal to Floor Price/Final Price x 250,000; (c) if the Final Price is equal to or greater than the Cap Price, the Reporting Person will deliver a number of shares equal to the product of (i) 250,000 x (ii) the sum of (Floor Price/Final Price) + (Final Price-Cap Price/Final Price). In consideration of the second tranche of the Forward Agreement, the Reporting Person received $5,273,434.53. 4. On June 10, 2004, the Reporting Person entered into a Prepaid Forward Agreement (the "Forward Agreement") relating to the forward sale of up to 750,000 shares of common stock in three tranches. On June 30, 2004, the counterparty to the Forward Agreement sold 750,000 shares of common stock into the public market in accordance with paragraphs (f) and (g) of Rule 144 under the Securities Act of 1933, as amended, at a weighted-average per share price equal to $25.8978 (the "Floor Price"). The terms of the third tranche provide that three business days after March 30, 2006 (the "Maturity Date"), the Reporting Person will deliver to the counterparty to the Forward Agreement a number of shares of common stock (or, at the election of the Reporting Person, the cash equivalent of such shares) based on the following: (a) if the price per share of common stock, determined in accordance with the terms of the tranche, for the Maturity Date (the"Final Price") is equal to or less than the Floor Price, the Reporting Person will deliver 250,000 shares; (b) if the Final Price is greater than the Floor Price but less than $42.00 (the "Cap Price"), the Reporting Person will deliver a number of shares equal to Floor Price/Final Price x 250,000; (c) if the Final Price is equal to or greater than the Cap Price, the Reporting Person will deliver a number of shares equal to the product of (i) 250,000 x (ii) the sum of (Floor Price/Final Price) + (Final Price-Cap Price/Final Price). In consideration of the third tranche of the Forward Agreement, the Reporting Person received $5,121,937.40. 2 -----END PRIVACY-ENHANCED MESSAGE-----