-----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, PPCMAer6stuZKr99fUBistSifI8m0eLS1D0CAYPI9rHnZWqiEafjLtsRwoFKtHrV aW1pHIRtvJy4HKF9KY2y7Q== 0000935836-00-000229.txt : 20000428 0000935836-00-000229.hdr.sgml : 20000428 ACCESSION NUMBER: 0000935836-00-000229 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000301 FILED AS OF DATE: 20000427 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: VIDAMED INC CENTRAL INDEX KEY: 0000929900 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 770314454 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 000-26082 FILM NUMBER: 611149 BUSINESS ADDRESS: STREET 1: 46107 LANDING PARKWAY STREET 2: SUITE 101 CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 5104924900 MAIL ADDRESS: STREET 1: 46107 LANDING PARKWAY STREET 2: STE 101 CITY: FREMONT STATE: CA ZIP: 94538 COMPANY DATA: COMPANY CONFORMED NAME: VIDAMED INC CENTRAL INDEX KEY: 0000929900 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] DIRECTOR IRS NUMBER: 770314454 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 46107 LANDING PARKWAY STREET 2: SUITE 101 CITY: FREMONT STATE: CA ZIP: 94538 BUSINESS PHONE: 5104924900 MAIL ADDRESS: STREET 1: 46107 LANDING PARKWAY STREET 2: STE 101 CITY: FREMONT STATE: CA ZIP: 94538 4 1 OMB Number 3235-0287 Expires: September 30, 1998 Estimated average burden hours per response 0.5 FORM 4 /XX/ Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). U.S. 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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) 1. Name and Address of Reporting Person Illingworth, David J., 10315 102nd Terrace, Sebastian, FL 32958 (Last) (First) (Middle), (Street), (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol: VidaMed, Inc. (VIDA) 3. IRS or Social Security Number of Reporting Person (Voluntary): 4. Statement for Month/Year: March 2000 5. If Amendment, Date of Original (Month/Year): ___________ 6. Relationship of reporting person to issuer (Check all applicable) _XX_ Director ____ 10% Owner ____ Officer (give ____ Other (specify title below) below) Resigned on Director on March 16, 2000 7. Individual or Joint/Group Filing (Check Applicable line) _XX_ Form filed by one Reporting Person ____ Form filed by More than One Reporting Person FORM 4 (continued) Page 2 of 9 Pages Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned 1. Title of Security (Instr. 3): Common Stock 2. Transaction Date (Month/Day/Year): 02/10/00 3. Transaction Code (Instr. 8) Code: ___M___ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount: 171,875 (A) or (D) ___A___ Price: $3.688 5. Amount of Securities Beneficially Owned at End of Month (Inst. 3 and 4) _________________ 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): _________ 7. Nature of Indirect Beneficial Ownership (Inst. 4): _____________ 1. Title of Security (Instr. 3): Common Stock 2. Transaction Date (Month/Day/Year): 02/10/00 3. Transaction Code (Instr. 8) Code: ___M___ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount: 83,333 (A) or (D) ___A___ Price: $0.781 5. Amount of Securities Beneficially Owned at End of Month (Inst. 3 and 4) _________________ 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): _________ 7. Nature of Indirect Beneficial Ownership (Inst. 4): _____________ FORM 4 (continued) Page 3 of 9 Pages 1. Title of Security (Instr. 3): Common Stock 2. Transaction Date (Month/Day/Year): 02/10/00 3. Transaction Code (Instr. 8) Code: ___M___ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount: 2,500 (A) or (D) ___A___ Price: $2.00 5. Amount of Securities Beneficially Owned at End of Month (Inst. 3 and 4) _________________ 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): _________ 7. Nature of Indirect Beneficial Ownership (Inst. 4): _____________ 1. Title of Security (Instr. 3): Common Stock 2. Transaction Date (Month/Day/Year): 02/10/00 3. Transaction Code (Instr. 8) Code: ___S___ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount: 171,875 (A) or (D) ___A___ Price: $4.154 5. Amount of Securities Beneficially Owned at End of Month (Inst. 3 and 4) _________________ 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): _________ 7. Nature of Indirect Beneficial Ownership (Inst. 4): _____________ FORM 4 (continued) Page 4 of 9 Pages 1. Title of Security (Instr. 3): Common Stock 2. Transaction Date (Month/Day/Year): 02/10/00 3. Transaction Code (Instr. 8) Code: ___S___ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount: 83,333 (A) or (D) ___A___ Price: $4.156 5. Amount of Securities Beneficially Owned at End of Month (Inst. 3 and 4) _________________ 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): _________ 7. Nature of Indirect Beneficial Ownership (Inst. 4): _____________ 1. Title of Security (Instr. 3): Common Stock 2. Transaction Date (Month/Day/Year): 02/10/00 3. Transaction Code (Instr. 8) Code: ___S___ 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) Amount: 2,500 (A) or (D) ___A___ Price: $4.156 5. Amount of Securities Beneficially Owned at End of Month (Inst. 3 and 4) 20,000 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4): ___D__ 7. Nature of Indirect Beneficial Ownership (Inst. 4): _____________ 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 4(b)(v). SEC 1474 (7-96) FORM 4 (continued) Page 5 of 9 Pages 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): Employee Stock Option (right to buy) 2. Conversion or Exercise Price of Derivative Security: $3.688 3. Transaction Date (Month/Day/Year): 2/10/00 4. Transaction Code (Instr. 8) Code __M__ 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) (A) _____________ (D) 171,875 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date __(1)___________ 02/03/08 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) Title: Common Stock Amount or Number of Shares: 171,875 8. Price of Derivative Security (Instr. 5) _______________ 9. Number of derivative Securities Beneficially Owned at End of Month (Instr. 4) 0 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) D 11. Nature of Indirect Beneficial Ownership (Inst. 4) _____________________________________________________________________ FORM 4 (continued) Page 6 of 9 Pages 1. Title of Derivative Security (Instr. 3): Employee Stock Option (right to buy) 2. Conversion or Exercise Price of Derivative Security: $0.781 3. Transaction Date (Month/Day/Year): 2/10/00 4. Transaction Code (Instr. 8) Code __M__ 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) (A) _____________ (D) 83,333 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date __(1)___________ 10/08/08 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) Title: Common Stock Amount or Number of Shares: 83,333 8. Price of Derivative Security (Instr. 5) _______________ 9. Number of derivative Securities Beneficially Owned at End of Month (Instr. 4) 0 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) D 11. Nature of Indirect Beneficial Ownership (Inst. 4) _____________________________________________________________________ FORM 4 (continued) Page 7 of 9 Pages 1. Title of Derivative Security (Instr. 3): Director Stock Option (right to buy) 2. Conversion or Exercise Price of Derivative Security: $2.00 3. Transaction Date (Month/Day/Year): 2/10/00 4. Transaction Code (Instr. 8) Code __M__ 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) (A) _____________ (D) 2,500 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date 01/03/00 01/02/10 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) Title: Common Stock Amount or Number of Shares: 2,500 8. Price of Derivative Security (Instr. 5) _______________ 9. Number of derivative Securities Beneficially Owned at End of Month (Instr. 4) 0 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) D 11. Nature of Indirect Beneficial Ownership (Inst. 4) _____________________________________________________________________ FORM 4 (continued) Page 8 of 9 Pages 1. Title of Derivative Security (Instr. 3): Director Stock Option (right to buy) 2. Conversion or Exercise Price of Derivative Security: $2.00 3. Transaction Date (Month/Day/Year): 01/03/00 4. Transaction Code (Instr. 8) Code __A__ V 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) (A) 5,000 (D) 6. Date Exercisable and Expiration Date (Month/Day/Year) Date Exercisable Expiration Date 01/03/00 01/02/10 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) Title: Common Stock Amount or Number of Shares: 5,000 8. Price of Derivative Security (Instr. 5) _______________ 9. Number of derivative Securities Beneficially Owned at End of Month (Instr. 4) 2,500 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) D 11. Nature of Indirect Beneficial Ownership (Inst. 4) _____________________________________________________________________ Explanation of Responses: (1) One-fourth of the total number of shares shall be exercisable at the end of one year following the grant date indicated in Column 3, and an additional 1/48th shall be exercisable at the end of each month thereafter, so that all of the shares will be exercisable at the end of four years from the grant date. FORM 4 (continued) Page 9 of 9 Pages /s/ Illingworth, David J. 4/26/00 **Signature of Reporting Person Date ** 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. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. SEC 1474 (7-96) CRK\5402\002\1097489.01 4/27/2000 1:57 -----END PRIVACY-ENHANCED MESSAGE-----