4 1 d4.txt STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP +--------+ /------------------------------/ | FORM 4 | UNITED STATES SECURITIES AND EXCHANGE COMMISSION / OMB APPROVAL / +--------+ WASHINGTON, D.C. 20549 /------------------------------/ [_] Check this box if / OMB Number: 3235-0287 / no longer subject STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP / Expires: September 30, 1998 / to Section 16. / Estimated average burden / Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities / hours per response...... 0.5 / obligations may Exchange Act of 1934, Section 17(a) of the /------------------------------/ continue. See Public Utility Holding Company Act of 1935 or Instruction 1(b). Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses)
-------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Lindholm Randy D. -------------------------------------------------------------------------------- (Last) (First) (Middle) 46107 Landing Parkway -------------------------------------------------------------------------------- (Street) Fremont CA 94538 -------------------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol VidaMed, Inc. (VIDA) ----------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (Voluntary) -------------- 4. Statement for Month/Year October 2001 --------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) --------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) [X] Director [X] Officer [_] 10% Owner [_] Other (give title below) (specify below) President, Chief Executive Officer & Chairman of the Board ---------------------------------------------------------------- 7. 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 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of action action or Disposed of (D) Securities ship of In- Security Date Code (Instr. 3, 4 and 5) Beneficially Form: direct (Instr. 3) (Month/ (Instr. 8) Owned at Direct Bene- Day/ ----------------------------------------------- End of (D) or ficial Year) Month Indirect Owner- Code V Amount (A) or Price (Instr. 3 and 4) (I) ship (D) (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/11/01 M 10,000 A $0.781 D ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 10/11/01 S 10,000 D $ 4.50 28,827 D (1) ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. * If this form is filed by more than one reporting person, see Instruction 4(b)(v). 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. (Over) FORM 4 (continued) Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
----------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Conver- 3. Trans- 4. Transac- 5. Number of Deriv- Security (Instr. 3) sion or action tion Code ative Securities Exercise Date (Instr. 8) Acquired (A) or Price of (Month/ Disposed of (D) Deriv- Day/ (Instr. 3, 4, and 5) ative Year) Security --------------------------------------------------- Code V (A) (D) ----------------------------------------------------------------------------------------------------------------------------- Employee Stock Option $0.781 10/11/01 M 10,000 (right to buy) ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------
Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
------------------------------------------------------------------------------------------------------------------------------------ 6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Na- cisable and Underlying Securities of of Deriv- ship ture Expiration (Instr. 3 and 4) Deriv- ative Form of In- Date ative Secur- of De- direct (Month/Day/ Secur- ities rivative Bene- Year) ity Bene- Security: ficial (Instr. ficially Direct Owner- -------------------------------------------- 5) Owned (D) or ship Date Expira- Amount or at End Indirect (Instr. Exer- tion Title Number of of I) 4) cisable Date Shares Month (Instr. 4) (Instr. 4) ------------------------------------------------------------------------------------------------------------------------------------ 10/9/99 10/9/08 Common 10,000 79,996 D (2) Stock ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------
Explanation of Responses: (1) The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 22, 2001 (2) 25% of the option becomes exercisable within one year of the grant date, October 9, 1998, and 1/48th per month thereafter until fully exercised /s/ Randy D. Lindholm 10/15/01 ------------------------------- ----------------- **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. Page 2