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| FORM 4 | U.S. SECURITIES AND EXCHANGE COMMISSION
+--------+ WASHINGTON, D.C. 20549
[_] Check this box if
no longer subject STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
to Section 16.
Form 4 or Form 5 Filed pursuant to Section 16(a) of the Securities
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
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1. Name and Address of Reporting Person*
Hickman Thomas
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(Last) (First) (Middle)
12525 Chadron Avenue
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(Street)
Hawthorne California 90250
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(City) (State) (Zip)
* If the Form is filed by more than one Reporting
Person, see Instruction 4(b)(v).
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2. Issuer Name and Ticker or Trading Symbol OSI SYSTEMS, INC. (OSIS)
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3. IRS or Social Security
Number of Reporting
Person (Voluntary)
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4. Statement for Month/Year 7/01
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer (Check all applicable)
X Director ___ Officer ___ 10% Owner ___ Other
--- (give title below) (specify below)
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7. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
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____ Form filed by More than One Reporting Person
Table I--Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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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)
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Common Stock 6/01/01 M $37,500 A $2.50 15,000 D
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(Over)
Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
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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 (D) of
Deriv- Day/ (Instr. 3, 4, and 5)
ative Year)
Security
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Code V (A) (D)
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Emplpyee Stock Option $2.50 6/1/01 M 15,000
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6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Nature
cisable and Underlying Securities of of Deriv- ship Form of In-
Expiration (Instr. 3 and 4) Deriv- ative of De- direct
Date ative Secur- rivative Bene-
(Month/Day/ Secur- ities Secu- ficial
Year) ity Bene- rity: Owner-
(Instr. 5) ficially Direct ship
-------------------------------------------- Owned (D) or (Instr. 4)
Date Expira- Amount or at End Indirect
Exer- tion Title Number of of month (1)
cisable Date Shares (Instr. 4) (Instr. 4)
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(1) 6/4/01 Common Stock 15,000 $2.50
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Explanation of Responses:
(1) Entire employee stock option is vested.
** Intentional misstatements or omissions of facts constitute Federal /s/ Thomas Hickman 7/13/01
Criminal Violations. --------------------------------- ----------
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ** Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
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