/------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-0287 / / Expires: September 30, 1998 / / Estimated average burden / / hours per response...... 0.5 / /------------------------------/ - ---------- 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 Reminder: Report on a separate line for each class of securities beneficially owned directly on indirectly. (Print or Type Responses)
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to Issuer (Check all applicable) Good Steven OSI Systems, Inc. (OSIS) X Director ___ 10% Owner - --------------------------------------------------------------------------------------- --- (Last) (First) (Middle) ___ Officer (give ___ Other (specify title below) C/O OSI Systems, Inc. 3. IRS or Social Security 4. Statement for Month/Year below) 12525 Chadron Avenue Number of Reporting Person (Voluntary) _________________________ 9/2001 - -------------------------- -------------------------------------------------------------------------- (Street) 5. If Amendment, Date of 7. Individual or Joint/Group Filing Original (Month/Year) (Check applicable line) X Form filed by One Reporting --- Person ____ Form filed by More than One Hawthore Ca. 90250 Reporting Person - ------------------------------------------------------------------------------------------------------------------------------------ (City) (State) (Zip) Table I -- Non Derivative Securities Acquired, Disposed of, or Beneficially Owned * If the Form is filed by more than one Reporting Person, see Instruction 4(b)(v). - ------------------------------------------------------------------------------------------------------------------------------------ 1. Title of Security 2. Trans- 3. Transaction 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of (Instr. 3) action Code or Disposed of (D) Securities Form: Indirect Date (Instr. 8) (Instr. 3, 4 and 5) Beneficially Direct (D) Beneficial (Month/ Owned at End or Indirect Ownership Day/ ----------------------------------------------- of Month (I) (Instr. 4) Year) Code V Amount (A) or Price (Instr. 3 and 4) (Instr. 4) (D) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 100 D $6.67 I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 100 D $6.73 I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 300 D $6.62 I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 300 D $6.70 I GOOD, SWARTZ - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 800 D $6.75 I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 1400 D $6.60 I RERNS - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 2000 D $6.65 I - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 5000 D $7.00 I PENSION - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 9/20/01 S 5000 D $7.50 10,000 I PROFIT - ------------------------------------------------------------------------------------------------------------------------------------ SHARING PLAN (Over) Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a) /s/ Steven Good 3/8/02 ------------------------------- ----------------- **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.
- ----------------------------------------------------------------------------------------------------------------------------- 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 Acquired (A) or Price of (Instr. 8) Disposed (D) of Derivative (Month/ Security Day/Year) (Instr. 3, 4, and 5) --------------------------------------------------- Code V (A) (D) - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ 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 Deriv- ative Form of In- Date (Instr. 3 and 4) ative Secur- of De- direct Secur- ities rivative Bene- (Month/Day/ ity Bene- Security: ficial Year) ficially Direct (D) Owner- -------------------------------------------- (Instr. Owned or Indirect ship Date Expira- Amount or 5) at End (I) (Instr. Exer- tion Title Number of of 4) cisable Date Shares Month (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------