- ---------- ------------------------------ FORM 4 OMB APPROVAL - ---------- ------------------------------ [_] Check this box if OMB Number: 3235-0287 no longer subject Expires: September 30, 1998 to Section 16. Estimated average burden Form 4 or Form 5 hours per response...... 0.5 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 - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Kotowski Andreas - -------------------------------------------------------------------------------- (Last) (First) (Middle) C/O OSI Systems, Inc. 12525 Chadron Avenue - -------------------------------------------------------------------------------- (Street) Hawthorne CA 90250 - -------------------------------------------------------------------------------- (City) (State) (Zip) 2. Issuer Name and Ticker or Trading Symbol OSI Systems, Inc. (OSIS) ----------------------------------- 3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) ---------------------------------------------------------------- 4. Statement for Month/Year 3/02 --------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) --------------------------------- 6. Relationship of Reporting Person(s) to Issuer (Check all applicable) ___ Director X Officer ___ 10% Owner ___ Other --- (give title below) (specify below) Chief Technology Officer -------------------------- 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 * If the Form if filed by more than one Reporting Person, see Instruction 4(b)(v) Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Print or Type Responses)
- ------------------------------------------------------------------------------------------------------------------------------------ 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 3-4-02 M 20,000 A $11.50 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3-4-02 M 29,529 A $11.50 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3-4-02 S 5,000 D $22.00 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3-4-02 S 20,000 D $20.90 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 3-5-02 S 14,000 D $22.10 57,818 - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) Explanation of Responses: (1) Entire Employee Stock Options are vested. /s/ Andy Kotowski 4/2/02 ------------------------------- ---------- **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 provided is insufficient, see Instruction 6 for procedure. Page 2
- ----------------------------------------------------------------------------------------------------------------------------- 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 $11.50 3-4-02 M 20,000 - ----------------------------------------------------------------------------------------------------------------------------- Employee Stock Option $11.50 3-4-02 M 24,529 - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- 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- Securities ficial (Instr. ficially Bene- Owner- -------------------------------------------- 5) Owned ficially ship Date Expira- Amount or at End Owned at (Instr. Exer- tion Title Number of of End of 4) cisable Date Shares Month Month(1) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------- (1) 5/31/02 Common stock 20,000 $11.50 - ------------------------------------------------------------------------------------------------------- (1) 5/31/02 Common stock 29,529 $11.50 - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------- - -------------------------------------------------------------------------------------------------------