Prepared by R.R. Donnelley Financial -- Form 5

 
Form 5
 

[_] Check box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
[_] Form 3 Holdings Reported
[_] Form 4 Transactions Reported
 
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
 
ANNUAL 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


 
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1.   Name and Address of Reporting Person*
 
    Syal            Madan

 
2.   Issuer Name and Ticker or Trading Symbol
 
OSI Systems, Inc (OSIS)
 
6.   Relationship of Reporting Person(s) to Issuer
(Check all applicable)
 
X Director     _ 10% Owner
_  Officer (give title below)
_  Other (specify below)
 
                                                                            



   
(Last)            (First)        (Middle)
 
3.   I.R.S. Social Security Number of Reporting Person,
(Voluntary)
 
4.   Statement for Month/Year
 
C/o OSI Systems, Inc.
12525 Chadron Avenue
     
6/02
 

   



(Street)
 
 
 
Hawthorne, CA  90250

(City)            (State)            (Zip)
     
5.   If Amendment, Date of Original (Month/Year)
 
 
7.   Individual or Joint/Group Filing
(Check ApplicableLine)
_  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 of Security
(Instr. 3)
 
2.   Transaction Date
(Month/Day/Year)
 
3.   Transaction Code
(Instr. 8)
 
4.   Securities Acquired (A) or Disposed of (D)
( Instr. 3, 4 and 5)
 
5.   Amount of Securities Beneficially Owned at the end of Issuer’s Fiscal Year (Instr. 3 and 4)
 
6.   Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
 
7.   Nature of
Indirect
Beneficial Ownership (Instr. 4)
         

           
           
Amount
 
(A) or (D)
 
Price
     
                           

















                                 

















                                 

















                                 

















                                 

















                                 

















                                 

















*
 
If the form is filed by more than one reporting person, see instruction 4(b)(v).                    (Print or Type Responses)         (Over)



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)  
 
2.   Conversion
or Exercise Price of Derivative Security
 
3.   Transaction Date
(Month/Day/Year)
 
4.   Transaction Code
(Instr. 8)
 
5.   Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
 
6.   Date Exercisable and Expiration Date (Month/Day/Year)
 
7.   Title and Amount of Underlying Securities (Instr. 3
and 4)
 
8.   Price of
Derivative Security
(Instr. 5)
 
9.   Number of Derivative Securities Beneficially Owned at
End of Year (Instr. 4)
 
10.   Ownership Form of Derivative Security:
Direct (D) or Indirect (I) (Instr. 4)
 
11.   Nature
of Indirect Beneficial Ownership (Instr. 4)
             











               
               
    (A)    
 
    (D)    
 
Date
Exercisable
 
Expiration Date
 
    Title    
 
Amount or Number of Shares
               



























Options to Purchase
 
19.95
 
1/29/02
 
A
 
5000
     
1
 
1/29/07
 
Common Stock
 
5000
         
D
   



























Common Stock
                                                   



























Options to Purchase
 
13.50
 
5/31/02
 
J
     
5000
 
2
 
5/31/02
 
Common Stock
 
5000
     
25,000
 
D
   



























Common Stock
                                                   



























                                                     



























                                                     



























                                                     



























                                                     



























                                                     



























                                                     



























Explanation of Responses:
 
1
 
Vested over three year period from the date of grant
2
 
Expired 5,000 Option to purchase common stock on 5/31/02
 
 
 
 
/Sd/
                                                                                                                                                                               
    
8/10/02
                                                                                                                                                                               
**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).
 
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