/------------------------------/ / OMB APPROVAL / /------------------------------/ / OMB Number: 3235-026 / / Expires: September 30, 1998 / / Estimated average burden / / hours per response...... 0.4 / /------------------------------/ +--------+ | 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 or indirectly. (Print or Type Responses) (Over)
- ------------------------------------------------------------------------------------------------------------------------------------ 1. Name and Address of 2. Issuer Name and Ticker 6. Relationship of Reporting Person to Reporting Person* or Trading Symbol Issuer (Check all applicable) X Director ___ 10% Owner --- Good Steven OSI Systems, Inc. (OSIS) ___ Officer (give ___ Other (specify - ------------------------------------------------------------------------------------------ title below) below) (Last) (First) (Middle) 3. I.R.S. or Social Security 4. Statement for Number of Reporting Month/Year _____________________ C/O OSI Systems, Inc. Person (Voluntary) 12525 Chadron Avenue 2/2002 - ------------------------------------ -------------------- (Street) 5. If Amendment, 7. Individual or Joint/Group Filing Date of Original (Check applicable line) (Month/Year) X Form filed by One Reporting ---- Person Hawthorne Ca. 90250 ____ Form filed by More than One 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 2. Trans- 3. Trans- 4. Securities Acquired (A) 5. Amount of 6. Owner- 7. Nature of action action Code or Disposed of (D) Securities ship of In- Security Date (Instr. 8) (Instr. 3, 4 and 5) Beneficially Form: direct (Instr. 3) ----------------------------------------------- Owned at Direct Bene- (Month/ End of (D) or ficial Day/ Month Indirect Owner- Year) Code V Amount (A) or Price (Instr. 3 and 4) (I) ship (D) (Instr. 4) (Instr. 4) - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/6/02 M 5000 A $13.50 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/6/02 M 5000 A $11.10 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/8/02 S 5000 D $21.56 D - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/11/02 S 5000 D $21.98 0 D - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Table II--Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) Page 2
- ----------------------------------------------------------------------------------------------------------------------------- 1. Title of Derivative 2. Conversion 3. Trans- 4. Transac- 5. Number of Deriv- Security (Instr. 3) or Exercise action tion Code ative Securities Price of Date Acquired (A) or Derivative (Instr. 8) Disposed of (D) Security (Month/ Day/ (Instr. 3, 4, and 5) Year) --------------------------------------------------- Code V (A) (D) - ----------------------------------------------------------------------------------------------------------------------------- Incentive Stk Optn $13.50 2-6-02 M 5000 - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- Incentive Stk Optn $11.10 2-6-02 M 5000 - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ----------------------------------------------------------------------------------------------------------------------------- - ------------------------------------------------------------------------------------------------------------------------------------ 6. Date Exer- 7. Title and Amount of 8. Price 9. Number 10. Owner- 11. Nature cisable and Underlying Securities of Deri- of Deriva- ship of Indirect Expiration vative tive Form of Beneficial Date (Instr. 3 and 4) Security Securities Derivative Ownership Beneficially Securities (Month/Day/ (Instr. 5) Owned at Direct (D) (Instr. 4) Year) End of or Indirect -------------------------------------------- Month (I) Date Expira- Amount or Exer- tion Title Number of (Instr. 4) (Instr. 4) cisable Date Shares - ----------------------------------------------------------------------------------- -------------------------------- --------------- - ------------------------------------------------------------------------------------------------------------------------------------ (1) 5/31/02 Common 5000 $ 13.50 Stock - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ (1) 6/23/03 Common 5000 $ 11.10 Stock - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: (1) Entire stock options are vested. ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Steven Good 3/8/02 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.