/------------------------------/ / 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 or indirectly. (Print or Type Responses) (Over)1. Name and Address of Reporting Person* 2. Issuer Name and Ticker 6. Relationship of Reporting Person to Issuer or Trading Symbol (Check all applicable) SYAL MADAN OSI SYSTEMS, INC. (OSIS) X Director ___ 10% Owner --- ___ Other (specify - -------------------------------------------------------------------------------------- ___ Officer (give below) (Last) (First) (Middle) 3. IRS or Social Security 4. Statement for title below) Number of Reporting Month/Year C/O OSI Systems, Inc. Person (Voluntary) ____________________ 12525 Chadron Avenue 2/02 - --------------------------------------------- -------------------------------------------------------- (Street) 5. If Amendment, 7. Individual or Joint/Group Filing Date of (Check applicable Line) Hawthorne CA 90250 Original XX Form filed by One Reporting Person (Month/Year) ---- ____ 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 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 2/07/02 S 8,000 D $22.85 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/07/02 S 20,000 D $23.16 - ------------------------------------------------------------------------------------------------------------------------------------ Common Stock 2/07/02 S 7,625 D $23.79 50,000 I By Syal - ------------------------------------------------------------------------------------------------------------------------------------ Trust - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ 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. Conver- 3. Trans- 4. Transac- 5. Number of Security (Instr. 3) sion or action tion Code Derivative Exercise Date Securities Price of (Instr. 8) Acquired (A) or Derivative (Month/ Disposed (D) of 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. 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 Security: (Month/Day/ (Instr. 5) Owned at Direct (D) (Instr. 4) Year) End of or Indirect -------------------------------------------- Month (I) Date Expira- Title Amount or Exer- tion Number of (Instr. 4) (Instr. 4) cisable Date Shares - ----------------------------------------------------------------------------------- -------------------------------- --------------- - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ - ------------------------------------------------------------------------------------------------------------------------------------ Explanation of Responses: ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. /s/ Madan Syal 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.