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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (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 Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
LIPPS RANDALL A OMNICELL, INC. 1201 CHARLESTON ROAD MOUNTAIN VIEW, CA 94043-1337 |
X | President and CEO |
/s/ Randall A. Lipps | 10/10/2007 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | Shares held in trust with Mr. Lipps' wife. |
(2) | Shares held in trust for the benefit of Mr. Lipps' children. |
(3) | Sale made pursuant to a Rule 10b5-1 plan dated May 29, 2007 and adopted by Randall Lipps. |
(4) | Sale made pursuant to a Rule 10b5-1 plan dated May 29, 2007 and adopted by Randall Lipps ACF Mr. Lipps' son U/CA/UTMA. |
(5) | Shares held both directly and in trust for Mr. Lipps' son have been removed as he is financially independent of Mr. Lipps. |
(6) | An initial error was made on the Form 4 filed January 3, 2007 which stated a gift was made in the amount of 5,000 shares, where in fact the gift made was in the amount of 8,500 shares. While the number of gifted shares was incorrect, the cumulative total of shares owned was correctly reported. In an attempt to correct the assumed errors, the Form 4 filed March 5, 2007 incorrectly stated the total number of shares held in trust. As of this filing, the number of shares held in trust is now accurately reflected. |