SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES 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
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
DUGGAN ROBERT W

(Last) (First) (Middle)

(Street)

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTUITIVE SURGICAL INC [ ISRG ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
06/30/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. 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
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (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 Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/30/2003 J(1) 1,075,884 A 0(2) 1,075,884 D
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) 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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) 15.72 06/30/2003 A 10,000 06/30/2006(3) 06/30/2013 Common Stock 10,000 $0 10,000 D
Stock Option (right to buy) 17.78 06/30/2003 J(1) 6,668 06/30/2003 12/25/2006 Common Stock 6,668 $0(4) 6,668 D
Stock Option (right to buy) 39.39 06/30/2003 J(1) 5,142 06/30/2003 07/27/2008 Common Stock 5,142 $0(4) 5,142 D
Stock Option (right to buy) 35.02 06/30/2003 J(1) 5,142 06/30/2003 03/22/2009 Common Stock 5,142 $0(4) 5,142 D
Stock Option (right to buy) 32.1 06/30/2003 J(1) 10,398 06/30/2003 06/30/2010 Common Stock 10,398 $0(4) 10,398 D
Stock Option (right to buy) 15.68 06/30/2003 J(1) 4,583 06/30/2003 05/30/2011 Common Stock 4,583 $0(4) 4,583 D
Stock Option (right to buy) 15.68 06/30/2003 J(1) 1,845 06/30/2003 05/30/2011 Common Stock 1,845 $0(4) 1,845 D
Stock Option (right to buy) 2.54 06/30/2003 J(1) 20,570 06/30/2003 07/05/2012 Common Stock 20,570 $0(4) 20,570 D
Common Stock Warrant 19.46 06/30/2003 J(1) 21,467 06/30/2003 02/16/2006 Common Stock 21,467 $0(4) 21,467 D
Common Stock Warrant 17.32 06/30/2003 J(1) 3,135 06/30/2003 02/13/2007 Common Stock 3,135 $0(4) 3,135 D
Common Stock Warrant 35.68 06/30/2003 J(1) 38,412 06/30/2003 09/21/2007 Common Stock 38,412 $0(4) 38,412 D
Explanation of Responses:
1. Acquired in exchange for securities of Computer Motion, Inc. in connection with the acquisition of Computer Motion, Inc. by Intuitive Surgical, Inc. (the "Merger").
2. Received in exchange for 4,184,127 shares of common stock of Computer Motion, Inc. in connection with the Merger. Calculated by multiplying 4,184,127 by the merger exchange ratio of .51426943 and giving effect to the 1-for-2 reverse stock split of Intuitive Surgical common stock effected on June 30, 2003.
3. Vests in equal monthly installments over 36 months.
4. Received in the Merger in exchange for a stock option or warrant, as applicable, to acquire common stock of Computer Motion, Inc. The share numbers and exercise prices reflect the share numbers and exercise prices for the related Computer Motion, Inc. common stock option or warrant, as applicable, after the application of the merger exchange ratio of .51426943 and giving effect to the 1-for-2 reverse stock split of Intuitive Surgical, Inc. common stock effected on June 30, 2003.
Robert W. Duggan 07/01/2003
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
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