FORM 4
Check this box if no longer (Print or Type Responses) |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION 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
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OMB APPROVAL |
1. Name and Address of Reporting Person* Green, Henry |
2. Issuer Name and Tickler or Trading Symbol ALARIS Medical, Inc. ("AMI") |
6. Relationship of Reporting Person(s) to Issuer (Check all applicable)
x Director
10% Owner
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(Last) (First) (Middle) c/o ALARIS Medical Systems, Inc. 10221 Wateridge Circle |
3. I.R.S. Identification |
4. Statement for Month//Day/Year March 18, 2003 |
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(Street) San Diego, CA 92121 |
5. If Amendment, Date of |
7. Individual or Joint/Group Filing (Check Applicable Line)
x
Form filed by One Reporting Person |
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(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2. Transaction Date |
2A. Deemed Execution Date, if any (Month/Day/Year) |
3. Transaction Code |
4. Securities Acquired (A) |
5. Amount of Securities |
6. Ownership |
7. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code |
V |
Amount |
(A) or (D) |
Price |
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AMI Common Stock |
3/18/2003 |
S |
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7,000 |
D |
$10.40 |
48,000 (1) |
D |
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AMI Common Stock |
3/18/2003 |
S |
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7,000 |
D |
$10.35 |
41,000 |
D |
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AMI Common Stock |
3/18/2003 |
S |
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1,000 |
D |
$10.36 |
40,000 |
D |
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(1) This Form 4 corrects the number of shares of AMI common stock beneficially owned by Mr. Green at March 18, 2003. Inadvertently added to Column 5 in the filing of November 1999 was 8,000 shares, which Mr. Green does not beneficially own. Mr. Green's beneficial ownership of 55,000 shares was included in the beneficial ownership table contained in AMI's most recent proxy statement. |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1.Title of |
2.Conversion or |
3.Transaction Date |
3A. Deemed Execution Date, if any (Month/Day/Year) |
4.Transaction Code |
5.Number of Derivative |
6.Date Exerciseable |
7.Title and Amount of |
8.Price of |
9.Number of |
10.Ownership |
11.Nature of |
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
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Explanation of Responses:
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/s/ STUART E. RICKERSON STUART E. RICKERSON VICE PRESIDENT, GENERAL COUNSEL AND SECRETARY, AS ATTORNEY-IN-FACT FOR HENRY GREEN
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MARCH
19, 2003 |
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Reminder: |
Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations |
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Note: |
File three copies of this Form, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure |