UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF 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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Option (right to buy) | Â (1) | 08/13/2017 | Common Stock | 9,000 | $ 13.25 | D | Â |
Restricted Stock Units | Â (2) | 08/13/2011 | Common Stock | 750 | $ (3) | D | Â |
Option (right to buy) | Â (4) | 04/13/2018 | Common Stock | 7,500 | $ 8.73 | D | Â |
Option (right to buy) | Â (5) | 01/21/2019 | Common Stock | 35,000 | $ 1.25 | D | Â |
Option (right to buy) | Â (6) | 02/08/2016 | Common Stock | 675 | $ 16.6 | D | Â |
Option (right to buy) | Â (7) | 02/08/2016 | Common Stock | 271 | $ 16.6 | D | Â |
Option (right to buy) | Â (8) | 02/13/2017 | Common Stock | 2,291 | $ 19.37 | D | Â |
Option (right to buy) | Â (9) | 09/15/2014 | Common Stock | 5,873 | $ 15.09 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Colligan Joan C/O JAZZ PHARMACEUTICALS, INC. 3180 PORTER DRIVE PALO ALTO, CA 94304 |
 |  |  Principal Accounting Officer |  |
/s/ Joan Colligan | 03/27/2009 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | twenty-five percent (25%) of the option shares vest on August 13, 2008, and one-forty-eight (1/48th)of the option shares vest in equal monthly installments over the following 36 months. |
(2) | twenty-five percent (25%) of the Restricted Stock Units vest annually beginning on August 13, 2008. |
(3) | Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. |
(4) | twenty-five percent (25%) of the option shares vest on April 13, 2009, and one-forty-eight (1/48th)of the option shares vest in equal monthly installments over the following 36 months. |
(5) | thirty-three and one third percent (33.3%) of the option shares vest on January 21, 2010, and one-thirty-sixth (1/36th)of the option shares vest in equal monthly installments over the following 24 months. |
(6) | twenty-five percent (25%) of the option shares vest on February 8, 2007, and one-forty-eight (1/48th)of the option shares vest in equal monthly installments over the following 36 months. |
(7) | twenty-five percent (25%) of the option shares vest on February 8, 2007, and one-forty-eight (1/48th)of the option shares vest in equal monthly installments over the following 36 months. |
(8) | twenty-five percent (25%) of the option shares vest on February 13, 2008, and one-forty-eight (1/48th)of the option shares vest in equal monthly installments over the following 36 months. |
(9) | twenty-five percent (25%) of the option shares vest on September 15, 2005, and one-forty-eight (1/48th)of the option shares vest in equal monthly installments over the following 36 months. |