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) | 09/14/2014 | Common Stock | 13,554 | $ 15.09 | D | Â |
Option (right to buy) | Â (2) | 02/07/2016 | Common Stock | 3,163 | $ 16.6 | D | Â |
Option (right to buy) | Â (3) | 08/12/2017 | Common Stock | 25,527 | $ 13.25 | D | Â |
Option (right to buy) | Â (4) | 05/15/2018 | Common Stock | 25,000 | $ 7.96 | D | Â |
Option (right to buy) | Â (5) | 01/20/2019 | Common Stock | 70,000 | $ 1.25 | D | Â |
Option (right to buy) | Â (6) | 03/07/2020 | Common Stock | 35,000 | $ 11.48 | D | Â |
Restricted Stock Units | Â (7) | 08/13/2011 | Common Stock | 709 | $ (8) | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
DesJardin Michael A. C/O JAZZ PHARMACEUTICALS, INC. 3180 PORTER DRIVE PALO ALTO, CA 94304 |
 |  |  SVP, Product Development |  |
/s/ Michael A. DesJardin | 02/16/2011 | |
**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) | This option vested over four years measured from the vesting commencement date, July 12, 2004, with 1/4th vested on the first anniversary of the vesting commencement date and the remainder vested in 36 equal monthly installments thereafter. |
(2) | This option vested over four years measured from the vesting commencement date, February 8, 2006, in 48 equal monthly installments. |
(3) | This option vests over four years measured from the vesting commencement date, August 13, 2007, with 1/4th vesting on the first anniversary of the vesting commencement date and the remainder vesting in 36 equal monthly installments thereafter. |
(4) | This option vests over four years measured from the vesting commencement date, May 7, 2008, with 1/4th vesting on the first anniversary of the vesting commencement date and the remainder vesting in 36 equal monthly installments thereafter. |
(5) | This option vests over three years measured from the vesting commencement date, January 21, 2009, with 1/3rd vesting on the first anniversary of the vesting commencement date and the remainder vesting in 24 equal monthly installments thereafter. |
(6) | This option vests over four years measured from the vesting commencement date, March 8, 2010, with 1/4th vesting on the first anniversary of the vesting commencement date and the remainder vesting in 36 equal monthly installments thereafter. |
(7) | 100% of the restricted stock units are scheduled to vest on August 13, 2011, assuming continued employment through the vesting date. |
(8) | Each restricted stock unit represents a contingent right to receive one share of common stock upon the vesting of the unit. |