FORM 5 |
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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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Check this box if no longer subject Form 4 Transactions Reported |
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1. Name and Address of Reporting Person*
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2. Issuer Name and Ticker or Trading Symbol
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6. Relationship of Reporting Person(s) to Issuer |
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Director |
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10% Owner |
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X |
Officer (give |
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Other (specify |
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Senior Vice President, North American Sales and Marketing |
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(Last) (First) (Middle) c/o SangStat Medical Corporation |
3. I.R.S. Identification
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4. Statement for Month/Year 2002 |
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5. If Amendment, Date of February 6, 2003 |
X |
Form Filed by One Reporting Person |
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(Street) Fremont, CA 94555 |
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Form Filed by More than One Reporting Person |
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(City) (State) (Zip) |
Table I ¾ Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Security |
2. Trans- |
2A. Deemed |
3. Trans- |
4. Securities Acquired (A) or |
5. Amount of |
6. Owner- |
7. Nature of |
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Amount |
(A) or |
Price |
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* |
If the form is filed by more than one reporting person, see instruction 4(b)(v). |
Persons who respond to the collection of information contained in |
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(Over) |
FORM 5 (continued) |
Table II ¾ Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of Derivative |
2. Conver- |
3. Trans |
3A. Deem |
4. Trans- |
5. Number of Deriva- |
6. Date Exercis- |
7. Title and Amount of Underly- |
8. Price |
9. Number |
10. Owner- |
11. Nature of |
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(A) |
(D) |
Date |
Expira- |
Title |
Amount or |
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Option to purchase Common Stock |
$15.00 |
12/4/02 |
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A |
20,000 |
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(1) |
12/4/12 |
Common Stock |
20,000 |
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20,000 |
D |
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Explanation of Responses: |
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/s/ Tamiko F. Lewis |
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4/1/03 |
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** |
Intentional misstatements or omissions of facts constitute Federal Criminal Violations. |
**Tamiko F. Lewis |
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Date |
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See18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
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Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, |
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Potential persons who are to respond to the collection of information contained in this form are not |
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Page 2 |