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-------- UNITED STATES SECURITIES AND EXCHANGE COMMISSION -----------------------------
FORM 3 WASHINGTON, D.C. 20549 OMB APPROVAL
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INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES OMB Number: 3235-0104
Expires: October 31, 2001
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Estimated average burden
Section 17(a) of the Public Utility Holding Company Act of 1935 or hours per response .... 0.5
(Print or Type Responses) Section 30(f) of the Investment Company Act of 1940 -----------------------------
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1. Name and Address of Reporting Person* 2. Date of Event Re- 4. Issuer Name and Ticker or Trading Symbol
quiring Statement
GOLDSTEIN DOV A. (Month/Day/Year) VERSICOR INC. (VERS)
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(Last) (First) (Middle) 8/2/00 5. Relationship of Reporting Person(s) 6. If Amendment, Date
to Issuer (Check all applicable) of Original
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3. IRS or Social Se- Director 10% Owner (Month/Day/Year)
34790 ARDENTECH COURT curity Number of ---- ----
Reporting Person Officer (give Other (specify ---------------------
------------------------------------------------- (Voluntary) X title below) below) 7. Individual or
(Street) ---- ---- Joint/Group Filing
VICE PRESIDENT, FINANCE AND (Check Applicable
CHIEF FINANCIAL OFFICER Line)
--------------------------- Form filed by One
X Reporting Person
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Form filed by
More than One
FREMONT, CALIFORNIA 94555 Reporting Person
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(City) (State) (Zip) TABLE I -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership 4. Nature of Indirect Beneficial
(Instr. 4) Beneficially Owned Form: Direct Ownership (Instr. 5)
(Instr. 4) (D) or Indirect
(I) (Instr. 5)
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NONE NONE
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Page 1 of 2
* If the form is filed by more than one reporting person, SEE Instruction 5(b)(v). (Over)
SEC 1473 (7-97)
POTENTIAL PERSONS WHO ARE TO 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.
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FORM 3 (CONTINUED) TABLE II - DERIVATIVE SECURITIES BENEFICIALLY OWNED (E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE
SECURITIES)
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1. Title of Derivative Security 2. Date Exer- 3. Title and Amount of Securities 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) cisable and Underlying Derivative Security sion or ship Beneficial
Expiration (Instr. 4) Exercise Form of Ownership
Date Price of Deriv- (Instr. 5)
(Month/Day/ Deri- ative
Year) vative Security:
-------------------------------------------------- Security Direct
Amount (D) or
Date Expir- or Indirect
Exer- ation Title Number (I)
cisable Date of
Shares (Instr. 5)
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EMPLOYEE STOCK OPTION (1) 6/1/10 COMMON STOCK, PAR VALUE $.001 212,500 $4.72 D
(RIGHT TO BUY)
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Explanation of Responses:
(1) THE OPTIONS VEST 25% ON JUNE 1, 2001 AND THE REMAINING 75% VEST AT 1/36 PER MONTH FOR THE 36 MONTHS FOLLOWING JUNE 1, 2001. NO
OPTIONS ARE CURRENTLY EXERCISABLE.
/s/ DOV A. GOLDSTEIN August 1, 2000
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**Intentional misstatements or omissions of facts constitute Federal **Signature of Reporting Person Date
Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Page 2 of 2
SEC 1473 (7-97)
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