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OMB APPROVAL
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OMB Number 3235-0287
Expires: September 30, 1998
Estimated average burden
hours per response ....... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 4
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 Holding Company Act of 1935 or
Section 30(f) of the Investment Company Act of 1940
[ ] Check this box if no longer subject of Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
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1. Name and Address of Reporting Person
ROSS TERRY L.
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(Last) (First) (Middle)
389 Oyster Point Boulevard
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(Street)
So. San Francisco California 94080
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(City) (State) (Zip)
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2. Issuer Name and Ticker or Trading Symbol
Imatron Inc. IMAT
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Statement for Month/Year
June, 1999
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5. If Amendment, Date of Original (Month/Year)
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6. Relationship of Reporting Person to Issuer
(Check all applicable)
[ X ] Director [ ] 10% Owner
[ X ] Officer (give title below) [ ] Other (specify below)
7. Individual or Joint/Group Filing (Check Applicable Line)
[ X ] Form filed by One Reporting Person
[ ] Form filed by More than One Reporting Person
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Table I -- Non-Derivative Securities Acquired, Disposed of,
or Beneficially Owned
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6.
4. 5. Owner-
Securities Acquired (A) or Amount of ship
3. Disposed of (D) Securities Form: 7.
Transaction (Instr. 3, 4 and 5) Beneficially Direct Nature of
2. Code ------------------------------- Owned at End (D) or Indirect
1. Transaction (Instr. 8) (A) of Month Indirect Beneficial
Title of Security Date ------------ Amount or Price (Instr. 3 (I) Ownership
(Instr. 3) (mm/dd/yy) Code V (D) and 4) (Instr.4) (Instr. 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Common Stock (1) 6/15/99 A 3,767,123 A $.803 D
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<FN>
Issued upon conversion of promissory note from Registrant to Reporting Person.
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FORM 4 (continued)
Table II -- Derivative Securities Acquired, Disposed of, or Beneficially
Owned (e.g., puts, calls, warrants, options, convertible securities)
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9. 10.
Number Owner-
of ship
2. Deriv- of
Conver- 5. 7. ative Deriv- 11.
sion Number of Title and Amount Secur- ative Nature
or Derivative 6. of Underlying 8. ities Secur- of
Exer- 4. Securities Date Securities Price Bene- ity: In-
cise 3. Trans- Acquired (A) Exercisable and (Instr. 3 and 4) of ficially Direct direct
Price Trans- action or Disposed Expiration Date ---------------- Deriv- Owned (D) or Bene-
1. of action Code of(D) (Month/Day/Year) Amount ative at End In- ficial
Title of Deriv- Date (Instr. (Instr. 3, ---------------- or Secur- of direct Owner-
Derivative ative (Month/ 8) 4 and 5) Date Expira- Number ity Month (I) ship
Security Secur- Day/ ------ ------------ Exer- tion of (Instr. (Instr. (Instr. (Instr.
(Instr. 3) ity Year) Code V (A) (D) cisable Date Title Shares 5) 4) 4) 4)
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<S> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C> <C>
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Common Stock
Warrant $1.375 1/1/99 A 200,000 (2) 12/31/ Common Stock 200,000 $.05 200,000 D
(right to buy) 03
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Ec Stock
Option
(right to buy) $1.125 1/1/99 A 300,000 (3) 1/1/ Common Stock 300,000 300,000 D
09
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Common Stock
Warrant
(right to buy) $1.044 6/15/99 A 360,000(4) 6/15/ 6/15/ Common Stock 360,000 360,000 D
00 04
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Call Option
(right to buy) $1.003 6/15/99 A 2,991,027(4) 6/15/ 6/15/ Common Stock 2,991,027 2,991,027 D
99 00
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Explanation of Responses:
(2) In connection with his employment, Reporting Person purchased Warrants to
purchase Common Stock at an exercise price of $1.375. The Warrants vest 50%
after six months of employment (beginning 1/1/99) and 50% after 12 months of
employment.
(3) In connection with his employment, Reporting Person was granted options to
purchase 300,000 shares of Common Stock at $1.125 per share, vesting 250,000
shares quarterly over the first 24 months of employment (at 31,250 per quarter)
and vesting 50,000 quarterly over the next 12 months of employment. The grant
was conditioned upon the shareholders approving certain amendments to the Stock
Option Plan, which approval was obtained on 6/18/99.
(4) Received in connection with purchase of Common Stock, Warrants and Call
Option upon conversion of Promissory Note from Registrant to Reporting Person.
/s/ Terry L. Ross July 9, 1999
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**Signature of Reporting Person Date
Terry L. Ross
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedures.