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FORM 3
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
INITIAL 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(f)
of the Investment Company Act of 1940
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<S> <C> <C> <C>
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1. Name and Address of Reporting Person* 2. Date of Event Requiring 4. Issuer Name and Ticker or 6. If Amendment, Date
Svikhart Robert Statement Trading Symbol of Original
- ---------------------------------------- (Month/Day/Year) PLC Systems Inc. (Month/Day/Year)
(Last) (First) (Middle) June 17, 1998 ---------------------------------- N/A
252 Weed Street ---------------------------- 5. Relationship of Reporting -----------------------
- ---------------------------------------- 3. IRS Identification Person to Issuer 7. Individual or Joint/
(Street) Number of Reporting (Check all applicable) Group Filing (Check
Canaan Connecticut 06840 Person, if an Entity Director 10% Owner applicable line)
- ---------------------------------------- (Voluntary) N/A ----- ----- X Form filed by
(City) (State) (Zip) ---------------------------- X Officer Other ----- One Reporting
----- (give ----- (specify Person
title below) below) Form filed by
Chief Financial Officer ----- More than One
---------------------------------- Reporting Person
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TABLE 1 -- NON-DERIVATIVE SECURITIES BENEFICIALLY OWNED
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1. Title of Security 2. Amount of Securities 3. Ownership Form: 4. Nature of Indirect
(Instr. 4) Beneficially Owned Direct (D) or Beneficial
(Instr. 4) Indirect (I) Ownership (Instr. 4)
(Instr. 5)
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None
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*If the Form is filed by more than one Reporting Person, see Instruction 5(b)(v).
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
(Print or Type Responses)
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<TABLE>
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FORM 3 (CONTINUED) TABLE II -- DERIVATIVE SECURITIES BENEFICIALLY OWNED
(E.G., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES)
<S> <C> <C> <C> <C> <C>
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1. Title of Derivative Security 2. Date 3. Title and Amount of 4. Conver- 5. Owner- 6. Nature of Indirect
(Instr. 4) Exercisable and Securities Underlying sion or ship Beneficial Ownership
Expiration Date Derivative Security Exercise Form of (Instr. 5)
(Month/Day/ (Instr. 4) Price of Deriv-
Year) Deri- ative
vative Security:
Security Direct
------------------------------------------------- (D) or
Date Expira- Amount or Indirect
Exercis- tion Title Number (I)
able Date of Shares (Instr.
5)
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Options to Purchase Common Stock ***** June 16, 2008 Common Stock 148,500 $10.125 (D)
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Explanation of Responses:
***** The vesting schedule for the options to purchase Common Stock is attached hereto as Exhibit "A".
/s/ Robert Svikhart June 25, 1997
**Intentional misstatements or omissions of facts constitute Federal Criminal ------------------------------- ------------------
Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). **Signature of Reporting Person Date
Note. File three copies of this form, one of which must be manually signed. Page 2
If space provided is insufficient, See Instruction 6 for procedure.
(Print or Type Responses)
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EXHIBIT A TO FORM 3 FILING FOR ROBERT SVIKHART
The 148,500 options are each exercisable at $10.125 per share and vest
as follows: (i) options to purchase 19,000 shares of Common Stock which vest in
two equal installments of 9,500 immediately and August 1, 1999; (ii) options to
purchase 9,500 shares of Common Stock vesting upon the earlier of receipt of
pre-market approval for the Company's Heart Laser from the U.S. Food and Drug
Administration or August 15, 2001, (iii) options to purchase 15,000 shares
vesting upon the earlier of the release of audited financial statements by the
Company for a completed fiscal year in which the Company reports positive
earnings after taxes (exclusive of extraordinary items of gain or loss) or
August 15, 2001, (iv) options to purchase 15,000 shares vesting upon the earlier
of the 30th consecutive trading day when the Company's closing price for its
Common Stock exceeds $15.00 per share or August 15, 2001, (v) options to
purchase 15,000 shares vesting upon the earlier of the 30th consecutive trading
day when the Company's closing price for its Common Stock exceeds $18.00 per
share or August 15, 2003, (vi) options to purchase 15,000 shares vesting upon
the earlier of the 30th consecutive trading day when the Company's closing price
for its Common Stock exceeds $21.50 per share or August 15, 2003, (vii) options
to purchase 30,000 shares vesting upon the earlier of the 30th consecutive
trading day when the Company's closing price for its Common Stock exceeds $35.00
per share or August 15, 2003, and (viii) options to purchase 30,000 shares
vesting upon the earlier of the 30th consecutive trading day when the Company's
closing price for its Common Stock exceeds $40.00 per share or August 15, 2003.
All options vest upon a sale or acquisition of substantially all of the stock or
assets of the Company.
SEC 1473 (7-96)
