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FORM 3 OMB APPROVAL
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OMB Number: 3235-0104
Expires: September 30, 1998
Estimated average burden
hours per response ...... 0.5
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UNITED STATES 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
Roop, James E. Statement Trading Symbol of Original
- ---------------------------------------- (Month/Day/Year) Spacelabs Medical, Inc. (Month/Day/Year)
(Last) (First) (Middle) 08/06/99 ----------------------------------
C/O Spacelabs Medical, Inc. ---------------------------- 5. Relationship of Reporting -----------------------
15220 NE 40th Street 3. IRS or Social Security Person to Issuer 7. Individual or Joint/
- ---------------------------------------- Number of Reporting (Check all applicable) Group Filing (Check
(Street) Person (Voluntary) Director 10% Owner applicable line)
Redmond, WA 98073-9713 ----- ----- X Form filed by
- -------------------------------------- ---------------------------- X Officer Other ----- One Reporting
(City) (State) (Zip) ----- (give ----- (specify Person
title below) below) Form filed by
Vice President and General Manager, ----- More than One
U.S. Monitoring 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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Common Stock 2,000 D
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. Page 1 of 2 (Over)
*If the form is filed by more than one Reporting Person, see Instruction 5(b)(v). SEC 1473 (7-96)
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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
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Date Expira- Amount or (D) or
Exercis- tion Title Number Indirect (I)
able Date of Shares (Instr. 5)
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Employee Stock Option * 7/24/03 Common 16,000 16.75 D
(Right to Buy)
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Employee Stock Option * 10/30/03 Common 20,000 14.70 D
(Right to Buy)
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Employee Stock Option * 2/26/04 Common 10,000 17.81 D
(Right to Buy)
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Explanation of Responses:
* All option grants vest 25% each year for 4 yrs. beginning on 1st Anniversary
of grant.
/s/ Eugene V. DeFelice 8/11/99
**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
Eugene V. DeFelice
Attorney-in-Fact
for James E. Roop
Note: File three copies of this form, one of which must be manually signed.
If space provided is insufficient, See Instruction 6 for procedure.
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 Number.
Page 2 of 2
SEC 1473 (7-96)
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