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- ------ U.S. SECURITIES AND EXCHANGE COMMISSION ------------------------------
FORM 4 WASHINGTON, DC 20549 OMB APPROVAL
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STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OMB Number: 3235-0287
[ ] Check this box if no Expires: September 30, 1998
longer subject to Filed pursuant to Section 16(a) of the Securities Estimated average burden
Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the hours per response.........0.5
or Form 5 obligations Public Utility Holding Company Act of 1935 ------------------------------
may continue. See or Section 30(f) of the Investment Company
Instruction 1(b). Act of 1940
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1. Name and Address of Reporting Person* 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s)
Larsen Dennis E. Spacelabs Medical, Inc. to Issuer (check all applicable)
- --------------------------------------------- ---------------------------------------------- Director 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
Number of Reporting Month/Year X Officer (give Other (specify
14315 NE 61th Street Person (Voluntary) February, 2000 ---- title --- below)
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(Street) 5. If Amendment, Vice President, Business Development
Redmond WA 98052 Date of Original ------------------------------------
- --------------------------------------------- (Month/Year)
(City) (State) (Zip) 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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1. Title of Security 2. Trans- 3. Transac- 4. Securities Acquired (A) 5. Amount of Se- 6. Owner- 7. Nature
(Instr. 3) action tion or Disposed of (D) curities Benefi- ship of In-
Date Code (Instr. 3, 4 and 5) cially Owned at Form: direct
(Instr. 8) End of Month Direct Benefi-
(Month/ (Instr. 3 and 4) (D) or cial
Day/ --------------------------------------- Indirect Owner-
Year) Code V Amount (A) or Price (I) ship
(D) (Instr. 4) (Instr.
4)
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Common Stock(1) 2/25/2000 A V 2,000 A 10,000 D
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3,547 I 401(k)
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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 4(b)(v).
SEC 1474 (7/96)
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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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1. Title of Derivative 2. Conver- 3. Trans- 4. Trans- 5. Number of 6. Date Exer- 7. Title and Amount 8. Price
Security sion or action action Derivative cisable and of Underlying of
(Instr. 3) Exercise Date Code Securities Expiration Securities Deriv-
Price of (Month/ (Instr. Acquired (A) Date (Instr. 3 and 4) ative
Deriv- Day/ 8) or Disposed (Month/Day/ Secur-
ative Year) of (D) (Instr. Year) ity
Security 3, 4, and 5) (Instr. 5)
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Date Expira- Amount or
-------------------------- Exer- tion Title Number of
Code V (A) (D) cisable Date Shares
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Stock Option Grant 2/25/2000 A(2) V A 2/25/01 2/25/05 Common 10,000
(Right to Buy) (3)
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Stock Option Grant 2/25/2000 A(4) V A 2/25/01 2/25/05 Common 20,000
(Right to Buy) (3)
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9. Number of 10. Ownership 11. Nature of
Derivative Form of Indirect
Securities Derivative Beneficial
Beneficially Security: Ownership
Owned at End Direct (D) (Instr. 4)
of Month or Indirect (I)
(Instr. 4) (Instr. 4)
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$15.56 10,000
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$15.56 20,000
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Explanation of Responses:
(1) Restricted Stock Award granted under 1992 Option, Stock Appreciation Right, Restricted Stock;
Stock Grant and Performance Unit Plan. Restriction period lapses as to 25% of shares granted
annually beginning on first anniversary of grant.
(2) NQ Option Grant granted under the 1992 Option, Stock Appreciation Right, Restricted Stock,
Stock Grant and Performance Unit Plan.
(3) The option shares vest and become exercisable at the rate of 25% per year commencing with the
first anniversary of the date of grant.
(4) ISO Grant granted under the 1992 Option, Stock Appreciation Right, Restricted Stock, Stock Grant
and Performance Unit Plan for extraordinary performance with LifeClinic Online.
**Intentional misstatements or omissions of facts constitute Federal Criminal
Violations. By /s/ Eugene V. DeFelice 3/10/2000
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). ------------------------------- ---------
**Signature of Reporting Person Date
Attorney-in-Fact
for Dennis E. Larsen
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. SEC 1474 (7-96)
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