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OMB APPROVAL
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- ------ OMB Number: 3235-0287
FORM 4 Expires: Septmeber 30, 1998
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hours per response .... 0.5
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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
/ / Check this box if no
longer subject to Filed pursuant to Section 16(a) of the Securities
Section 16. Form 4 Exchange Act of 1934, Section 17(a) of the
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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<S> <C> <C> <C> <C> <C> <C>
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1. Name and Address of Reporting Person 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person to
Riggs, Jr., M.D. Leonard M. EmCare Holdings Inc. ("EMCR") Issuer (Check all applicable)
- --------------------------------------------------------------------------------------------- X Director X 10% Owner
(Last) (First) (Middle) 3. IRS or Social Security 4. Statement for ---- ---
c/o EmCare Holdings Inc. Number of Reporting Month/Year X Officer (give Other (Specify
1717 Main Street, Suite 5200 Person (Voluntary) September 1996 ---- title --- below)
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(Street) 5. If Amendment,
Date of Original Chief Executive Officer
(Month/Year) ------------------------
7. Individual or Joint/Group Filing
Reporting (Check Applicable Line)
X Form filed by One Reporting
---- Person
Form filed by More than One
---- Reporting person
Dallas Texas 75201
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(City) (State) (Zip) TABLE 1 -- 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 9/6/96 S 3,333 D $25 D
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Common Stock 9/6/96 S 1,667 D $25 I by trust for
spouse
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Common Stock 9/10/96 S 10,000 D $25 D
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Common Stock 9/10/96 S 5,000 D $25 I by trust for
spouse
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Common Stock 512,410 D
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Common Stock 277,155 I by trust for
spouse
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Common Stock 94,350 I by trust for
partnership
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. (Over)
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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)
<S> <C> <C> <C> <C> <C> <C> <C>
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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 Ac- Expiration Securities Deriv-
Price of (Month/ (Instr. 8) quired (A) or Date (Instr. 3 and 4) ative
Deriv- Day/ Disposed of (D) (Month/Day/ Secur-
ative Year) (Instr. 3, 4, Year) ity
Security 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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Employee Stock Options (1) (1) (1) Common Stock 197,500
(right to buy)
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<S> <C> <C> <C>
1. Title of Derivative 9. Number of 10. Ownership 11. Nature of
Security Derivative Form of Indirect
(Instr. 3) 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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197,500 (1) D
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Explanation of Responses:
(1) 17,500 options will be exercisable for $4.932 per share in annual increments of approximately 5,834 (until all such options
vest) and will expire on 2/2/02. 30,000 options will be exercisable for $11.00 per share in annual increments of 7,500 (until all
such options vest) and will expire on 12/31/03. 75,000 options will be exxercisable for $13.75 per share in annual increments of
15,000 (until all such options vest) and will expire on 3/1/05. 75,000 options will be exercisable for $25.625 per share in annual
increments of 15,000 (until all such options vest) and will expire on 3/11/06.
/s/ Leonard M. Riggs, Jr., M.D. October 9, 1996
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**Signature of Reporting Person Date
**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 procedure.
Potential persons who are to respond to the collection of information contained in this form are not Page 2
required to respond unless the form displays a currently valid OMB Number. SEC 1474 (7/96)
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