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U.S. SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 3 OMB APPROVAL
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OMB Number: 3235-0104
Expires: December 31, 2000
Estimated average burden
hours per response...... 0.5
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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
1. Name and Address of Reporting Person
Udicious Steven J.
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(Last) (First) (Middle)
21250 Hawthorne Boulevard
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(Street)
Torrance CA 90503
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(City) (State) (Zip)
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2. Date of Event Requiring Statement (Month/Day/Year)
9/14/2000
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3. IRS or Social Security Number of Reporting Person (Voluntary)
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4. Issuer Name and Ticker or Trading Symbol
Total Renal Care Holdings, Inc. (TRL)
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5. Relationship of Reporting Person to Issuer (Check all applicable)
Director 10% Owner
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X Officer (give Other (Specify
--- title below) --- below)
Vice President, Secretary
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and General Counsel
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6. If Amendment, Date of Original (Month/Day/Year)
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<TABLE>
<CAPTION>
Table I--Non-Derivative Securities Beneficially Owned
1. Title 2. Amount of 3. Ownership Form: 4. Nature of
of Securities Bene- Direct (D) or Indirect Bene-
Security ficially Owned Indirect (I) ficial Ownership
(Instr. 4) (Instr. 4) (Instr. 5) (Instr. 5)
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<S> <C> <C> <C>
Common Stock 331 D
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Reminder: Report on a separate line for each class of securities beneficially
owned directly or indirectly.
(Print or Type Responses)
(Over)
SEC 1473 (8-92)
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FORM 3 (continued)
<TABLE>
<CAPTION>
Table II--Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative 2. Date Exer- 3. Title and Amount of Securities 4. Conversion 5. Ownership 6. Nature of In-
Security (Instr. 4) cisable and Underlying Derivative Security or Form of direct Bene-
Expiration (Instr. 4) Exercise Derivative ficial
Date Price Security: Ownership
(Month/Day/ of Direct (D) (Instr. 5)
Year) Derivative or In-
---------------------------------------------------- Security direct (I)
Date Expira- Amount or (Instr. 5)
Exer- tion Title Number of
cisable Date Shares
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<S> <C> <C> <C> <C> <C> <C> <C>
Employee Stock Option 2/22/98 3/10/07 Common Stock 13,350 $19.95 D
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(16b-3 Plan Right to Buy)
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Employee Stock Option (1) 3/11/09 Common Stock 20,000 $9.065 D
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(16b-3 Plan Right to Buy)
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Employee Stock Option (2) 3/29/05 Common Stock 90,000 $2.6875 D
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(16b-3 Plan Right to Buy)
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</TABLE>
Explanation of Responses:
(1) The indicated option vests at 25% per year such that 5,000 shares vest, or
have vested, on each of the following dates: 3/11/2000; 3/11/2001;
3/11/2002; and, 3/11/2003.
(2) The indicated option vests at 25% per year such that 22,500 shares vest
on each of the following dates: 3/29/2001; 3/29/2002; 3/29/2003; and,
3/29/2004. The final installment was accelerated and became exercisable on
June 27, 2000, because the market price exceeded 1.864 times the exercise
price on ten out of twenty trading days.
** Intentional misstatements or omissions of facts constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Steven J. Udicious 9/25/00
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**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient,
See Instruction 6 for procedure.
