- Initial Statement of Beneficial Ownership (3)
December 12 2011 - 5:04PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
Expires:
November 30, 2011
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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(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Meury William
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2. Date of Event Requiring Statement (MM/DD/YYYY)
12/5/2011
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3. Issuer Name
and
Ticker or Trading Symbol
FOREST LABORATORIES INC [FRX]
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(Last)
(First)
(Middle)
C/O FOREST LABORATORIES, INC., 909 THIRD AVENUE
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
___
X
___ Officer (give title below)
_____ Other (specify below)
SVP - Marketing /
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(Street)
NEW YORK, NY 10022
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. 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 Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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125003
(1)
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Stock Option (Right to Buy)
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12/12/2004
(2)
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12/12/2013
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Common Stock
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12000
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$59.05
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D
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Stock Option (Right to Buy)
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12/13/2005
(3)
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12/13/2014
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Common Stock
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15000
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$42.535
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D
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Stock Option (Right to Buy)
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12/9/2006
(4)
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12/9/2011
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Common Stock
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8500
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$40.29
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D
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Stock Option (Right to Buy)
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12/8/2007
(5)
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12/8/2016
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Common Stock
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25000
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$51.535
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D
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Stock Option (Right to Buy)
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12/6/2008
(6)
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12/5/2017
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Common Stock
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25000
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$37.255
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D
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Stock Option (Right to Buy)
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12/8/2009
(7)
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12/7/2018
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Common Stock
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25000
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$24.12
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D
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Stock Option (Right to Buy)
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12/7/2010
(8)
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12/6/2019
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Common Stock
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40000
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$31.265
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D
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Stock Option (Right to Buy)
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12/6/2011
(9)
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12/5/2020
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Common Stock
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45000
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$32.165
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D
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Explanation of Responses:
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(
1)
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This amount includes shares of common stock which are subject to a risk of forfeiture.
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(
2)
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The option became exercisable as to 1,800 shares covered by the option on the first four anniversaries of the grant date (December 12, 2003) and as to the remaining 4,800 shares on the fifth anniversary of the grant date.
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(
3)
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The option became exercisable as to 2,250 shares covered by the option on the first four anniversaries of the grant date (December 13, 2004) and as to the remaining 6,000 shares on the fifth anniversary of the grant date.
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(
4)
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The Reporting Person was initially granted 10,000 options on the grant date (December 9, 2005), of which 1,500 shares were previously exercised and are included in the Reporting Person's total beneficial ownership reported on Table I above. The option became exercisable as to 1,500 shares covered by the option on the first four anniversaries of the grant date and as to the remaining 4,000 shares on the fifth anniversary of the grant date.
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(
5)
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The option became exercisable as to 3,750 shares covered by the option on the first four anniversaries of the grant date (December 8, 2006) and becomes exercisable as to the remaining 10,000 shares on the fifth anniversary of the grant date.
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(
6)
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The option became exercisable as to 3,750 shares covered by the option on the first three anniversaries of the grant date (December 6, 2007) and becomes exercisable as to 3,750 shares on the fourth anniversary of the grant date and as to the remaining 10,000 shares on the fifth anniversary of the grant date.
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(
7)
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The option became exercisable as to 3,750 shares covered by the option on the first two anniversaries of the grant date (December 8, 2008) and becomes exercisable as to 3,750 shares on the third and fourth anniveraries of the grant date and as to the remaining 10,000 shares on the fifth anniversary of the grant date.
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(
8)
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The option became exercisable as to 6,000 shares covered by the option on the first anniversary of the grant date (December 7, 2009) and becomes exercisable as to 6,750 shares on each of the second, third and fourth anniversaries of the grant date, and as to the remaining 18,000 shares on the fifth anniversary of the grant date.
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(
9)
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The option becomes exercisable as to 6,750 shares covered by the option on the first four anniversaries of the grant date (December 6, 2010) and as to the remaining 18,000 shares on the fifth anniversary of the grant date.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Meury William
C/O FOREST LABORATORIES, INC.
909 THIRD AVENUE
NEW YORK, NY 10022
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SVP - Marketing
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Signatures
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William Meury
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12/12/2011
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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