Amended Statement of Changes in Beneficial Ownership (4/a)
March 26 2014 - 7:19PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0287
Estimated average burden
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0.5
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Wisniewski Daniel
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2. Issuer Name
and
Ticker or Trading Symbol
BioTelemetry, Inc.
[
BEAT
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
SVP Business Operations
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(Last)
(First)
(Middle)
1000 CEDAR HOLLOW RD
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/14/2014
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(Street)
MALVERN, PA 19355
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
2/18/2014
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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 Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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70100
(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. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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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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$4.24
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(2)
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12/6/2020
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Class A Common Stock
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100000
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100000
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D
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Stock Option (right to buy)
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$2.80
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(3)
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2/22/2022
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Class A Common Stock
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46838
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46838
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D
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Stock Option (right to buy)
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$2.54
(4)
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(5)
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2/19/2023
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Class A Common Stock
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30980
(4)
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30980
(4)
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D
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Stock Option (right to buy)
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$8.68
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(6)
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2/14/2024
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Class A Common Stock
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15621
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15621
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D
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Explanation of Responses:
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(
1)
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This amendment has been filed to correct the amount of securities reported on the original Form 4 as beneficially owned following the reported transaction.
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(
2)
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These options vest in accordance with the following schedule: 25,000 on each of the first through fourth anniversaries of the grant date (December 6, 2010).
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(
3)
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These options shall vest at the rate of 25% on December 31, 2012, and on each of the first, second, and third anniversaries of the Vesting Commencement Date, provided that the Optionholder remains in Continuous Service through the applicable vesting date.
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(
4)
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This amendment has been filed to amend the amount of derivative securities and the strike price reported on the original Form 4.
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(
5)
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These options shall vest at the rate of 25% on December 31, 2013, and on each of the first, second, and third anniversaries of the Vesting Commencement Date, provided that the Optionholder remains in Continuous Service through the applicable vesting date.
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(
6)
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These options shall vest at the rate of 25% on December 31, 2014, and on each of the first, second, and third anniversaries of the Vesting Commencement Date provided that the Optionholder remains in Continuous Service through the applicable vesting 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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Wisniewski Daniel
1000 CEDAR HOLLOW RD
MALVERN, PA 19355
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SVP Business Operations
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Signatures
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/s/ Nicole Bigham, by power of attorney
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3/26/2014
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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 4(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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