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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN 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(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
OLANOFF LAWRENCE S C/O FOREST LABORATORIES, INC. 909 THIRD AVENUE NEW YORK, NY 10022 |
X |
/s/ Lawrence S. Olanoff | 10/03/2011 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | These shares of common stock were issued under the Company's 2007 Equity Incentive Plan (the "Plan") and subject to a risk of forfeiture. In accordance with the terms of the Plan, the Reporting Person forfeited these shares of common stock upon his resignation as President and COO of the Company on December 31, 2010. |
(2) | The amount of securities beneficially owned following the reported transaction has been adjusted downward to correct an error dating back to the Form 4 filed by the Reporting Person on December 10, 2007 that resulted from inadvertently including 250,000 stock options previously granted to the Reporting Person in the reported number of shares beneficially owned (as opposed to the number of shares actually owned). The total reported in Column 5 also includes the Reporting Person's August 23, 2011 restricted common stock grant of 2,244 shares reported on the Form 4 that was filed with the SEC on August 25, 2011 and therefore reflects the number of shares beneficially owned by the Reporting Person on the date hereof. |
(3) | This amount includes shares of common stock which are subject to a risk of forfeiture. |