UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL 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(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. | SEC 1473 (7-02) | ||
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. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
Exchangeable Shares (1) | Â (2) | 05/31/2010 | Common Stock | 100 | $ 0 | D | Â |
Stock Options | Â (3) | 05/31/2011 | Common Stock | 25,000 | $ 17.5 | D | Â |
Stock Options | Â (4) | 05/11/2008 | Common Stock | 24,458 | $ 2.75 | D | Â |
Stock Options | Â (5) | 10/19/2011 | Common Stock | 20,000 | $ 17.82 | D | Â |
Stock Options | Â (6) | 11/16/2012 | Common Stock | 50,000 | $ 6.34 | D | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
Sartor Loris 6737 WEST WASHINGTON AVENUE SUITE 2250 MILWAUKEE, WI 53214 |
 |  |  Senior Vice President | MRGE Division President |
/s/ Julie Ann B. Schumitsch, by Power of Attorney for Loris Sartor | 11/22/2006 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(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) | Nonvoting exchangeable shares of Merge Cedara ExchangeCo Limited, an Ontario corporation (TSX:MRG), which exchangeable shares are convertible to the Common Stock of Merge Technologies Incorporated (NASDAQ:MRGE). |
(2) | Immediate. |
(3) | Options to purchase 6,250 shares of Common Stock vesting on each of June 1, 2005, June 1, 2006, June 1, 2007 and June 1, 2008. |
(4) | Options to purchase 24,458 shares of Common Stock vesting on May 12, 2006. |
(5) | Options to purchase 5,000 shares of Common Stock vesting on each of October 20, 2006, October 20, 2007, October 20, 2008 and October 20, 2009. |
(6) | Options to purchase 12,500 shares of Common Stock vesting on each of November 17, 2007, November 17, 2008, November 17, 2009 and November 17, 2010. |